Meeting older people’s necessities are met in a number of settings, This includes where they reside, residential care, hospital , nursing home or support housing. At some phase, a big number of older people are prone to depend on scheduled nursing care. consequently, evaluation of older people involves a full set of information regarding the functional aspects physical, psychosocial, biological and psychological aspects of the older individuals. It will look into, occupational pursuits, family relationships, religious beliefs, social networks, growth and development and physiological functioning. It is important that when it comes to health assessment, a comprehensive appraisal of what is normally referred to as ‘activities of daily living’. It is believed that in FHP this must be connected to the whole health evaluation. Nurses should be able to tell the person’s capability to undertake every day living activities to an evaluation of health condition, which is related to medical analysis. The key all through is the person’s biography and individual status (Horne, 2008). The verdict of the evaluation is to contribute to the creation of a care plan. In this particular task, I used the functional health pattern (FHP) instrument to comprehensively investigate the health condition of two old people. The individuals are Mrs. Watson Kamiti (77) and Mr. Peter Kagwa (80).
Following the evaluation of Mr. Kagwa and Mrs. Kamiti, it is clear that Mrs. Kamiti is in good health than Mr. Kagwa. The evaluation involved a number of dimensions, disciplinary and diagnostic tools that collected data on the functional capabilities, psychosocial and medical reports and limitations of the two elderly persons. In this article, I used data generated to come up with treatment and a lasting follow-up strategies, organize for primary care , rehabilitation services, sort out and assist the intricate development regarding case management, establish lasting care requirements as well as optimal placement, also maximize the use of health care sources (Carpenter,2008)
The evaluation successfully addressed areas of elderly care that tend to be crucial to the successful cure and prevention of infections and n incapability in both persons. From the evaluation, I was capable of getting useful insight on their inspiration and cognitive capability. Health is noticeably more than merely the absence of active ailments. It is impolite to tell Mr. Kagwa that his medications are working well for his heart malfunctions while a moment ago he has informed you that he is troubled by his ongoing inability to have fun with his grandchildren (Stewart, 2009). Mr. Kagwa, An 80-year-old man, is recuperating from a stroke in a care hospital. He is left with a constant right upper and lower margin flaw and serene dysarthria (Taraborrelli, 2008). Occupational and Physical rehabilitation have already assessed him and he wishes to go back home. Subsequent to performing an assessment of this man, I generated an extended account of the potential problem of him getting a stroke.
Mrs. Kamiti recently successfully finished chemotherapy breast cancer; she experienced irregular chest pain, pulse weakness, and poor memory. Members of her family were afraid that she could be developing an ailment of the skin, dementia. She resided alone not in a very specious house and she had been running all of her chores .Her family was made aware when her telephone was cut off for defaulting her bills. They also realized that she looked skinny but linked it to the chemotherapy. The house was messy, and the kitchen was nearly devoid of foodstuff.
A FHP discovered a likely diagnosis of grave depression with anxiety being source of her chest pain, pulse and loss of weight resulting to depression. Mucositis linked to chemotherapy was distinguished, and polypharmacy added to feebleness and weariness, making it hard to move out of seats and the restrooms. The group thought that she would require to be observed after therapy to determine if diagnosis of dementia would be soon after established (Means, R. et al, 2008)
Finances and social support was considered sufficient. Subsequent to discussion with the invalid and family, a care plan was they resulted in developing a care plan and instituted it. Phase 1 involved relocating her to reside with her daughter through the time of her recovery, with a tryout at her house when the group thought that she was set to go back. Her prescriptions were rationalized to ascertain that they were essential and corresponded with her diagnosis; her dosage was checked for suitability. If affordable agents or those with less consequence profile were accessible, a test would be regarded (Challis, 2009).
An analgesic and antidepressant was added for grave depression and for mucositis, she was programmed therapy. Home assessment determined that a raised toilet seat and grab bars would help with movements in the restroom.
Armless seat in the kitchen and dinning area were swapped with suitable elevated seats with arms, a number of rugs were set out because of the worry for the patient falling. Based on her interview, the patient realized that she was worried that she might have a relapse of cancer, although there was no proof of this up to date. A list of breast cancer support groups for breast cancer were also presented to her (Cameron, 2008)
Cameron, M. & Cranfield, S. 2008 Unlocking the potential: effective partnerships for improving health. London: NHS Executive, North Thames.
Challis, D., Darton, R., Hughes, J., Stewart, K. & Weiner, K. 2009 Mapping care management arrangements for older people. PSSRU Bulletin No.11, February. University of Kent at Canterbury.
Carpenter, I. 2008 Standardized assessment in the community. In: Challis, D., Darton, R. & Stewart, K. (Eds.) Community care, secondary health care and care management, pp89-116. PSSRU, University of Kent at Canterbury: Ash gate Publishing Ltd.
Department of Health. 2003 Monitoring and development: assessment special study. Joint SSI/NHSME study of assessment pointers in five local authority areas. London: Department of Health.
Department of Health (Social Services Inspectorate). 2005 Moving on: report of the national inspection of social services departments’ arrangements for the discharge of older people from hospital to residential or nursing home care. London: HMSO.
Department of Health. 2007 Better services for vulnerable people. EL (97)62, CI (97)24.
Department of Health. 2009 ‘Better services for vulnerable people’ EL (97)62, CI (97)24. Maintaining the momentum. NHS Executive Regional Offices.
Department of Health. 2009a Partnership in action (New opportunities for joint working between health and social services) A discussion document. London: Department of Health.
Dunstan, C. 2009 From assessment into action – changing process and culture. British Geriatrics Society Newsletter, May 1999, 19 – 21
Frankum, J. L., et al. 2005Predicting post-discharge outcome. British Journal of Occupational Therapy 58 (9) September, 370 – 372
Health Committee. Session 1998 – 99. The Relationship between health and social services. First report. Vol. 1, Report and Proceedings of the Committee. London: HMSO
Henwood, M. (Ed.) 2004 The Hospital Discharge Workbook. A manual on hospital discharge practice. London: Department of Health.
Horne, David. 2008 Getting better? Inspection of hospital discharge (care management) arrangements for older people. London: Department of Health, Social Care Group.
Means, R. et al 20080 Making partnerships work in community care: a guide for practitioners in housing, health and social services. London: Department of Health.
NHS Management Executive. 2008 Information for health. An information strategy for the modern NHS 1998-2008. London: Department of Health.
Nolan, M. & Caldock, K. (2006) Assessment: identifying the barriers to good practice. Health & Social Care in the Community 4 (2), 77-85
Robinson, J. & Turnock, T. 2008 Investing in Rehabilitation; Review Findings. London: King’s Fund.
Stewart, K., Challis, D., Carpenter, I. & Dickenson, E. 2009 Assessment approaches for older people receiving social care: content and coverage. Int. J. Geriat. Psychiatry 14, 147 -156
Taraborrelli, P., Wood, F., Bloor, M., Pithouse, A. & Parry, O. 2008 Hospital discharge for frail older people. The Scottish Office: Central Research Unit