Assessment of the Situation
After finishing the home safety assessment, interviewing Mr. Trosack’s family, there are multiple health care issues that need to be assessed prior to his discharge.
1. Risking of falls related to location of his apartment, medical condition and recent surgery. When using the Morse Fall Scale, a checklist that is used to evaluate the safety of the patient’s home (Diebold, pg 464) he scored high which means he is at high risk of falling again. The concerns that should be consider is that his apartment is located on the 2nd floor with no elevators. To reach his apartment, 2 flights of stairs must be done. His apartment is small and cluttered, and difficult to maneuver with a walker. He also did express his feelings regarding his concerns that it “will be difficult and painful to climb the stairs.” He also has numerous throw rugs that can be a risk hazard for falling again. With his living situation, he is prone to having another injury or fall again. It is important to assess living conditions to make necessary adjustments or determine if this plan is the most appropriate for this patient or if other arrangements need to be considered.
2. Another problem that is a concern is the new medical conditions he was diagnosed with in his recent hospitalization, diabetes and hypertension. The factors to consider in this problem would be that he lives along, has expired food in his fridge and that groceries must be bought up two flight of stairs. He is overweight with a high body mass index (BMI). “Overweight and obese individuals are at increased risk for many diseases and health conditions, including hypertension, dyslipidemia, type 2 diabetes, and coronary heart disease.” (CDC, 9/2011). Not that he was diagnosed with DM, he is at risk of hyperglycemia if he forgets to take his medications or hypoglycemia if he takes more than the amount prescribed. He was prescribed narcotics for pain which may cause altered mental status which can cause...