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In: Nursing

Short Case: Arthur and Merryann Meet Arthur and Merryann. Arthur and Merryann were married for 50...

Short Case: Arthur and Merryann

Meet Arthur and Merryann. Arthur and Merryann were married for 50 years and raised two children. Their son is in the Marines and currently resides at Camp LeJeune in Jacksonville, NC. Their daughter is a teacher in State College, PA.

Arthur worked at the same company, an organization that laundered uniforms, since he was 13. With hard work and commitment, he eventually worked his way up to managing the company. Merryann was a homemaker before going back to cosmetology school in her late 40s and then working as a cosmetologist.

At age 65, Arthur was ready to retire. Unfortunately, Arthur did not have a retirement plan option with his company nor did Merryann as she only worked two days a week as a cosmetologist. In an effort to stretch their minimum Social Security income, they decided to relocate to Jacksonville, NC, where their son resided as the cost of living was low and they would still have family available to assist them if needed.

Unfortunately, within five years of relocating, Merryann began to show signs and symptoms of emphysema. She was later diagnosed with chronic obstructive pulmonary disease (COPD). As the disease progressed, Merryann was placed on continuous oxygen and encountered flare ups requiring frequent trips to the emergency room to stabilize her condition. Merryann was increasingly bedbound as any movement was exhausting. She eventually became incontinent of bowel and bladder.

Arthur was by Merryann's side 24 hours, 7 days a week, tending to her needs. It became increasingly difficult for him to manage all aspects of her care, particularly as he struggled with his own health issues including high blood pressure and high cholesterol. Their son was helping him as he could, however he received military orders and was being deployed at the end of the month. Their daughter flew down frequently to assist and offered to move them back up north, however they felt the ride would be too difficult for Merryann at this point.

Arthur paid privately to have a home health aide come and assist with personal care items, however their minimal savings was quickly exhausted. Combine Arthur's failing health and Merryann's condition with dwindling financial resources, and we have the perfect storm, one that far too many older adults try to weather.

Using the information in the textbook and our lesson, as well as your own knowledge and experience, please respond to the following questions in your initial discussion reply:

1.What residential long-term care options can Arthur consider for both himself and Merryann?

2.Based on your selected option from Question 1, what are the requirements? Do Arthur and Merryann meet the requirements?

3.Recall from Lesson 1, we discussed placement in the long-term care is often determined by four factors (acuity level, availability of services, patient preferences, ability to pay). Do any of these factors impact Arthur and Merryann's options, if so, how?

4.What are the benefits of the selected option to Arthur? To Merryann?

5.Is there anything Arthur and Merryann could have done differently to prepare for these events? Explain.

Solutions

Expert Solution

What residential long-term care options can Arthur consider for both himself and Merryann?

Today, there are an assortment of long haul mind choices accessible to give only the perfect measure of help your maturing cherished one may require. The vast majority of the alternatives are intended to enable your cherished one to keep up as much autonomy as wanted while accepting help with every day assignments, such as washing, prepping, dressing, and dinner arrangement or eating. Barely any regular long haul mind alternatives include:

-Assisted existing

-dementia caring

-Expert nursing offices

Based on your selected option from Question 1, what are the requirements? Do Arthur and Merryann meet the requirements?

Yes. Long haul mind offices offer an assortment of administrations, including:

-Professionally-prepared staff or geriatric nursing experts accessible all day and all night

-Medication administration

-Assistance with exercises of every day living: showering, dressing, preparing, eating and versatility

-Personalized tend to the occupant's particular needs

-Senior rehabilitative treatments, including physical, word related and language courses

-Diabetes administration with particular eating regimen designs

-Post-doctor's facility mind.

Recall from Lesson 1, we discussed placement in the long-term care is often determined by four factors (acuity level, availability of services, patient preferences, ability to pay). Do any of these factors impact Arthur and Merryann's options, if so, how?

These administrations are given in an agreeable, home-like setting that energizes autonomy among occupants. Regularly, seniors who live in long haul mind offices appreciate a superior personal satisfaction and feel more autonomous than an elderly individual maturing set up in the home.

What are the benefits of the selected option to Arthur? To Merryann?

At the point when a maturing cherished one is never again taking legitimate care of him or herself in the home, in many cases the grown-up kid progresses toward becoming overpowered via providing care obligations, taking a chance with their own wellbeing and necessities to administer to their elderly parent. Or the grown-up kid may not be fit the bill to give all the care required once a day. Long haul look after the elderly will give both the maturing relative and the parental figure significant serenity that any human services needs will be met, now and later on.

Is there anything Arthur and Merryann could have done differently to prepare for these events? Explain.

While individuals of all ages may require long haul mind administrations sooner or later in their lives, it's by and large more ordinarily connected with the maturing populace. Long haul care can incorporate living lodging and therapeutic care by a gifted group of human services experts who are capable in tending to a portion of the regular issues the elderly experience.


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