Safety Assessment of Elderly Patients

INSTRUCTIONS FROM TEACHER:
Safety Assessment of Elderly Client:
The student will select a patient in the clinical setting to perform the safety assessment (with the instructor’s permission). The student will identify, and address factors related to patient safety, followed by a plan to address the identified concerns.

Assignment Objectives The student will:

1.Recognize the importance of individual factors that may put the patient at risk for injury. 2.Assess factors that may put an individual patient at risk for injury and harm.

3. Develop a plan of care to keep the individual client safe, including effective elements in the current plan of care.

• This is a link to someone’s paper that I found online for you to see how it should be and the wording of it.

These are the topics to cover:
● Environment
● Susceptibility to violence
● Fall Risk Assessment
● Braden Scale
● Mini Mental
● I did the yellow part on my own I will add in a pictures so you can see on the bottom of this doc the pt passed all the exams
● Substance Abuse
○ He doesn’t drink alcohol ever so you can write that but make it a bit more wordy
● Ability to Perform ADLs
● Barriers to Medication and Safety Compliance
● Vision and Hearing Deficits
● Safety Risk

Notes on the Patient
Start the paper with the sentence: On Tuesday, September 12th, 2024 a safety assessment was conducted on GC, a 68 year old male who was admitted to Englewood hospital in New Jersey.

We can’t write the patient’s name so we will use his initials: GC
You can organized this based on the topics to cover I am just writing you the notes that I have
● He is 5’7 and caucasian
● Pt is Awake, alert, and oriented x4

● His skin: upper body skin is mostly intact. Lower legs slight skin breakdown, feet discoloration were purple/ gray and his legs were spotty brown due to his
Diabetes Mellitus

● His feet were cold/ capillary refill was good. Toe nails were thicker from the diabetes limited hair growth on legs which is a sign of low circulation. He had a cabbage bypass and the vein was taken from his leg. He does visit his doctors regularly to make sure everything is up to date.

● Eyes: he sees his eye doctor annually and knows that he has to because of his diabetes. His vision is stable and hasn’t changed

● Chest: His chest is even, no discoloration, no lesions, scar from his cabbage graft bypass approximated good with no keloids, even hair distribution. Heart sounds were normal.

● Abdomen: Palpation and percussion on abdomen were good → no pain upon palpation or percussion. Active bowel sounds in all 4 quadrants

● Musculoskeletal:
○ Hand strength equal and bilateral
○ Leg strength: his left leg is 4+ and his right leg is 5+

● He has a healed sore on his right thigh

● He has an altered range of motion in his left middle finger because of his job he used to type a lot for work → he has nodules and a barsads nod. SOmetimes at night he pressed his finger with a band and says that it helps him

● He has watery stool bowel movements 11 times a day in preparation for his colonoscopy
● He has a history of smoking cigarettes
● He is up to date on his vaccines
● Info for elderly abuse: He says that he is not abused and he feels comfortable in his home his lives alone with his wife. He lives in a two family home and rents so he feels comfortable because there are people close by
● He lives in a safe area with his wife
● His fire extinguishers are up to date
● He has never fallen down the stairs of his home
● When I did thi assessment he received two platelet transfusions
● He states that his sister is a nurse so he is very well educated
● He takes his medications on time and when it is needed. If his blood pressure is within normal range he states that he will not take his medication.
● He has no known allergies
● He is a full code status
● He came in to the hospital for: THrombocytopenia
● He is prone to bleeding
● He had no injuries on his job worked in manufacturing for 42 years
● No violence in his home
● He takes supplements:
○ Vitamins B12, and Iron
● No drug use
● He goes to church with his wife and online mass

You also have to add in something you would teach the put so “when the patient goes home I would suggest” (ex: a patient will continue to see his eye dr) you have to add a couple of these

He has:

• Diabetes mellitus
• Coronary artery diease
• Esophageal varices without bleeding HCC chronic