was touch or push gently 2 times, the patient did not stagger and did not become unstable. Romberg test was done: B.V. was steady. The assessment continued by having the patient walk to the other side of the room and turn around; B.V, was steady and did not lose her balance. Reflecting on the Tinetti assessment being done is a test I will be using in the future. The POMA assessment test was simple, and easy to administer with small amount of space available on the office, that took approximately 15 minutes to perform. Measuring the patient gait and balance by having B.V. performing specific task by using a three-point scale with a range from 0 to 2 was very interesting. B.V. overall scored 20 points, according to the Tinetti assessment tool, B.V. is at risk for a fall.
One issue with the patient is that she was very tall 5ft 11 inches and had some difficulty getting up from the chair that seemed to be too low. She needed support. The Tinetti assessment tool seemed to be effective, we were able to assess that B.V. have deficits with muscle weakness, arthritis or possible having neurological disease that need to be addressed. Strategies and interventions to reduce the risk of falls for frail elders. After a brief discussion with my preceptor there are a few treatment option B.V. has: 1 st option for treatment with impairment especially when having difficulty raising from a chair with difficulty, is to make sure she has a higher chair or height adjusted chair. 2 nd treatment option can be for a Physical therapy to evaluate and provide muscle-strengthening exercise and treatment. 3 rd treatment option for B.V. is to perform laboratory testing to monitor if there are any anemia, dehydration or hypoglycemia cause for B.V. near fall experience. According to Resnick 2016, it is important for practitioners to understand that assessing the musculoskeletal function for falls while performing a physical examination is the most important part of the examination and should always be done” (Resnick, 2016). It is essential for the practitioner to discussed with the patient and their family’s things they can do at home to protect the elderly from falls. Modification such as home environment modification: example proper adequate lighting, obstacle free walkways, all necessary equipment needed in the bathroom (handrail in tub). As for B.V. gradual tapering or modifying her beta blockers (changing the dose from propranolol 120 mg po qd to Propranolol 80 mg po qd) medication according to Resnick 2016, can decrease the risk of falls. B.V. blood pressure is a potential problem. According to Zia, Kamaruzzaman, and Tan, (2015) “suggests dose-dependent relationship between blood pressure lowering therapy and falls among older individuals should be closely monitored. As well as orthostatic hypotension, increases in prevalence with increasing age, and has been closely associated with Falls” (Zia, Kamaruzzaman & Tan, 2015). As practitioners is it important to monitor the elderly patient for
You've reached the end of your free preview.
Want to read all 6 pages?