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Develop a one-paragraph summary describing Mrs. L.’s risk for falls.

Date Posted: 22/07/2019
Category: Science
Due Date: 27/07/2019
Instruction
Mrs. L is an 89-year-old widow who lives independently in her home. She drives, and she is an avid quilter. Her daughter lives within 2 miles and checks in daily with Mrs. L. by phone or in person. Mrs. L has been admitted to your hospital with the diagnosis of R/O pneumonia. Her past medical problems include the following: • Bilateral hip replacements • Detached retina × 2 (right eye) • Osteoarthritis • Depression • Orthostatic hypotension • Falls at home × 1 • Urinary frequency • Insomnia (sleeps about 3 hours per night) Mrs. L takes no medication, “not even an aspirin.” Mrs. L uses her call button frequently to request assistance to the bathroom. Upon rounding, her nurse found Mrs. L on the floor, having crawled out of her bed with the side rails up. She was assessed and was found to have no injuries. Her gown was wet with urine. When asked to describe what happened, Mrs. L stated the following: “I called for help to the bathroom and no one came. So rather than wetting the bed, I managed to crawl over the side rails. I slipped on the floor trying to get to the bathroom.” 1. What are Mrs. L’s known risk factors (in the hospital) for falling? • Environmental • Medical conditions • Unsafe behaviors 2. Using the Hendrich II Fall Risk Model (https://consultgeri.org/try-this/general-assessment/issue-8.pdf), determine Mrs. L’s fall risk score. 3. Mrs. L states she is “plagued by insomnia.” Using the Pittsburgh Sleep Quality Index (http://uacc.arizona.edu/sites/default/files/psqi_sleep_questionnaire_1_pg.pdf), measure Mrs. L’s quality and patterns of sleep. Could Mrs. L’s sleeping pattern contribute to her risk for falls? What actions will you take based on your analysis? 4. Mrs. L is asked to complete the “Clock Drawing” portion of the Mini-Cog (http://mini-cog.com/wp-content/uploads/2015/12/Universal-Mini-Cog-Form-011916.pdf). She draws the clock showing 3 PM. Her drawing is missing the numbers 3, 4, and 5. One clock hand is pointing at 9 and the other is pointing at 12. For the “Three Word Recall” portion, Mrs. L remembers two words. What is her Mini-Cog score? 5. Having assessed Mrs. L’s fall risk and her cognitive state, develop one safety goal for each of the following: • Environmental and equipment • Gait and mobility • New medications • Anxiety, depression, and unsafe behavior
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Essaymasters 7 years, 2 months ago
Rated 8.94 earned 80799.14 around 2500 assignments.
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ServiceMaster 7 years, 2 months ago
Rated 9.51 earned 22869.63 around 767 assignments.
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phoniextutor 7 years, 2 months ago
Rated 8.98 earned 50856.21 around 1767 assignments.
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DoctorAssignment 7 years, 2 months ago
Rated 8.94 earned 2734.77 around 97 assignments.
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surrogatewriter 7 years, 2 months ago
Rated 9.31 earned 75264.37 around 2854 assignments.
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tutor4you 7 years, 2 months ago
Rated 9.71 earned 40687.23 around 1363 assignments.
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committedwriter 7 years, 2 months ago
Rated 9.14 earned 89563.32 around 3017 assignments.
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munene2343 7 years, 2 months ago
Rated 9.44 earned 1836.62 around 68 assignments.
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tutor4U_d_971 7 years, 2 months ago
Rated 9.33 earned 53632.21 around 1383 assignments.
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1stclasshonour 7 years, 2 months ago
Rated 9.22 earned 30856.96 around 773 assignments.
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HavardGraduateWriter 7 years, 2 months ago
Rated 9.42 earned 51369.88 around 1959 assignments.
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Javawriter 7 years, 2 months ago
Rated 8.81 earned 69150.66 around 2092 assignments.
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qualitywriter 7 years, 2 months ago
Rated 9.35 earned 2849.47 around 110 assignments.
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mwicha257 7 years, 2 months ago
Rated 9.11 earned 6144.96 around 208 assignments.
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tutorforyou 7 years, 2 months ago
Rated 9.04 earned 17105.49 around 504 assignments.
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lupita 7 years, 2 months ago
Rated 9.36 earned 11670.86 around 435 assignments.
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writingPro 7 years, 2 months ago
Rated 9.21 earned 7454.10 around 263 assignments.
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