Student Name: Sarah WilsonSafety Case StudyPatient safety is an important element of quality patient care. In the day to day care of patients, injury may occur to either the patient or the health care worker. Striving for injury prevention is a key quality indicator in all health care facilities.You and your classmates are getting ready for your assignment on the post-acute unit at a skilled nursing facility. You are assigned the following patients:Mrs. North, 85 y/o, lives alone but has family locally who she sees regularly, she has a history of atrial fibrillation, and has been admitted for rehab following her hospitalization for a CVA or strokeMrs. Smith, 65 y/o, lives with her spouse and her 2 small dogs, she has a history of smoking and diabetes and has been admitted for rehab following her hospitalization for a left foot amputationas a result of a wound that would not heal.Mr. Jones, 90 y/o, lives alone but has 24-hour home care, has a history of heart attack and hypertension, and has been admitted for rehab following an extensive hospital stay due to decompensated heart failure, he is on multiple heart medications.Mr. Joiner, 70 y/o, lives with his wife, has a history of smoking, diabetes, and hypertension, and has been admitted for rehab following a 1-month hospitalization for COVID-19.Ms. Sampson, 75 y/o, lives with her daughter’s family, has a history of smoking but she quit 5 years ago when she was diagnosed with chronic bronchitis followed by a diagnosis of emphysema, she has been admitted for rehab following a long hospitalization for exacerbation of her COPD.The clinical instructor discusses several reasons patients are placed in post-acute rehabilitation care following hospitalization. She identifies:Activity intoleranceStrokeAntibiotic treatmentWound care She further explains when patients are on prolonged bedrest while hospitalized, contractures and atrophy can occur causing activity intolerance and increased risk for falls. To best care for patients it is important to ensure they are as strong as possible to attend to their activities of daily living. While in rehab the patients will receive occupational and physical therapy prior to returning home.1.What are contractures? How do contractures affect mobility? Contractures are the lack of joint mobility caused by muscles shortening. Contractures affect mobility because joints are staff and can cause pain and discomfort in patients. 2.What is atrophy in relation to mobility? Tissues shrink in size and muscles waste away. As you review your assigned patients, you consider their safety and exercise needs. You anticipate your patients may need special equipment and care to prevent complications from their condition.
You start your rounds to see your patients. First you plan to see Ms. Sampson by reviewing her chart.