Question

PLEASE ANSWER ALL THE QUESTONS:

1) Ethel Jones is a seventy-four -year -old resident of an assisted living center. She fell 6 weeks ago and fractured her right hip. She is now in rehabilitation therapy and is walking with the assassinate of a physical therapy aide and a rolling walker. She is frightened to walk and would rather use her wheelchair for mobility.

Why is it important for her to be as mobile as possible?

What are the overall effects of immobility?

How does immobility affect other body systems?

what would you say to Mrs. Jones about the importance of continuing to walk?

2)

Mr Jones is a 65-year-old gentleman who was recently started to become forgetful which seems to be getting worse. He has gone for a physical with his wife.

What do you think could be his diagnosis?

The wife has many questions: Can he still work? Can he be left at home alone? What medication should he be put on?

Are there any Holistic treatments he could use?

3)

The endocrine system is a very complex system of many glands. The hormones help the body's growth, regulation, and metabolism. Overproduction or underproduction of any one gland can cause dysfunction in other systems.

What is the most common endocrine disorder - what disease?

Acromegaly is another condition.

Describe the features of Acromegaly.

Name the complications (at least 3) of Acromegaly that can shorten the person's life

Answer 1

• 1.It is important for Ethel Jones to be mobile as much as possible to restore her functional mobiltiy and muscle function of the lower limb..
• Immobility may cause loss of motion and strength of lower limb,poor postural balance,hip pain and decreased functional mobility .It also gives a negative body image to the patient.
• Immobility have various effects on body functions like reduced   muscle mass,strength ,oxidative capacity.Stiff and sore muscles elevates the hip pain.It also hampers the persons ability to make movement progressively and thus the person cannot maintain an upright posture too along with loss of voluntary control.Cardiovascular output and respiratory depths/capacity decreases.Immobility also leads to degradation of integumentary system evidenced by the occurence of bed sore.Loss of appetite resulting to dehydration,malnutrition,and weight loss is effect of immobilisation.Immobility leads to collection of urine due to poor drainage leading to Urinary Tract Infection.Lastly but not the least ,immobility leads to various psychological problems such as depression and low self esteem.
• Mrs Jones should be made to realize that mobility is important for her to gain pre fractional recovery .By daily walking ,even if for a shorter distance with help will enhance her body functions and movement.Also here, her fear of falling down can be diminished by building a trust level with the aides so that she can try to walk with the walker without any fear with the aide assisting her or following her closely from behind.
• 2.Mr Jones is likely to be suffering from Alzheimars disease,a type of dementia(memory loss) disorder.
• Due to his forgetfulness Mr jones may not be able to work properly on his own .He will need someones caring assistance.And as these type of patients dont accept their memory loss,it may be an issue.He can be refrred to an occupational therapist.
• No ,Mr Jones should not be left alone at home. as he cant cope well and may wander out.
• Mr Jones may be put on cognition enhancing medication .
• Yes Mr Jones may be put on holistic treatment like aromatherapy, bright light therapy,acupuncture,ooccupational therapy,neurological medication,psychiatric sessions,use of coconnut oil,omega 3 fatty acid enriched foods.Mrs Jones may take him to the local Alzheimar association where he can be put into therapies.