Problem
You are on your community placement, and you are visiting Mrs. Moira James (89 years of age) with the registered nurse Judy Fox. Mrs. James lives in a housing commission unit on her own. She was recently discharged from hospital following a fracture to her leg after having a fall. She is using a walking stick and has a bad limp. Mrs. James has vision problems and wears glasses.
1. Explain the musculoskeletal changes that occur in ageing that could have predisposed Mrs. James to the fracture. (Risk of fracture) why is she risk of fall, less bone density, female.
2. Describe two possible psychosocial challenges associated with Mrs. James fracture.
3. Explain the principle of access and illustrate your explanation with one example of a potential barrier that exists for Mrs. James regarding access to healthcare.
4. Explain the principle of participation and illustrate your explanation with one example of an action that could be taken to ensure that Mrs. James is able to participate in decisions relating to her healthcare
5. What are four actions the nurse could take to assess and provide care appropriate for Mrs. James's situation to reduce risk, promote health and ensure safety?