Assessments of Fall Risk and Cognition

Assessments of Fall Risk and Cognition

Table of Contents

Order ID	53003233773
Type	Essay
Writer Level	Masters
Style	APA
Sources/References	4
Perfect Number of Pages to Order	5-10 Pages

Description/Paper Instructions

 

Assessments of Fall Risk and Cognition

Mrs. L is a widowed 89-year-old woman who lives alone in her home. She is a driver and an avid quilter. Her daughter lives less than two miles away and communicates with Mrs. L. on a daily basis, either via phone or in person.

Mrs. L has been admitted to your hospital with an R/O pneumonia diagnosis.

The following are some of her previous medical issues:

Bilateral hip replacements are a type of hip replacement that replaces both hips at the same

Detached retina is a condition in which the retina is detached from the rest of the body (right eye)

Osteoarthritis is a type of arthritis that affects the joints.

Depression is a mental illness that affects many people.

Orthostatic hypotension is a type of orthostatic hypotension that occurs when a person

Falls at home
Urinary frequency is a measure of how often you have to go to the bathroom.

Insomnia is a condition in which a person is unable to sleep (sleeps about 3 hours per night)

Mrs. L doesn’t take any medications, not even aspirin.

Mrs. L uses her call button to request assistance to the restroom on a regular basis. Mrs. L was caught crawling out of her bed with the side rails up on the floor when her nurse arrived. She was examined and confirmed to be injury-free. Her garment was drenched in urine. “I yelled for help to the restroom and no one came,” Mrs. L said when asked to detail what transpired. So instead of wetting the bed, I crawled over the side rails. When I was trying to get to the bathroom, I stumbled on the floor.”

1. What are Mrs. L’s known risk factors for falling (while in the hospital)?

Environmental issues

Various medical issues

Unhealthy habits

2. Determine Mrs. L’s fall risk score using the Hendrich II Fall Risk Model (https://consultgeri.org/try-this/general-assessment/issue-8.pdf).

3. Mrs. L claims she suffers from “insomnia.” Measure Mrs. L’s sleep quality and patterns using the Pittsburgh Sleep Quality Index (https://www.opapc.com/uploads/documents/PSQI.pdf). Could Mrs. L’s sleeping habits play a role in her risk of falling? What activities will you take as a result of your research?

4. Mrs. L is asked to fill out the Mini-“Clock Cog’s Drawing” section (http://mini-cog.com/wp-content/uploads/2015/12/Universal-Mini-Cog-Form-011916.pdf). She depicts a clock that reads 3 p.m. The numerals 3, 4, and 5 are missing from her design. One of the clock hands is pointing at 9 o’clock, while the other is pointing at 12 o’clock. Mrs. L remembers two words for the “Three Word Recall” section. How did she do on the Mini-Cog?

5. After determining Mrs. L’s fall risk and cognitive condition, set one safety target for each of the following:

Environmental and equipment considerations

Mobility and gait

Medications that are new

Anxiety, despair, and risky behavior are all symptoms of anxiety.

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