PHE1IDH: Individual Determinants of Health- Working with older people- Rosa Calapari Case- Nursing Assignment Help
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Name: Rosa Calapari
Age: 80
DOB: 2/10/1937
Marital status: Married – Mario Calapari
Children and grandchildren (if any): 2 children, 5 grandchildren live in Shepparton
Occupation (if employed): Retired
Cultural and linguistic background: Italian heritage. Italian is her first language, English her second.
Pre-existing medical condition: Arthritis
Contextual information
Each day, approximately 40 Australians fracture their hips (Stephens, Toson & Close, 2014). With an ageing population, significantly more older adults are experiencing hip fractures, with 90% of hip fractures occurring in those over the age of 65 (Stephens et al., 2014). Not only do hip fractures place a heavy burden on the affected individual, but they also significantly impact caregivers and the Australian public health system (Stephens et al., 2014).
After a hip fracture, people often experience multiple handovers during care transitions across different settings, such as from hospital to a rehabilitation facility, from rehabilitation to home and at times rehospitalisation due to complications. On average, a patient experiences approximately 3.5 changes in care in the six months following a hip fracture (Boockvar et al. 2004). Thus, pertinent to the long-term physical, cognitive and psychological outcomes for those with hip fractures is a comprehensive, collaborative and accurate multidisciplinary team approach. According to Coleman, Parry, Chalmers and Min (2006) interventions targeted at improving care transitions are necessary and can significantly reduce rehospitalisation.
Case Narrative
(12/08/2011) – Seventy-three-year-old Rosa Calapari slipped walking to the letter box to collect her mail. Her husband Mario phoned an ambulance and she was admitted to the Austin Hospital in Heidelberg where she was assessed by a multidisciplinary team of allied health professionals. Following her admission, several investigative tests were undertaken and Rosa was diagnosed with an intracapsular hip fracture. When Rosa presented to the emergency department by ambulance she showed signs of extreme anxiety and was angry and aggressive with the staff.
(14/08/2011) – Case Notes from Psychologist and referral to Geriatric Psychiatry Team for comprehensive neuropsychological assessment.
Task:
Based on the case study of Rosa Calapari (who you will have theoretically been following), you need to reflect on your experience of what you anticipate to be most challenging when working with her.
Reflective practice is seen as a means of improving clinical practice and consequently quality of care, through exploring and evaluating one’s understanding of a problem rather than simply trying to solve it (Leung, Pluye, Grad, & Weston, 2010).
Reflective practice is crucial in continuous development and re-assessment of skills when working in health care, or with people more generally. A reflective practitioner:
• Reflects on feedback and integrates changes into practice.
• Reflects on how own perceptions, attitudes and beliefs impact on practice.
• Identifies knowledge deficits and seeks clarification.
• Ensures procedures for safety and quality assurance are implemented.
It is essential when writing a reflective piece that you refer to the experience in the first person, therefore the use of ‘I’ is appropriate for this style of writing. As a reflective practitioner, it is important to not only think about how others may affect your behaviour (i.e., colleagues and clients) but also how your behaviour affect others.
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