Case Study Older Adult

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Psychology

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Nov 24, 2024

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Case Study : Older Adult Chief Complaint: “I’m just here for my normal visit, but I have some questions about falling.” History of Present Illness: Mrs. Green is a 74-year-old female who is seeing her primary care provider for her annual wellness visit. She has no acute complaints but is nervous about falling because her neighbor fell last week and is currently in the hospital. She has a history of a stroke one year ago and has some residual left-sided weakness. Her stroke was due to a subtherapeutic INR while taking warfarin; and she was switched to Pradaxa at that time. She states that she is fearful of falling but has not fallen yet; she walks with a cane and does not leave the house much anymore due to a fear of falling. Past Medical History: • Atrial fibrillation (A. Fib) [Diagnosed age 71] • Depression [Diagnosed age 73] • Hypothyroidism [Diagnosed age 52] • Thromboembolic cerebrovascular accident [1 year ago secondary to A. Fib] Social History: Lives alone Denies any use of alcohol, tobacco or illicit substances Allergies: NKDA Medications: • Sertraline 50 mg by mouth daily [1 year] • Atenolol 100 mg by mouth daily [3 years] • Pradaxa (dibigatran) 150 mg by mouth twice daily [1 year] • Levothyroxine 75 mcg by mouth daily [5 years] • Atorvastatin 40 mg by mouth daily [3 years] • Zolpidem 10 mg by mouth each night at bedtime [1 year] Questions: 1. list at least 4 common environmental hazards that may be found in an individual’s home. 2. Discuss how falls affect older adults and Name some interventions that can help the older adult recover after a fall. 3. Discuss at least 2 disorders that may alter an older adult’s cognition

Instructions: Post all answers to the Discussion board by the 4 th day of the week Respond to one other student post by the 6 th day of the week Discussion Board Rubric Grading Elements 2 1 0 Initial Post Requirements Post by due date at 2359 CST. This is respectful behavior to allow fellow students in the course time to read your initial post and formulate a highly synthesized response and meet the reply post due date/time. Posted one day late at 2359 CST. Posted two days late at 2359. Initial Post Content Demonstrates synthesis of issues/content presented for the discussion week by significantly contributing to the quality of discerning ideas, and/or provides insightful interpretations and analyses of the content presented for the week, and/or stimulates further discussion by providing a new perspective. Demonstrates in depth understanding of issues/content presented for the discussion week by providing a summary of the content presented for the week. Demonstrates minimal understanding of issues/content presented for the discussion week by providing a brief answer to the discussion board question. Initial Post Support Provides support for discussions with at least 2 current scholarly references, one of which may include the assigned text. Uses APA 7 th edition format for citations and references within last 5 years. Provides support for discussions with at least 1 current scholarly references, one of which may include the assigned texts. Uses APA 7 th edition format for citations and references within last 5 years. NO support. Initial Peer Response Requirements Posted by due date at 2359 CST. Posted one day late at 2359 CST. Posted two days late at 2359 CST. Initial Peer Response Content Significantly adds to the discussion demonstrated by synthesizing key elements and adds further analysis of peer’s post. Respectfully adds a different perspective/critique of the peer’s post for healthy debate of the content presented for the week. Adds to the discussion with in depth summary of key elements of peer’s post and highlights key elements of the post. Does not add a new perspective/critique. Uses scholarly references in APA 7 th edition format where applicable. Provides only a brief summary of peer’s post.

Uses scholarly references in APA 7 th edition format where applicable. Spelling/Grammar/APA Less than 10 spelling/grammar/APA errors. Less than 15 spelling/grammar/APA errors More than 15 spelling/grammar/APA errors Follow-up to peer responses (purpose is to maintain some dialogue on the topic during the week) Significant response to either peer or faculty with referencing optional but the post needs to continue adding new perspective/critique to maintain open discussion of topic. Uses scholarly references in APA 7 th edition format where applicable. Response to peer is a summary with no new perspective/critique. Uses scholarly references in APA 7 th edition format where applicable. Examples of postings that demonstrate higher levels of thinking:  “Some common themes I see between your experiences and our textbook are….” (analysis)  “These newer trends are significant if we consider the relationship between ….” (synthesis)  “The body of literature should be assessed by these standards ….” (evaluation) Adapted from University of Delaware online resources (2006) Total DB Points=14 points

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