HEALING 3 ASSIGNMENT 2
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Drake University *
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HLTH-230
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Health Science
Date
Dec 6, 2023
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docx
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HEALING 3 ASSIGNMENT 2
PROMOTING SAFETY WITH TRANSFERS/MOBILITY
Submitted to: Daryl Lagayan
Submitted by: Cherilyn Doctor
Using the “7-steps” framework for decision making by the HCA, describe the step-by-step
approach you would take to handle the following clinical scenario:
1. Confirm Instructions
2. Gather information
3. Perform Activity
4. Observe responses
5. Report
6. Record
7. Evaluate
Joseph is a 90-year-old resident with mild cognitive impairment. He has always been a tall,
sturdy man with a height of 6 feet and weight of 220 lbs. Joseph has recently had surgery for a
hip replacement due to a fall and has just returned to the facility. He is feeling very tired and has
not yet mobilized on his own. Lately he has been very unsteady on his feet. You are assigned to
provide Joseph evening care to get him ready for bed. You enter his room to say hello and find
him sitting in his lazy boy watching television with is eyes closed. You wake Joseph to say that
you are there to help him get ready for bed. Joseph says he is too tired and weak to go to bed
and just wants to sleep in his chair. He has never used a lifting device before.
Using the problem-solving approach above, what are you going to do? How will you approach
convincing Joseph to get into bed? What will you do about the information that he has given
you that he is tired and weak and has a history of falls just having recently returned from hip
replacement surgery? What fall prevention strategies would you consider in this situation?
What will you report at the end of your shift? Write what your specific report would look like?
Using the “7-steps” framework for decision making by the HCA, describe the step-by-step
approach you would take to handle the following clinical scenario:
1.
Confirm Instruction
-
Confirm that the task is to provide evening care and help Joseph get ready for
bed.
2.
Gather Information
-
Assess Joseph's current condition and the situation. He is a 90-year-old resident
with mild cognitive impairment who recently had hip replacement surgery due to
a fall. He feels tired, weak, and unsteady on his feet. He is sitting in his lazy boy
chair, watching television with his eyes closed.
3.
Perform Activity
-
Approach Joseph with empathy and respect, acknowledging that he may feel
tired after his surgery. Explain the importance of getting proper rest in bed to aid
in his recovery. Ensure that you have the necessary equipment for transferring
him safely if needed.
4.
Observe Responses
-
Observe Joseph's response, listen empathetically to his concerns, and provide
reassurance while emphasizing the potential risks of remaining in the chair.
5.
Report
-
At this point, if Joseph continues to resist going to bed, report the situation to
the nurse or supervisor on duty. Inform them about Joseph's tiredness,
weakness, and history of falls, as well as his preference to sleep in the chair. Seek
guidance on how to proceed further.
6.
Record
-
Document the details of the interaction and Joseph's preferences and concerns
in his medical record or care plan. Include any observations made during the
conversation and an assessment of his physical condition.
7.
Evaluate
-
Collaborate with the healthcare team to evaluate fall prevention strategies, such
as assessing mobility, considering assistive devices, providing education on safe
mobility, and implementing exercises for strength and balance.
Fall Prevention Strategies
Given Joseph's history of falls and recent hip replacement surgery, it is essential to implement
fall prevention strategies to ensure his safety. Some strategies to consider include:
Providing assistance during transfers (e.g., from chair to bed) using appropriate
lifting devices
Ensuring that his walking area is clear of obstacles and hazards.
Encouraging the use of mobility aids, such as a walker, if appropriate.
Ensuring adequate lighting to improve visibility and reduce the risk of tripping.
Regularly monitoring his condition and response to activities to identify any signs of
instability.
Specific Report Example
Joseph, a 90-year-old resident with mild cognitive impairment, recently underwent hip
replacement surgery after a fall.
He appeared tired and unsteady on his feet during evening care.
Joseph expressed a preference to sleep in his chair rather than get into bed due to
feeling weak and tired.
It was noted that he had never used a lifting device before.
The information has been documented in his medical record for further review and
follow-up by the healthcare team. Fall prevention strategies, including assessing his
mobility, considering assistive devices, and implementing an exercise program,
should be considered to address his unsteadiness and history of falls."
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