Geriatric Assessment Tool Case Study Paper

Read the case study and answer the questions
Billy B. is a 90-year-old male who has been an active participant in a Program for All-Inclusive Care of the Elderly (PACE). He meets the nursing home eligibility criteria, but his son enrolled him in PACE to keep him home for as long as possible. He has been attending PACE three times a week, and his son and daughter-in-law take care of him in their home. He was noted by the PACE staff to be confused, with an unsteady gait, and they identified he had a urinary tract infection. Because of his delirium, he was admitted to the Acute Care of the Elderly (ACE) unit. His expected length of stay is 3 days. Geriatric Assessment Tool Case Study Paper

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Questions

What evidence-based screening tool might be used to assess for delirium and monitor progress during hospitalization?
What evidence-based screening tool might be used to assess for gait?
What disciplines are likely to be most involved in this care during hospitalization?
GUIDELINES

1. Utilize APA format to complete this assignment. Your assignment submission should be 1000-1500 words. It should contain proper grammar, be free of spelling errors, and reflect critical thinking. Your assignment should be in APA format including the title page, body of the paper, and the reference page. Geriatric Assessment Tool Case Study Paper

2. Utilize at least 3-5 scholarly references for this assignment. This includes your textbook. Do not use resources that are over five years.

3. Ensure your assignment reflects critical thinking and an understanding of the questions. Geriatric Assessment Tool Case Study Paper

Introduction

A careful examination of the health conditions of the elderly shall be made to come up with necessary geriatric care plans. This study focuses on the experience of Mr. Billy B, who at age 90, together with his family, decides to enroll in the PACE. As a result of an unsteady walk, disorientation, and a urinary tract infection, he is hospitalized in an ACE unit of the hospital. This paper will strive to give wide-ranging views of the hospitalization care of the patient which is based on an interdisciplinary approach, as well as to explore screening methods for delirium and gait evaluation that are based on evidence. Geriatric Assessment Tool Case Study Paper

Delirium Assessment Tool

The elderly gravitate towards delirium as their underlying medical condition and this should be dealt with as soon as possible especially when the person is in the hospital. One of the most successfully implemented evidence-based screening tools is the Confusion Assessment Method (CAM). Four main characteristics are present: speed, disorganized thought, sudden onset and fluctuating course, and altered level of consciousness. Billy’s mental state of being confounded and transformed by CAM is a good criterion for examining delirium and the change in mental condition.  Geriatric Assessment Tool Case Study Paper

Another aspect of delirium that poses challenges largely to elders is that the condition mainly results in longer hospital stays, escalating medical expenses, and increased mortality rate (Leslie & Inouye, 2011). Therefore, it becomes incredibly vital to prescribe standardized delirium screening tools like a CAM during routine medical practice to accurately diagnose delirium and manage it promptly. By doing that patients experience fewer problems and healthcare systems are burdened less frequently. Geriatric Assessment Tool Case Study Paper

Gait Assessment Tool

The reason for gait assessment among the elderly is that it is the same as mobility and the risk of falls. The TUG test is being now used and recognized as a method to assess the gait of older persons. It is a function of the period it takes for a person to start an act from sitting on a chair, going 3 meters, turning then moving back to the initial chair, and subsequently getting back while sitting. The TUG evaluates fall hazards, mobility, and balance-related factors that point to potential treatment plan areas. Billy’s variant walk pattern indicates that conducting the TUG test would be a proper measurement approach to assess his mobility, identify any flaws, and decide upon the necessary actions (Podsiadlo & Richardson, 1991). Geriatric Assessment Tool Case Study Paper

Moreover, elders with impaired gait have a higher risk for falls and lose their functional abilities while their quality of life is less satisfiable (Verghese et al., 2002). Thus for the early detection of mobility problems and implementation of selective care through the employment of such techniques as the TUG test in the reduction of fall mortality and morbidity in elderly people, the complete gait evaluation is indispensable.

Disciplines Involved in Care

With his inpatient stay in the hospital, disconnection within all angles should be avoided to facilitate better addressing of his multi-complex requirements. The multidisciplinary group in charge of his treatment can consist of: Geriatric Assessment Tool Case Study Paper

Nursing

The main role of the nurse goes beyond organizing the care. The nurse must also regularly get checkups, give medication, and help both patients as well as their family members emotionally. The nurses in charge were ensuring the tracking of the vital signs such as the temperature of Billy and how he responded to the urinary tract infection treatment and they were using the way to cope with delirium. Geriatric Assessment Tool Case Study Paper

Geriatric Medicine

The Geriatricians are a group of healthcare professionals who have a specialized practice in medicine where they are particularly focused on managing chronic diseases and geriatric syndromes as well as functional decline among older persons. As a part treatment program manager would inspect and manage Billy’s medical care, perform thorough geriatric evaluations, adjust the prescription schedule appropriately, and deal with general problems that geriatrics usually face, like delirium and falls.

Physical Therapy

The leading aim of physical treatment for the injured in the musculoskeletal system or movement is to revise function, force, and performance. Physical therapists would do the functional independence test to check up on Billy’s muscle strength, balance as well and gait the training protocols would be performed to increase the range of his motion while a fall prevention method is put into practice for him to be able to move around easily. Geriatric Assessment Tool Case Study Paper

Occupational Therapy

Practitioners of occupational therapy (OT) are highly skilled in the area of restoring patients to normalcy in performing advanced activities of daily living (IADLs) and daily living activities (ADLs). A test will be performed by the professionals to figure out the functional level of Billy, and the amount of support required, through the use of assistive technology or by creating the environment based on the needs of the client, and training strategies will finally be introduced for maximum independence at home. Geriatric Assessment Tool Case Study Paper

Social Work

Because emotional support and family assistance are numerous later the discharge of the patient and also their neighborhood services can be provided by the social worker. The social workers shall do a social support system evaluation for Billy and provide him with compassionate support & counseling, initiate discussions about the creation of end-of-life plans, and the whole discharge planning for a successful home-go. Geriatric Assessment Tool Case Study Paper

Simply speaking, the old like Billy and other elderly people are beneficial when handling geriatric care by looking at the whole picture. In this regard, the patient outcomes improve, and they develop to function independently with a better overall quality of life at all times. Keeping care plans the whole person in mind, driven by the particular needs of each individual, specialists from different healthcare backgrounds can be involved which leads to overall well-being and a higher level of independence for older people.

Furthermore, interdisciplinary teamwork guarantees that other healthcare partners work together smoothly, treatment is consistent, and communication among team members is made easy. As a result, this holistic approach through the care continuum and then solving the multi-dimensional issues concerning aging is very significant, especially to older persons with multiple co-morbid illnesses. Geriatric Assessment Tool Case Study Paper

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Conclusion

As was the case of Billy B. the case study highlights the imperative of proper geriatric assessment and interdisciplinary approach for enhancing the outcomes that are desirable for older adults with complicated as they are complex health problems. The use of state-of-the-art assessment tools makes it possible to diagnose and treat age-related difficulties, for instance, delirium as determined by the Confusion Assessment Method (CAM) or gait problems as detected by the Timed Up and Go (TUG) test promptly. Geriatric Assessment Tool Case Study Paper

During hospital care, patients can assess the work of various other disciplines involved in the care such as the nursing units, geriatric medicine, therapy that is physical, occupational therapy, and working socially. Health care professionals may grow closer through work, thus, helping to develop more individualized care plans that cater to each patient’s necessities, hence encouraging functional independence, highlighting risks, and bettering his quality of life. At the end of the day, the raising of sufficient medical potency for older people, the attainment of optimal outcomes, and the facilitation of effective aging in our geriatric population largely depend on the combination of evidence-based evaluation methods and a multipart workforce. Geriatric Assessment Tool Case Study Paper

References

Culberson, J. W., Kopel, J., Sehar, U., & Reddy, P. H. (2023). aaUrgent Needs of Caregiving in Ageing Populations with Alzheimer’s Disease and Other Chronic Conditions: Support Our Loved Ones. Ageing Research Reviews, 102001. https://www.sciencedirect.com/science/article/pii/S1568163723001605

Herath, H. M. K. K. M. B., Jayasekara, A. G. B. P., Madhusanka, B. G. D. A., & Karunasena, G. M. K. B. (2023). Attentive Vision-Based Model for Sarcopenia Screening by Automating Timed Up-and-Go (TUG) Test. In Enabling Person-Centric Healthcare Using Ambient Assistive Technology: Personalized and Patient-Centric Healthcare Services in AAT (pp. 85-103). Cham: Springer Nature Switzerland. https://link.springer.com/chapter/10.1007/978-3-031-38281-9_4

Rieck, K. M., Pagali, S., & Miller, D. M. (2020). Delirium in hospitalized older adults. Hospital practice, 48(sup1), 3-16. https://www.tandfonline.com/doi/abs/10.1080/21548331.2019.1709359

Xu, F., Soh, K. G., Chan, Y. M., Bai, X. R., Qi, F., & Deng, N. (2023). Effects of tai chi on postural balance and quality of life among the elderly with gait disorders: A systematic review. Plos one, 18(9), e0287035. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0287035 Geriatric Assessment Tool Case Study Paper