Health, Promoting Good Practice Essay Example | Topics and Well Written Essays - 2500 words

Health, Promoting Good Practice - Essay Example She is currently on an acute mixed ward for older people; this is her 3rd day of hospital stay. Mrs Marie Brown lives alone in her own 4 bedroom detached house in the suburbs of the city. Her husband died 4 months ago from cancer. She had been married 58 years. She has one daughter who lives nearby called Claire. She works full time, but helps with shopping and housework(1). Mrs Brown keeps a large amount of cash in the house to pay bills rather than use the bank. Marie's nationality is French and English is not her first language. Marie has exhibited signs of short term memory problems since the death of her husband and has recently started to revert to her mother tongue of French. Mrs Marie Brown has osteoporosis and chronic obstructive airways disease. She uses a nebuliser 3 times a day to assist her breathing. She becomes short of breath on exertion. (Becomes short of breath when she moves around). Prior to admission Mrs Marie Brown could shuffle a short distance of 5-6 steps, whilst using her zimmer frame. She sleeps in one of her downstairs rooms, with a commode next to the bed and her armchair is within easy reach. At present she is unable to stand by herself and requires assistance of one person for toileting and personal care. A home carer attends twice a day, to assist with a.m. getting up, washed and dressed and making breakfast. They also attend in the evening to assist Mrs Brown to get undressed and into bed. The home carers hold keys to the house. Professionals Involved prior to admission A social worker (SW) for older people, from social services (SS) has assessed Mrs Brown following the death of her husband. The SW has arranged for the care package (Home Care and Meals on Wheels) to be in place. An Occupational Therapist, (Also from SS) has assessed Mrs Brown and has recommended and arranged for a commode, zimmer frame and bed and chair to be raised. The patient chosen for the purpose of this essay will be referred to as Mrs. Marie Brown. Mrs. Marie Brown is 78 year old women who suffer with rheumatoid arthritis. This also resulted in Brown having bilateral hip replacements. Brown is on steroid treatment, which leads to thinning of the skin and susceptibility to trauma (Mallet and Dougherty 2001). Brown lives with her husband and two grown up sons. Brown was refereed to the district nurse on her discharge from hospital following her second hip replacement. The initial referral was to check the surgical wound. However on arrival it was pointed out by Brown that she had a skin tear on her left shin that wasn't healing. The district nurse performed an assessment and concluded the wound was a venous leg ulcer as it had been present for 6 weeks. The district nurses used Sorbisan and Telfa to dress the wound. Twice weekly visits were carried out to Joe for a further 4 weeks, and it became obvious that the ulcer was not improving. The d istrict nurse had to make a decision on what care to provide. The decision was to try another dressing Aticoat which is impregnated with silver, and not to refer the