Ageing Case Study

Running head: AGEING CASE STUDY
AGEING CASE STUDY
Name of the Student:
Name of the University:
Author Note:

1AGEING CASE STUDY
Introduction:
The case study deals with a 68 year old patient who lives independently and his ADL
skills are intact. The patient has been reported to experience no problems in relation to his
mobility, orientation or competence. In addition to this, the provided case information
suggests that the patient has a family but prefers to stay independently and is proud of her
self-reliance. The case study would focus on the existing physical health condition of the
patient and suggest care intervention strategies that could assist with positive care outcome.
Client’s BMI:
The provided case information suggests that the patient weighs 210 lb which can be
considered equivalent to 95.25 Kg. Also, the patient’s height has been mentioned as 5’ 6’. On
the basis of the information provided in terms of the height and weight parameters the BMI or
the Body Mass Index of the patient can be estimated. As stated by Nuttall (2015), the Body
Mass Index can be defined as a measure of body fat that is dependent on the height and
weight parameters of adults. The weight of the patient has been mentioned as 95.25 kg and
the height has been mentioned as 5 ft 6 inches. The height can be converted to CGS unit as
167.64 cm. Therefore the BMI can be calculated based on the standard formula of
weight/height. Therefore, the appropriate BMI can be calculated as (95.25Kg/167.64ccm)
which is equivalent to 33.9. As per the World Health Organization a BMI equivalent to 33.9
is considered as obese (Chernoff, 2013). As per the World Health Organization, there are four
different categories for BMI. The categories comprise of Underweight equivalent to <18.5.
The normal weight range is considered in between the range of18.5 to 24.9 whereas
overweight is considered between 25 to 29.9. A Body Mass Index equivalent to 30 or more is
considered as obese (Chernoff, 2013).

2AGEING CASE STUDY
Screening tools for nutrition and exercise assessment:
According to the U.S Preventive Services Task Force it has been recommended that
clinicians and care professionals must conduct a mandatory obesity screening for identifying
old age patients who are at a high risk of suffering from obesity (Clegg, 2013). As per the
guidelines a Body Mass Index that is greater than 30kg/m2 or higher must be treated as an
obese body weight. It should be mentioned in this context that the patient is at a high risk of
suffering from complex complications such as hypertension and Diabetes due to unmanaged
weight. The clinician could make use of a number of screening tools such as calculation of
BMI value and measuring wait circumference in order to screen for obesity and accordingly
make use of appropriate interventions so as to assist the client with a healthy life style.
In order to assist the patient with weight management, the primary intervention
strategies would comprise of fostering an active lifestyle with the inclusion of a healthy diet
and physical exercise routine. In order to assist the patient with physical exercise a functional
assessment of the patient would be conducted. The functional assessment would majorly
comprise of conducting balance tests that would include testing the efficiency of the sensory,
vestibular and visual systems (Sardinha et al., 2016). Also, the patient’s reaction time needs
to be assessed in order to detect the level of awareness (Bouchonville et al., 2014). The
evidence base suggests that conducting the time up and go test and sit to and go test can help
in assessing the level of physical activeness of the patient (Kitzman et al., 2016). The first test
includes the use of an armchair that is placed 10 feet away from the chair. The objective of
the test is to make the client get up and walk quickly to the line and them get back to the chair
and sit down (Batsis et al., 2017). Time taken less than 10 seconds suggests that the patient is
free from the risk of falling. On the other hand time taken more than 20 seconds suggests that
the patient has a high risk of falling. The second test includes the patient having to sit with
their back relaxed against the back of the chair and then get up and repeat up to 5 times