(Solution) HAL 310 week 2 discussion

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Description

Mr. W. is brought to the emergency department by his neighbor, Mr. C., who lives across the hall from him in a high-rise apartment building for low-income senior citizens. Mr. C. proceeds to explain that Mr. W. has become increasingly confused, paranoid, and secretive. He has stopped participating in social activities where he lives, no longer has a telephone, and won’t allow anyone into his apartment. It has been 4 months since Mr. C. last saw Mr. W. and says, “he looks bad. He’s lost weight and is too thin. He wouldn’t talk to me when I tried to start a conversation and he only opened his door a couple of inches. The smell coming from his apartment was awful. I can sometimes hear people yelling in the apartment, and I only ever see his older son stop by occasionally to check on him. And, today, I find him like this. I had to do something because I can’t just stand by and let this happen to him!” Mr. C. points to Mr. W. who has a black eye, swollen upper lip, and dried blood on his beard and clothing.

Mr. W. is sitting in a chair and avoids eye contact. He is wearing thread-bare clothing, which is dirty, and his body odor is unhygienic.

Question 1

How should you proceed to interview Mr. W.?

Question 2

What would be specific questions to screen for older adult abuse?

Question 3

What are possible indications of neglect in Mr. W.?

Question 4

What are possible reasons for Mr. W. failure to seek assistance?

Question 5

How will you document Mr. W.’s case of suspected older adult mistreatment?

Question 6

In a case of suspected older adult abuse, what baseline laboratory tests should be ordered?

Solution

Mr. W. is sitting in a chair and avoids eye contact. He is wearing threadbare, dirty clothing, and his body odor is unhygienic.

1. How should you proceed to interview Mr. W.?

I would ensure that I ask his neighbor to leave the room to interview the patient. I would start by stating that I am going to ask a few routine questions that I ask all patients because abuse and violence are common. I would ensure that he feels safe. and comfortable and offer an attentive ear with no judgment.

2. What would be specific questions to screen for older adult abuse?

The specific questions that are used to screen for elder abuse are do you feel safe at home, does anyone in your home hurt you, has someone not helped you when you needed help, are you prevented from seeing family whom you wish to…..Kindly click the purchase icon above to access the full solution for $10