A discharge for the elder patient is a critical juncture and thus it is planned when there is a mutual coordination between the patient and his family. It is a chalenging task as it influences the patient’s life in future. In this case the discharge planning involves monitoring on a daily basis for their evaluation of the condition of Mrs. Holt. The planning of the discharge involves the psychological, social, medical, and educational requirements of the patients. The key people involved in the discharge planning of this patient are the doctors, nurses and also assistance such as midwifery arranged by the hospital or NGO (Altfeld et al., 2013)
Three services that assist the older people by maintaining a social connection are as follows:
- One of such organization is NHS which continuing healthcare and also the nursing care which is funded and arrangement of equipment such as wheelchairs, beds or aided equipment (Barnett et al.,2016).
- There is state and government funded aged care services available globally. The main aim of such organizations is to meet the challenges of the older people such as providing walking frames and other minor equipments.
- Support services are provided by organizations such as “District Health Boards”. They provide services at home in carer support and household work (Denson et al.,2013).
- Healthy weight: the person’s overweight can lead to deterioration in the condition of the patient. Therefore, Mrs. Munyarryun could reduce this by eating healthy food and doing regular exercises. These two things can decrease the chances of incontinence and increases the healthy life.
- Drinking habits: Mrs. Munyarryun who has urine inconsistency should avoid alcohol beverages and any sort of beverages which are hard in nature because it severely affects the urinary bladder. So if the person gives up the drinking habit, then his chance of living is very high.
- Pelvic exercises: Mrs. Munyarryun suffering from urinary inconsistency should always go for the exercises of the pelvic which could improve the elasticity of the bladder and thus of the lower abdomen. Once the elasticity of the bladder is restored, then the patient would have less to suffer from the urinary problems (Dumoulin et al.,2014).
Physical restraint is that type of restraint where the behavior movement is controlled or restricted. It is mainly associated with the person body or the creation of the physical obstruction. (Cleary & Prescott 2015).
Chemical restarint are the medications which strictly resist the behavior modification. This is mainly in a form of tranquilizers and sedatives (Fu et al., 2013).
Environmental restraint is the one which changes a person's surroundings which restrict the movement (Fleming et al., 2015).
Psychological restraint is the one which is used with the other type of restraint which restrict a person’s mental mobility.
Physical restraint-This is applicable as a lap belt to help the person sit up or sit down.
Chemical restraint - For example use of medication which could stop behavior without any side effects.
Environmental restraint - An example of this that there is a protected garden where a person can have free access to the inside of a building.
Psychological restraint - An example, using soft and soothing voice while gently approaching the patient (Peisah., 2015).
The three alternatives of the restraints attitude, assessment, and anticipation. These are the alternatives which are opposite to the above restraints.
Attitude is the patient last option and not the first choice, and it reduces the restraint uses.
Assessment of the patient is a multidisciplinary of the mental state, behavioral modification which could reduce the restraint use.
Anticipation is having the knowledge of the interventions and those goals which could minimize the restraints use (Fleming et al., 2015).
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Denson, L. A., Winefield, H. R., & Beilby, J. J. (2013). Discharge?€ђplanning for long?€ђterm care needs: the values and priorities of older people, their younger relatives and health professionals. Scandinavian journal of caring sciences, 27(1), 3-12.
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Dumoulin, C., Hay?€ђSmith, E. J. C., & Mac Hab?e?€ђS?guin, G. (2014). Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. The Cochrane Library.
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Fleming, R., Kelly, F., & Stillfried, G. (2015). ‘I want to feel at home’: establishing what aspects of environmental design are important to people with dementia nearing the end of life. BMC palliative care, 14(1), 1.
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