The elderly are a group of vulnerable populations in most societies. They have complex health needs that may predispose their dependence on others. Therefore, this research paper summarizes an assessment performed on an elderly client. It explores different assessment tools’ outcomes and identifies issues, alterations, and interventions needed to promote the client’s health.
The assessment of the elderly client using the Tinetti Balance and Gait Evaluation showed that he was highly at risk of falling when undertaking his routines. The balance assessment demonstrated that the client rises from the chair using arms to help him. He also requires assistance as he attempts to rise from a chair. The client’s immediate standing balance is steady but uses a walker. He uses a walker to maintain standing balance with some evidence of staggering. He, however, works steadily with eyes closed and when turning through 360 degrees. He uses his arms to maintain a smooth motion when sitting down. The assessment of gait also revealed that the patient-initiated gait without hesitancy. His step length and height were asymmetrical. For example, the right swing foot failed to pass the left stance foot with step. The right and left step lengths were also asymmetrical. The trunk had marked sway, as evidenced by his use of a walking aid. The above balance issues were attributed to the reduced elasticity of the tendons and ligaments of the bones.
The Katz Index of Activities of Daily Living assessment showed that the client performs all the activities of daily living independently. The client reported bathing independently and only needing help bathing the lower extremities. He also dresses independently and may need help in tying his shoes. He also reported being able to toilet, transfer himself in bed unassisted, and does not experience incontinence problems. He also feeds without any assistance. Based on the above, the client can perform all his daily living activities without any help from his family members.
The Barthel Index confirmed the client’s independence in undertaking his activities of daily living. The assessment demonstrated that the client is independent in feeding, bathing, dressing, bowels, bladder, toilet use, and transfers. He, however, uses a walking stick for mobility and assistance in climbing stairs. The client reported during the interview that he engages in regular walks to strengthen his bones and muscles. However, he was diagnosed with dementia one month ago and had to minimize walking out of their compound because of fear of getting lost. He reported that he takes a healthy, balanced diet to minimize health problems like cancer, diabetes, and fractures. He also has a diabetic foot, which is dressed weekly in a nearby public facility. The assessment showed the increased need for family involvement in the management of diabetes and promotion of his safety in familiar and unfamiliar environments to promote safety.
Home safety assessment showed the home to be moderately safe. The home had a fire extinguisher at the point of entrance with working smoke and carbon monoxide detectors at every house level. Flammable objects were distantly located from the stove area. The family reported that chimney sweeps are performed yearly. The home has an accessible phone for the emergency dial, with emergency numbers posted near the phone. The home also has a first aid kit and assistive devices for the elderly such as a walking stick. The electrical appliances are safely covered with plate covers with cords not being cracked or frayed. The floor and hallways are adequately lit, with carpeting secured and indoor stairways having side rails. The kitchen has adequate space and lighting. The parking area is safe, as evidenced by sufficient lighting and having a reasonable level.
Several issues were identified during the assessment. One of them is the inadequate support from the family members on diabetes management. The elderly client has diabetes with a diabetic wound.
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