Healthcare Management for Stroke Patient with Mobility Issues

Running head: HEALTHCARE MANAGEMENT
Healthcare management
Name of the Student:
Name of the University:
Author note:

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Introduction:
The case study represents the mobility difficulty of a 72 years widower due to the stroke
and she had a feeling of isolation. She had difficulty in bathing due to her mobility issues. She
found it difficult to manage the daily activities. However, she was able to cook, maintain the
decorum of house and able to enjoy going to the club for meeting her friends but shopping was
difficult for her because she was not able to drive. Moreover, her family lived far away from her;
therefore no family members were there to take care of her. Her neighbors help her in gardening.
The caregiver who assesses her by asking her about her needs reported that she experiences
loneliness along her mobility issues. They also reported that she requires someone to help her in
maintaining a house and arranging delivery of her. The major problem she experiences is
mobility issue and subsequent loneliness which had an effect on her quality of life. Stroke is a
brain attack where brain cells deprived of oxygen and begin to die (Yelnik et al. 2017). Some
people recover from the stroke after few months but some experiences severe mobility issue that
interrupted the daily activity. Therefore, require the assistance of nurses to manage the daily
activities and overcome issues of loneliness (Yelnik et al. 2017). According to practical guide to
care planning in health and social care ,nurses play an important role in managing the daily
activities of the patient by a addressing the area of concern of every patient (Pollock et al. 2014).
Philosophical approaches with the support of principle, knowledge, theories along with models
will help to overcome the issues with the help of healthcare professionals (Yelnik et al. 2017).
Therefore, this paper will illustrate structure, system and model for assessing the needs of Mrs.
X, current skills for assessment and the advice as a manager for managing the issues of Mrs. X.

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Question 1:
As observed in the case study, Mrs X was experiencing mobility issue due to stroke and
subsequently faces difficulty in managing daily activities. For assessing the area of concern of
the patient, the national occupational standards for social work refers to some of the framework
and care plan to manage the issues (English, Hillier and Lynch 2017). Philosophy of the care can
be applied which identify the purpose and theoretical framework that underpin the particular
practice to manage the issues of the patient. As a health professional, for assessing the issues of
the patient, certain codes of ethics such as obtaining the information without offending the
person or questioning the cultural belief of the individual need to consider so that the patient.
Nursing and Midwifery Council outlined an ethical consideration that requires for assessing the
patient (Bradbury‐Jones and Broadhurstm 2015). Making the care of the people as the first
concern and treating them as individuals by respecting their dignity is the first ethical
consideration. Second ethical consideration is for health professionals, working with others and
promoting health well being of the patient and their family members, caregiver and wide
community (Haddad et al. 2015). Providing the high standard of practice all the time and be open
and honest, acting with integrity and uphold the reputation of the profession are other ethical
considerations need to take in the account during assessing the area of concern of patient
(Vryonides et al. 2015). For providing a care to the patient, there are certain documents designed
for the health professionals as a part of the care planning process which enhances the assessment
of the health professionals (Bradbury‐Jones and Broadhurst 2015). First documentation is
required for the initial assessment with general information of the patient such as name, marital

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status of the patient, any known allergies, contact of the independent (Haddad et al. 2015).
Personal assessment documentation is needed for assessing the biological risk factors such as
sleeping, eating schedules, dressing and movement of the patient along with the exercise and
activities of the patient (nstefjord et al. 2014). The personal assessment also includes the
psychological area of concerns such as the thought process of the patient, mood and emotions of
the patient, beliefs about others need to consider along with the social life of the patient (Farag et
al. 2016).. General risk assessment documentation helps to identify other risk factors for
managing the health issues of the patient (Haddad et al. 2015). During the assessment, the
personal decision of the patient plays important role in making the successful intervention plans
(Bradbury‐Jones and Broadhurst, 2015).
From above case study analysis, lifestyle factors increase the risk of stroke which
includes the high blood pressure, diabetes, high blood pressure, and drinking habits or high-fat
diet need to monitor for reducing the occurrence of stroke (Benner 2015). Biomedical models
can be used for assessing the risk where the model helps to recognize the signs and helps to treat
the signs and symptoms of the disease involving complex physical need (Lloydn 2010).The
recording sheet can be maintained for the noting down signs and symptoms of the patient for
further assessment. The banner mobility assessment tool can be used for assessing the degree of
the mobility of Mrs X and it was seen that the patient scored well although she is not entirely
stable but have mobility issue in bathing and treatment requirements for developing gait and
stabilize her movement (Kontunen et al. 2018). Holistic assessment is available for assessing the
situation of the patient in the deeper level and address the need of her (Nanninga et al. 2018).
Since she lived in isolation and experienced loneliness that affected her daily activity and grossly