Applying Person-Centered Care for a Deaf Patient with Fractures

This report outlines a person-centered care approach for Marley, an 80-year-old deaf woman with a fractured femur due to osteoporosis. It emphasizes the importance of including patients and families in decision-making, considering their values and lifestyle. The report details environmental, laboratory, functional, and medical assessments tailored to Marley's needs, considering her hearing impairment by using simple language and visual aids. The assessment aims to identify fall risks, evaluate her ability to perform daily activities, review her medication history, and determine the appropriate care plan for her rehabilitation and safe return home, considering her support system and potential need for home-based care. The ultimate goal is to improve the quality of care, promote patient involvement, and support self-management.

RUNNING HEAD: ESSENTIALS OF CARE 1
Essentials of care
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Essentials of care
Person centered care is a practice in healthcare that involves making families and patients
part of the decision making team. However, this type of care is not all about giving people the
freedom to make decisions. It also involves considering their desires, their values, the social
circumstances and finally their lifestyles (Kogan, Wilber, & Mosqueda, 2015). Person centered
care is important since it improves the quality of services .It also helps people get the type of
care they need and it also makes the patients be active in taking care of themselves. In this
assignment, there will be an explanation of person centered care to a deaf patient who fall of and
got a fracture due to her osteoporosis.
A deaf person is one whose hearing is impaired. It is therefore necessary to employ
additional strategies that will make communication effective .For the case of Marley who has
sustained fractures after falling on the floor and the fact that she is deaf, there are different
assessments that can be done. Environmental assessment is one of them (Oxelmark, Ulin,
Chaboyer, Bucknall, & Ringdal, 2017). Under this assessment, I will assess her environment and
look out for possible hazards such as obstacles on her pathways. Since she is deaf, I will talk by
using a simple language coupled with non-verbal expressions such as gestures. To make her
participate in care, I will ask her if she is aware of the dangers posed by those obstacles and how
well she can avoid them. I can then propose the use of walking aids and ask for her feedback if it
is good idea or not.
Laboratory tests and imaging is another important assessment for Marley. This involves
estimating the levels of calcium in the body to assess the extent of osteoporosis .This is a deaf

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patient and the communication has to be always simple and use of visual aids as well to explain
to the patient the importance of this type of assessment.
Functional assessment is important for victims of fall. I will ask the patient simple
questions of how well she can perform her daily activities such as taking bath and cooking. This
would determine the need to discharge her (Yardley, Morrison, Bradbury, & Muller, 2015) .I
will also inquire if she lives independently or dependently so as to find out the need for home
based care. During the whole process of assessment, I have to consider that she is deaf and
therefore the communication has to be simple with the help of visual aids such as pictures and
videos.
The final assessment for Marley would be medical assessment. This includes asking her
history of medication. This is because certain class of drugs such as the psychoactive drugs
increase the risk of falls .If she has been prescribed this type of drugs, then she will have to seek
an alternative(Bunn et al., 2014). Establishing the number of falls is also important in designing
the type of care that Marley should be subjected to .Documenting health history is one of the best
indicators for prevention and management of falls.

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References
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