Ms. Bennett is a 77-year-old patient who broke her hip in a recent fall. She lives alone and will need assistance with activitie
s of daily living (ADLs) after her discharge from the hospital following surgery to repair the broken hip. As a member of the multidisciplinary team providing care for Ms. Bennett, you must make a decision regarding the best option for Ms. Bennett’s post-discharge care
Because patient involvement in their care and patient choice are critical aspects of providing care, I would choose the shared decision-making model, or SDM model, in this scenario. The steps of this model are (1) explain the choice, (2) describe the options, and (3) help the patient weigh the options and make a choice. Before meeting with Ms. Bennett, I would research to gather information on different care options, such as full-time placement in a skilled nursing facility until Ms. Bennett is able to perform all ADLs, a full-time in-home aide who would provide assistance with ADLs until Ms. Bennett fully recovers, and a part-time respite worker who would provide assistance with ADLs to Ms. Bennett in her home during the hours when Ms. Bennett's family members and friends can't provide this care. I would gather information regarding the length of recovery to determine the cost of each option. I would then meet with Ms. Bennett to determine her wishes regarding remaining in her own home versus placement in a skilled nursing facility. I would then discuss the benefits and drawbacks of each option in terms of level of care provided and cost. I would involve other members of the multidisciplinary team, such as social services, to determine which options Ms. Bennett's insurance would cover and how much Ms. Bennett would have to pay for each option. I would ask Ms. Bennett about family and friends and their willingness and ability to provide assistance. I would then help Ms. Bennett weigh the options and make a choice regarding her post-discharge plans for care.
It lays its eggs within two days after death, so its stage of development - egg, larval stages, prepupal or pupal stage, adulthood - will suggest how long the corpse has been lying undetected
Infection with both HIV and TB is called HIV/TB coinfection. Untreated latent TB infection is more likely to advance to TB disease in people with HIV than in people without HIV. In people with HIV, TB disease is considered an AIDS-defining condition. AIDS-defining conditions are infections and cancers that are life-threatening in people with HIV.
