How to Answer Case Study Rosa Questions (Complete Guide)
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Break the problem into smaller parts and analyze each logically.
Key Explanation
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Original Question
Case study Rosa Rossi is an 83-year-old lady with a rich Italian background. She migrated to Australia when she was 51 years and ever since has lived and worked in Australia, she is a widow who lives alone in her unit and has been independent with her activities of daily living. She has two daughters Gianna and Bianca who live nearby and are fully involved with the care of Rosa. Mrs Rossi presented to emergency department (ED) via ambulance following a fall in her garden. She had fractured her left NOF and has been to operation theatre (OT) for total hip replacement (THR). Mrs Rossi is now day 7 post op. Mrs Rossi has a medical history of osteoarthritis and had a major stroke 5 years ago but managed to recover well after months of rehabilitation. She has moderate congestive cardiac failure, a mild cognitive impairment, NIDDM for ~ 20 yrs, with pain associated to neuropathy. She has had two recent transient Ischaemic attacks (TIAs) at home and managed to recover well after few days of staying in bed. Since she lost her husband, Mr Rossi 7 years ago, she cycles through depression if she forgets to take her antidepressants. She wears glasses for her vision impairment related to glaucoma, cataracts, and diabetic retinopathies. She also wears bilateral hearing aids. During her stay in acute care ward, the nurses documented in her progress notes that Mrs Rossi is: Underweight with a BMI of 14 On admission looks quite dishevelled and dehydrated indicating possible neglect and poor care Very frail with multiple skin tears on her lower limbs and stage 1 pressure injury to her sacrum Old scars to lower legs with possible history of healed venous/arterial ulcers Might have been on the ground for over 8 hours before a neighbour found her Denies pain, but noticed to be grimacing and wincing during transfers and repositioning No recollection of memory of her having used her bowels 4 days before she presented in ED Developed delirium post-surgery that resolved after treatment and hydration After nine days in acute care ward and three weeks in rehabilitation ward, Mrs Rossi was not able to return home and care for herself. After a long discussion with multi-disciplinary team (MDT), her daughters Bianca and Giana reluctantly agreed to transfer Mrs Rossi to an aged care facility where she will receive 24hr care. Health education during discharged included: medication compliance, hydration and nutrition, bowel management, skin care, prevention of skin tears as well as future advice on palliative care and end of life care. Questions Using information from your weekly readings and wider research, discuss multicultural ageing in Australia, provide some statistics about cultural diversity in Australia. In your discussion consider the case study of Mrs Rossi and explain why nurses need to be culturally competent to care for older adults in Australia (approx. 200 words) Consider the case study of Mrs Rossi. Discuss why The Functional Consequences Theory is important for nurses to know about and explain how it relates to health promotion (approx. 200 words Identify the conditions that lead to vision impairment of Mrs Rossi and discuss the associated challenges for her as an older adult. Explain risk factors that can lead to vision impairment (approx. 200 words) Consider Mrs Rossi’s chronic pain. What assessments will you undertake and what actions will be implemented to reduce/eliminate the pain (approx. 200 words) The occurrence of dementia, delirium and depression are common in older adults as seen in the case study of Mrs Rossi. Furthermore, the occurrence of dementia is an increasing trend. Consider the current research (provide incidence and prevalence statistics) and discuss aspects of dementia specific care that you have read about (approx. 200 words) Mrs Rossi’s progress notes highlighted some possibility of neglect and poor care at home. – From your weekly readings and possible experiences, discuss how you could prevent elder abuse in practice (approx. 200 words) Consider a patient that you cared for in the aged care setting who was assessed as being at risk of falling. What were the risk factors that were considered and what action was taken to prevent further falls? Consider the case study of Mrs Rossi (approx. 200 words) Considering frailty of Mrs Russo, it is possible that she might enter her palliative/end of life care phase in the near future. Discuss the nurse’s role in end-of-life care (approx. 200 words)
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