Samuel Grayson Case Study 2022

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CASE STUDY1
Background
Mr Samuel Grayson is an 88-year-old man who has been admitted to the Mona vale
hospital by his only daughter Beryl Grayson (40 years old) and son Victor Grayson (36-year-old)
when they found him lying in front of the balcony on the first floor of their home during the
early morning at 8:00 AM sharp. Beryl and Victor thought that he was there the whole previous
night. After admission, it was seen that Mr Samuel had a stroke last night, and as a result, he lost
all his energy and fell on the floor being unconscious. A diagnosis of type-2 diabetes was also
made, which is overlaid on a pre-existing diagnosis of obesity.
Social history
Mr Samuel Grayson has been staying in his home at Mona Vale NSW, for the last 30
years. He has lived alone since his wife Mrs Cherry Grayson, died seven years due to heart
attack. Earlier they had a family of four people, and now only the three people Samuel and his
daughter and son live together. Before Mona Vale, Samuel and his family used to stay in
Campbell town with Samuel’s and Cherry’s mother and father. But after the death of both of
their families, Samuel and Cherry along with their children shifted to Mona Vale. Earlier Beryl
used to live separately far away due to her job, though, since the past eight months she has been
living with her father because she lost her job and was preparing for a new job.
Medical history
The medical records of Samuel showed that he has a complex medical history with signs
of several kinds of mental and physical health issues. In the year 2013, Samuel was diagnosed

CASE STUDY2
with type-2 diabetes, high cholesterol and hypertension. Along with that, he also had
osteoarthritis in the joints (Palazzo, Nguyen, Lefevre-Colau, Rannou & Poiraudeau, 2016). He
also has a history of Alzheimer’s disease (Alzheimer's Association, 2016). Earlier doctor’s
suggested insulin and metformin for treating type-2 diabetes (Aroda et al., 2016); atorvastatin
and lovastatin for treating high cholesterol (Karlson, Wiklund, Palmer, Nicholls, Lundman &
Barter, 2016); bumetanide and acebutolol for treating hypertension (Laurent, 2017). Along with
all these medicines, Samuel was also prescribed with acetaminophen, Cymbalta and some
painkillers for treating his condition of osteoarthritis (Enteshari et al., 2019). Since it is known
that Alzheimer’s disease can cause dementia and since it cannot be completely cured and that is
why the doctors have prescribed him with Aricept and Namenda (both of which are FDA
approved drugs) to treat his symptoms of Alzheimer’s disease (Howard t al., 2015).
Currently, he needs at least two or three individuals to help him to get into and out of bed
and one individual who will help in managing the work linked to post-toilet hygiene. Due to his
osteoarthritis problem, he has to stroll but for an only short amount of a distance with the help of
a four-wheel frame and will need one individual who will supervise him while he walks. He
profits from encouraging himself to use the walker frame and also require someone’s assistance
for making and arranging the food and to set him up to eat and drink daily and to manage her
medication routine. In order to manage insulin intake regularly, Samuel needs one individual to
help him.
The healthcare team stated that Mr Samuel Grayson’s ability for health betterment has
improved in the last ten days. They suggest that it would be best for his best interest to be relived
to a residential care facility because he requires a constant need for a maximum of two
individuals to deliver help with the main activities of daily routine. Mr Samuel is adamant that he