Answer To: Assessment Two written assignment: Read the clinical scenario (download attached task sheet) and the...
Dr. Saloni answered on Apr 19 2022
2
A Case Study: Flo
Contents
Question 1: Assessments 3
Falls assessment 3
Goal 3
Tool 3
Relates to Flo’s presentation 3
Management of Abnormal Findings 4
Functional assessment 4
Goal 4
Tool 5
Relates to Flo’s presentation 5
Management of Abnormal Findings 6
Pressure injury risk assessment 6
Goal 6
Tool 6
Relates to Flo’s presentation 7
Management of Abnormal Findings 7
Question 2: Plan and implementation 8
References 10
Question 1: Assessments
Falls assessment
Goal
A fall risk assessment is utilised to understand whether someone is at a moderate, high, or minimal risk of falling. When this assessment reveals that Flo is at serious risk, the health care personnel or caregiver may prescribe action to prevent the fall and reduce the adverse effects. Individuals who have fallen without hurting themselves ought to have their stride and equilibrium analyzed; those who have balance anomalies and gait deviations ought to be assessed extensively. A record of falling without injuries or locomotion or stability issues does not require further investigation than a fall risk assessment annually (Clark et al., 2020).
Tool
Fall risk assessment tool
FRAT (The fall risk assessment tool) can appropriately determine fall risk and also establish a credible foundation on which to build decisions concerning interventions that can minimise the risk of falls. Numerous directed intervention strategies depending on comprehensive risk assessment have culminated in substantial improvements in falls throughout interventional studies performed in care facilities. Similar outcomes have been identified in subacute clinical settings. This risk assessment is a four-item assessment tool developed for utilisation by nurses throughout residential as well as subacute clinical settings. It evaluates who is not vulnerable to falls and who is highly vulnerable, with a lower limit of error (Sun & Sosnoff, 2018).
Relates to Flo’s presentation
FRAT, in Flo's case, can lay the foundations for the array of fall risk-associated variables. The questionnaires correspond to having seen or validated risk variables or behavioural patterns of Flo, including age and chronic conditions that the admission nurse might define instantaneously upon admission. Flo's ongoing prescriptions and physiological risk variables need to be investigated in this instance. These work as medical indices for the predominance of fall risk and the fundamental variables that drive it, which can support the development of an action plan. All information ought to be reviewed by Flo's carer or a close relative (Wabe et al., 2022).
Management of Abnormal Findings
A new alternative for when patients are diagnosed with anomalous findings is a nursing practise strategy that encompasses prevention-focused therapy. A strategic plan incorporates professional judgement and experience while defining core interventions to assure Flo's safeguard from falls, comprising an individualised care plan depending on actual falls along with harm risk factors (Clark et al., 2020). These interventions often include acknowledging in the clinical notes as well as on Flo's doorway that the patient is at greater risk for falls, shifting her to another place close to the nurse's station to strengthen assertion, reviewing clients after novel episodes of illness or prescription modifications, curtailing bed height, as well as supplying side rails for the client who steps out of bed, or supplying fall prevention education to the patient and staff. As per research, utilising restraints on a routine basis does not minimise the incidence of falls (Wabe et al., 2022).
Furthermore, the usage of a trunk restraint is implicated in the occurrence of the fracture and fall in the patient. Delivery of support aids for ambulation as well as client relocation. Wheelchairs must be utilised as little as practicable as they may be employed as a means of restraint. Medications and training in the employment of adequate mechanical aids can serve to minimise the risk of falls, or even the related injuries and dearth of self-confidence (Clark et al., 2020).
Functional assessment
Goal
Functional assessment is an efficient method for systematically evaluating a client's functioning state, advancing through the therapeutic period, and validating a homebound stance. The functional assessment analysis is also utilised to rationalise undergoing physical therapy services. The aged client's evaluation needs to incorporate the functional assessment (Maddux et al., 2018). This analysis is often undertaken throughout history, and it may surface as an aspect of contemporary illness history. The analysis of activities of daily life delivers detailed details regarding the patient's competencies and the implications of the ailment. In essence, the functional assessment serves as a benchmark against which the implications of illness or interventions can be evaluated (Kimura, 2021).
Tool
The Functional Independence Measure
The non-diagnostic method, FIM, is utilised to assess malfunctioning in a range of populations. This approach is an instrument. Functional enhancements are an influential independent indicator for rehabilitative operations. The FIM tool is comprised of 18 objects that are assessed on a seven-pointe ordinal range, with the stronger the grade for an object, the more it signifies that the client can undertake the tasks indicated by that item autonomously (Kimura, 2021). The FIM is anticipated to take 30–45 minutes to...