Highlights
Mr Lee is 78 years of age who lives in Heathwood, a southern suburb in South East Queensland near Brisbane. He lives in a 4-bedroom house with his wife Mrs Lee who is 74 years of age. Mr Lee walks around with a walking aid; walking stick. He has been pretty good with his mobility and can get around easily using his walking aid. He also wears prescription glasses. He suffers from hypertension and has been on antihypertensive which helps manage his hypertension well. His GP has also prescribed him vitamin D as his last health check-up revealed low levels of vitamin D which put him at risk for osteoporosis. He has been having issues with his skin as it is dry and very thin. He has been advised by his GP to put non-perfumed moisturiser to ensure skin integrity but has been struggling to do that as he would forget and not be consistent with the skin care regime. He likes to go out for walks with his wife after lunch wearing his favourite sneakers which has seen better days by the looks of it’s worn out soles. He walks around the block to their local park. He likes to walk around the park and sit on the park bench and watch the birds. Recently the council has started work on the park with access to park being closed temporarily. He has two children; one son and a daughter. His son lives in the US with his family and his daughter lives in Adelaide with her family. His daughter visits them at least once a year with her children whom he misses a lot. Mr Lee enjoyed game of Mahjong with his friends at the Chinese Community centre at Sunnybank on a weekly basis when he used to drive, but due to ageing his GP has advised him not to drive and since then he has given up driving. His wife does not drive; thus, both rely on public transport to do their shopping and visit their GP regularly. Due to decreased mobility he has been putting off his optometrist appointment for 2 years and cannot remember when he last saw his optometrist. This year he missed the Chinese New Year celebration at the Chinese community centre which he used to attend every year and catch up with his friends and relatives. Mr Lee finds it difficult to explain his issues to his GP as he speaks Cantonese and his GP although of Chinese descent speaks only Mandarin. Mr Lee enjoys his oolong tea very much and drinks that regularly, but it is a challenge to get him to drink water than his tea. On a bright Thursday morning Mr Lee was doing his regular walk with his wife around his block whereby he felt tired thus sat down on a bench at a bus stop. When he tried to get up, he lost his balance and ended up falling on the ground on his knee. His wife assisted him to get up and one good samaritan who was passing by helped them. Upon reaching home, he noted there was a graze on his knee and a skin tear on the shin of his right leg. Luckily it was the day the community nurse (in this case you!) was visiting him. This was the first time Mr Lee had any issue with his mobility resulting into a fall. Given the history of low levels of Vit D and at risk of osteoporosis you are worried about his fall today and would like to conduct an assessment. You are relieved that you have a student nurse with you today who has been buddied up with you who happens to speak fluent Cantonese as she is from Hong Kong. You decide to take this opportunity to conduct an assessment on Mr Lee regarding his risk for fall.
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