R.L. and my grandmother can be educated on removing environmental hazards such as throw rugs. An alternative solution can be presented, such as stabilizing mats under rugs in their home to prevent shifting while walking on them. An educational pamphlet will be given to R.L. on the safety hazards in his home, along with emergency phone numbers in case of a fall (Tiefenbachová & Zeleníková, 2019). Also, he needs railings in his home’s front and back entrances and visible markings on his raised thresholds. A leaflet will be provided with information on the specific modifications he needs to make and how to install them. This will include a list of local contractors installing these items (Tiefenbachová & Zeleníková, 2019).
R.L. has maintained a healthy diet all his life. However, as he and my grandmother become less able to cook all their meals, they have turned to more processed foods high in sodium. My local hospital’s dieticians can provide educational materials on reduced sodium and heart-healthy diets.
R.L. will also be shown how to regularly check food labels for sodium content. Sodium levels should be less than 1500 mg per day. With his diagnosis of congestive heart failure, this can reduce his fluid retention and increase his energy levels. As a result, he will have an increased ability to participate in his activities of daily living (Miller, 2019).
All of the interventions in R.L.’s wellness program will significantly enhance his overall quality of life. Determinants of optimal living and well-being include exercise, social interaction, and relationship development (Miller, 2019). Physical activity will increase his mobility and social interaction; therefore, it will enhance his functionality, reduce depression, and grow a positive mindset. HProper mobility assistance and a reduction of environmental hazards will increase his functional ability and decrease his risk for falls (Tiefenbachová & Zeleníková, 2019). Also, dietary modifications will increase his energy level. All these aspects work together to promote the enhancement of the mind, body, and spirit encompassed in a holistic approach (Miller, 2019). R.L. will have a greater chance of living his life to the fullest and achieve maximum independence despite his health conditions and limitations.
Hamrick, I., Mross, P., Nate, C., & Smith, P. D. (2017). Yoga’s effect on falls in rural, older adults. Complementary Therapies in Medicine, 35, 57-63. doi:http://dx.doi.org.su.idm.oclc.org/10.1016/j.ctim.2017.09.007
Miller, C.A. (2019). Nursing for wellness in older adults (8th ed.). [VitalSource Digital Version]. Philadelphia, PA: Wolters Kluwer.
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