Instructions: Use the following vignette to develop a detailed treatment plan fo
ID: 129494 • Letter: I
Question
Instructions: Use the following vignette to develop a detailed treatment plan for the client.
Martha is 85 years old. She has lived independently in her own home until now. Last week she fell off a chair in her home while reaching up to clean out the top shelves in one of her closets. She sat with her arm aching all night until morning when she called her son to take her to the hospital. There as X-ray was done, and the arm was set. The hospital staff sent her home, and her son, who works, called the Office of Aging to help her plan so that her mother could remain at home. The Office of Aging set the main goal, “Martha will continue living in her own home with assistance” and referred the case to your agency to provide the service. Martha is unable to make meals or bathe herself, and the pain medication is making her dizzy. The Office of Aging has called your agency, which provides homemaker and in-home care, to provide the actual service to Martha. As the case manager for the agency, you go out and evaluate Martha’s situation.
1. The broad goal is to keep Martha in her own home. List 2 very specific goals your agency will work on with Martha.
Goal A:
Objective (have to be measurable) 1:
Objective (have to be measurable) 2:
Goal B:
Objective (have to be measurable) 1:
Objective (have to be measurable) 2:
2. Identify Martha’s strengths, and show how these strengths will help her meet the goals:
Martha’s strengths:
Explain how these will help her meet the goals
3. Martha broke her arm on November 9. What are your target dates for your goals?
4. Describe an intervention you will use with Martha to help her meet her goals.
Explanation / Answer
ANS,Goal A:
To meet the activities of daily living of the Maratha like bathing and toileting
To assess the patient in pain therapy
Goal B:
To give diversional therapy for the patient from the pain medication.
To meet the nutritional needs of the patient.
Maratha strengths:
Bravery
Self-regulation
Prudence
Social intelligence
Judgement
Question no:3:
Maratha is very brave to meet her goals. She will adjust with the home maker by putting her efforts.
Maratha is having self control, so while performing ADL activities by home nurse she will show her full cooperation
She will not struggle the home maker for preparing foods.
She will develop good interpersonal relationship with the home maker
Question no:4:
Goals should be
Specific
Measurable
Achievable
Realistic
Timely
Prepare a time plan based on the discharge summary.
Time plan should be prepare along with the patient ideas.
Question no:5 nursing interventions
Providing appropriate stability to the patient
Avoiding fall risk
Assessing fall risk
Relief of pain by pain medication
Maintain vital signs within normal range
Assisting in all ADL activities
Meeting the nutritional needs