5 EFFECTIVE & EVIDENCE BASED ACUTE CARE

Running Head: EFFECTIVE & EVIDENCE BASED ACUTE CARE
EFFECTIVE & EVIDENCE BASED ACUTE CARE
Name of the student
Name of the University
Author Note

1
EFFECTIVE & EVIDENCE BASED ACUTE CARE
Assignment 1 formulation
Mr. Peter Watson, an 88-year-old man, was admitted to the Mona
vale hospital by his only daughter Marie Watson (40 years old) and son
Jack Watson (36-year-old) after they found him lying in the balcony one
morning, presumably due to a fall during the night. After admission to the
hospital, it was observed that Mr. Peter encountered a stroke that night
and, therefore, fell unconscious. After clinical assessments, he was
diagnosed with type-2 diabetes along with pre-diagnosed obesity. His
family history indicated that he used to live with his wife, who passed
away seven years back. He has been living with his children ever since.
The medical records of Peter presented that he has a multifaceted
medical account with several mental as well as physiological concerns. He
was diagnosed with obesity, high cholesterol, and hypertension a few
years back. Along with that, he had osteoarthritis and Alzheimer's disease.
His medications include insulin and metformin to treat type-2 diabetes,
atorvastatin, and lovastatin for hypercholesterolemia, bumetanide and
acebutolol for hypertension. Also, to ease the condition of osteoarthritis,
he was recommended with acetaminophen, Cymbalta, and few painkillers.
Aricept and Namenda were prescribed to him by the doctors to prevent
the development of dementia from his existing Alzheimer's disease, as
both are interconnected conditions. Currently, he requires to be assisted
by two or three individuals at the least for meeting his daily activities and
post-toilet hygiene requirements. Due to his osteoarthritis, whenever he
strolls out, he cannot continue for a long duration and needs the help of a

2
EFFECTIVE & EVIDENCE BASED ACUTE CARE
four-wheel frame supervised by an individual throughout the walk. He also
requires assistance to be fed and medicated on time. To manage his
insulin intake, he also requires the help of a carer. Due to Mr. Peter's
vulnerable physical and mental state, the healthcare professionals looking
after him suggested that he should be receiving acute care in any aged
care facility where his needs will be managed by trained professional, thus
reducing the burden of caregiving on his children, especially his daughter
who is already suffering from health issues of her own. However, he and
his daughter are adamant that they will be able to manage the caregiving
process, and it would not be a problem for them. The major risks
associated with his present conditions are the chances of falling from high
places due to his osteoarthritis and weakness caused by the stroke to the
left side of his body. His cognitive functions are also challenged, given the
symptoms of Alzheimer's disease and his inability to perform activities of
daily living. He is at risk of developing further functional weakening due to
his host of comorbidities and progressing diseases. The healthcare team
attempted the least restrictive options and let Mr. Peter to be taken home
after discharge, with his children. Although this was not the best possible
care option, they had to agree with his daughter's decision. Following
multiple difficulties and obstructions to care management and medication
routine, the healthcare team concluded arranging mandatory residential
care for the patient. They handed over the case to the Public advocate for
further proceedings because of the continuous noncompliance from his
daughter and him.

3
EFFECTIVE & EVIDENCE BASED ACUTE CARE
Plan of care for the patient
Following hospital admission for a stroke-induced fall, Mr. Samuel
Greyson, a 88 years old man requires to be shifted to a residential care
facility from his present home, where he can receive acute care for his
health conditions and comorbidities. It was collectively decided by his
caregivers and physicians that his current health status demands acute
care assistance in a residential care facility to fulfill his daily necessities
and achieve better care outcomes. Mr. Samuel's medical history involves
a combination of type-2 diabetes, hypertension, hypercholesterolemia,
and Alzheimer's disease since the year 2013. He was also diagnosed with
osteoarthritis in his joints. In the inpatient setting of the hospital, he was
receiving assistance from more than one carer to manage his health
needs, personal hygiene, medications, food, and insulin intake.
Keeping in mind the clinical background of the patient, it is essential
to identify the care priorities to formulate the best possible nursing care
plan with sound reasoning. A great plan of care helps to accurately
communicate the patient's health status to all other healthcare
professionals involved in the process. The care plan would begin with a
comprehensive gathering of assessment data of the patient, which
includes his concerns regarding physical, functional, cognitive, emotional,
economic, and psychosocial abilities, medical as well as diagnostic
findings, as the foundation. To identify these areas, the patient will be
interviewed based on a few assessment questions and will also be
observed by the nurse. Mr. Peter’s primary area of concern is his