Work in the Nursing Profession Case Study Example | Topics and Well Written Essays - 1750 words

Work in the Nursing Profession - Case Study Example Most of the older people have multiple pathologies or diagnoses, but more often many symptoms are erroneously attributed to the older age, and no single cause should be ignored since it may lead to catastrophic consequences. With this background, the case history of Molly can be analyzed further to answer the questions related to her present illness. This 80-year-old widow for 2 years lives alone in her own house and is currently finding it very difficult to stay there. She has a large family of six children, all of whom are married, and although close to them, she is now finding it difficult to adjust. She had a chance of outing with these grandchildren, but their play and noise recently is falling on her nerves. It may be due to irritability due to some other reason. With the outing being brought to an end, she has been rendered more home bound. At home, she enjoys her television and garden, although it is doubtful as to how much gardening she can do herself. Medically, she is under care of her primary care physician for last 40 years, and her medications include prescription medications for arthritis, asthma, and heart problems. She has arthritis in almost all of her joints, and an aggravation of this problem and the pain associated with it has led to her increased consumption of over-the-counter pain relief medications and h eartburn medications. Moreover, the arthritis has aggravated to an extent that she needs to use walking stick, and her exercise has almost come to an end leading to restriction in mobility and gain in weight. She could manage to go to the local chemist for vitamins commuting in a bus, but that now seems improbable. Over the top of it recently, she does not seem to be able to manage her accounts efficiently. Many a times recently, she went shopping without money, and this forgetfulness has been noticed by the family members, and she gets irritated when somebody mentions this to her. Social contacts constricting, she has thus been left with her pastimes of reading, gardening, and television watching. In this admission, she had a fall in her garden leading to facial injury and hematoma and fracture neck of femur on the right hand side making a case for surgical procedure and acute hospital admission. It is expected that she would recover soon and be discharged home in a dependent condi tion needing home health assistance and care. She is not open to having someone unknown coming to her house and caring for her. Molly would need community care, and before instituting care, an assessment is necessary. One of her most important problems from the community care point of view is her recent confusion and intellectual failure making her dependent on others. Falls are comparatively recent additions to her condition that makes her vulnerable and dependent on others needing adjustments or constant watch. His prolonged arthritis would have led to contracture deformities in most of her joints restricting her mobility further die to loss of range of motion and painful joint conditions over the top of her age-related hypertension and onset of dementia. Her immobility predisposes her to many complications such as falls that has occurred, urinary incontinence, infections, pressure sores, deep vein thrombosis, and pulmonary embolism, and the care that would be planned in the community level would need sharp attention to prevent these (Carmody and Forster, 2003, 1-11). This lady has thus all, impairment,