Social Support BPs primary support is her family She stays in contact with her

Social support bps primary support is her family she

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Social Support B.P.’s primary support is her family. She stays in contact with her family via phone calls or visits. Her primary support person is her older daughter. B.P.’s daughter visits her almost every day 7
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HOME VISIT PAPER and brings her children with her. She brings B.P. homemade food to eat and activities that they can do together which B.P. enjoys. Her daughter is accessible any time, day or night when she is not working. Summary of Strength/Weaknesses B.P. has a very good attitude toward her situation and is optimistic that she will regain her strength to her previous functional level. The patient is not depressed even though she has had two falls and surgeries recently and a loss of one of her children. However, B.P. could use a more formal support system in addition to her family. B.P. stated she also has some anxiety when transferring because she doesn’t want to hurt the aides and is afraid of falling. A fall can have not only physical consequences but also, physiological ones such as fear and can make rehabilitation more difficult (Bloch, et. al., 2014). Synthesis of Findings Key Ares of Concern Some of the key area of concern are that B.P. is still instructed not to bear weight on her left leg. This is more than likely affecting her physical therapy and slowing down her progress. She is determined and eager to get better to be able to go home. The N.S. is not sure how much therapy B.P. is receiving in the nursing care facility which should have been addressed. Nursing Interventions and Patient Education The N.S. discussed what can happen if her muscles are not being used and what other interventions are needed in her daughter’s house prevent future falls when she returns home. Falls are not only due to intrinsic factors, such as the process of aging, but are also due to extrinsic factors, such as the patient’s environment in their home (Gauterio, et. al., 2015). Much of the patient’s interventions during care and education is provided by the nursing care facility. 8
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HOME VISIT PAPER Community Referrals The N.S. completed a head to toe assessment and advised the patient what her vitals were. However, the N.S. should have addressed B.P.’s future therapy, what is done during therapy sessions and if she is tolerating them. B.P. could possibly use a more permanent home health aide to come to her daughter’s house when she returns home depending on her condition. I was not able to provide that information as we do not know when she will be able to return home and if that care would be needed at that time. Summary of Visit Overall, the visit was successful. B.P. was delighted to see the N.S. and was happy to answer questions and discuss her care. The N.S. was able to perform and complete a head to toe assessment and use tools to determine B.P.’s level of functioning and her cognition and if she has depression. The N.S. could have been more prepared with more detailed questions regarding B.P.’s therapy and how she is tolerating the sessions. This way, it could be determined whether she may need home health care when she is discharged home so another fall does not occur.
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  • Spring '11
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