Caring for a Patient with Dementia and Arthritis who is at Risk of Injury - Ethel Case Study - Nursing Assignment Help

Assignment Task :

CASE STUDY

Caring for a patient with dementia and arthritis who is at risk of injury

Case Summary

This case study is based on Mrs. Ethel Simpson who is 64 years old. She attends the pre-admission clinic with her grand-daughter to discuss her up-coming left knee arthroplasty. Later, she undergoes the surgery and is then three days post-operative, in the orthopaedic ward.

Social History

Ethel is 64 years old and lives in a granny flat attached to her daughter’s home. She has good support from this daughter and grand-daughter, and her other two children who visit at least weekly. She was previously a registered nurse.  She has six steps in her house that she needs to negotiate to go outside of her home.  Her worsening arthritis, particularly the arthritis in her left knee, has made it extremely difficult for her to leave the house in the last two months. Ethel complains of poor appetite, difficulty sleeping and not wanting to leave the house.

Ethel was diagnosed with Alzheimer’s dementia a year ago and has been partially independent in all her basic activities of daily living.  She is continent but needs assistance with bathing and household activities such as cleaning.  She can cook basic meals and feed herself. Cognitively she is oriented to person, place and year.  She can recall 3 out of 3 words immediately, but 0 out of 3 words at 5 minutes.  Her attention is intact.

Ethel and her family sought advice from her GP because of the worsening pain of her arthritis, particularly in her knee and the impact this was having on her mobility. After being referred to an orthopaedic surgeon for review, the decision was made for a knee arthroplasty to be done.

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