Managing Hospitalization and Discharge for Elderly Patients with Chronic Diseases: A Case Study

Running head: CASE STUDY A
Case Study A
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1CASE STUDY A
During Hospitalization
1. The idea that a person has to go to a hospital is generally understood as indicating that he
will be safe from the usual stress and stress of ordinary life and therefore comfortable and
safe in a location of shelter and safety. Most non-dependent older people diagnosed
owing to heart disease (such as Coronary Artery Disease which Wendy was having)
demonstrate a fragile release phenotype that gives enhanced danger of death and
readmission regardless of age, co-morbidity, and standard HF prognostic variables. In
addition, its effect is quantitatively measured as' dose-dependent.' Frailty also raises the
premature danger of fresh disability and the need for fresh personal assistance in
fundamental day-to-day operations (Vidán et al., 2016). During the hospitalization
Wendy might have faced various kinds of difficulties such as malnutrition, stress,
nervousness because of continuous changing environmental surroundings. There were
also certain other problems such as confusion and decline in mental function because
Wendy was having brain cancer stage 3, incontinence, inability to urinate because of old
age, restricted movements, lack of sleep. Sometimes this contributes to another issue.
Some individuals who are confused, distressed, or malnourished, or elderly, are often less
able to take care of themselves when hospitalized. People who are unable to take
adequate charge of themselves are more probable to have extended hospital visits and
will eventually be sent to a nursing home after release. If issues are anticipated by the
individual or household groups, they should address that with the nursing staff to create
preventive interventions. Just like Wendy used to get confused, her family members
should inform the staff participants so that they can assist her with the issue.

2CASE STUDY A
2. To help Wendy with her brain cancer and her confusion problems, she can be assisted
with the interdisciplinary team members, especially a neurologist or a neuro-oncologist
should be assigned to reduce the problem of her confusion. The goal of the specialist
should be to meet the patient requirements for care in all stages of the disease, support the
family, and reduce the rehospitalization rate. A neurologist and a neuro-oncologist will
examine Wendy’s health and her nervous system, which will comprise the assessment of
her visualization, audibility, attentiveness, muscle flexibility, co-ordination, and
responses (Pace et al., 2014). At the last stage of disease the patient’s needs for care
increases, with a symptom of neurologic and psychosocial issues, often persuading care
providers and/or family members to hospitalize the patient (Pace et al., 2014). There is an
increased need for the improvement of the quality of reassuring and supportive care for
brain cancer patients. The composite requirements of brain cancer stage 3 patients like
Wendy need broad reassuring mediations, with a multidisciplinary method implemented
by a neuro-oncological specialist to control the pain, confusion, anxiety, or delirium, with
the aim of allowing the patient to receive a proper care. The goal of multidisciplinary
approach in brain cancer patients is to provide proper handling of the symptoms, enhance
the quality of life for patients, neglect ineffective treatment approaches, and give
psychological support to patients and their families (Pace et al., 2014).