Question

Lena is 75-years-old and lives in the residential aged care facility where you work as an Enrolled Nurse. Lena has Parkinson’s disease, which has had a big impact on her mobility. She uses a walker to move around the facility, but she tires easily and experiences an impaired gait which causes her to shuffle and move slowly. Because of this, Lena tends to sit for most of the day but has difficulty sitting down and getting up.

Due to her condition, Lena also requires assistance at times with other activities of daily living like oral hygiene and caring for her dentures, bathing and toileting, dressing and eating.

Recently, Lena has started having trouble hearing and is experiencing memory loss.

1) identify the risks presented in this scenario

2) Detail a risk prevention strategy that could be used to manage these risks. In your response, note any required documentation and/or reporting.

3) List potential nursing care that could be provided to the patient.

Answer 1

Answer:

1. * Patient has difficulty in walking -  risk for fall.

  * Patient sit for most of the day - Risk for pressure ulcers

*Patient need assistance for ADL - Risk for decreased physical activity

   * Patient has memory loss - Risk for confusion

* Patient has loss of hearing- Risk for anxiety

2. ☆ Risk assessment

   ☆ Identify potential hazards

☆ Identify and prioritize the risk factors

   ☆ Safety measures to improve the protection

   ☆ Elimination of hazard and replaced with a lower risk one

☆ Administrative control to prevent the exposure of hazard

3 * Provide physical support to the patient

  * Teach the techniques that initiate the ambulation

*Instruct the patient to perform daily exercise in tolerable limits

* Monitor the ambulation and movement

* Inspect the patient's skin and provide massage

* Provide orientation to the patient if needed

*Assess the patient ability to communicate effectively