Question

Discuss the issue of Mrs Randles dignity involved in this case? ( read then respond)

Mrs. Randle, a frail, 85-year-old woman who lives alone, is admitted to a geropsychiatric unit because of irritability, confusion, and in- creasing incontinence. Mrs. Randle's family states she was continually refusing assistance from her home health aides and became angry when her family and home care nurses tried to reason with her about these refusals. During her hospital admission, Mrs. Randle is treated for a urinary tract infection, is hydrated with intravenous fluids, and two of her medica- tions are adjusted. She subsequently becomes calm and cooperative with the care that she re- ceives while in the hospital. When Registered Nurse Terry and a social worker talk with Mrs. Randle about the safety risks of her living in her home alone, she states, “I am 85 years old and think I should be able to decide how I want to live the rest of my life. I'm willing to take my chances. I will die if I go to a nurs- ing home.” Mrs. Randle often is unsure about the correct day of the week when questioned, yet she knows the name of the hospital and the if ur ed-

Answer 1

• The health team should see more interest in this patient.
• Should give geriatric considerations and care.
• Mrs. Randle is alone , improve the socialization
• Advice the children to take care of mother.
• Best decision is to allow home stay with family.