Final answer:
The initial home visit to Mrs. Y revealed that (1) she lives alone with frequent checks by her daughter, (2) has moderate functional issues requiring a cane, faces hazardous home conditions like throw rugs and poor lighting, and experiences fatigue easily. Additionally, concerns about cognitive and emotional changes due to difficulty managing finances, memory lapses, irritability, and disorientation were significant findings.
Step-by-step explanation:
During the initial home visit to Mrs. Y by the nurse, several findings were observed. Firstly, Mrs. Y lives alone, although her daughter checks on her frequently throughout the day. Secondly, the nurse noted that the client has moderate functional issues and requires a cane to ambulate. Thirdly, hazardous conditions were identified in the home, such as several throw rugs in the main walking quarters and minimal lighting throughout the hallways, which could increase the risk of falls. Lastly, Mrs. Y reported that she experiences fatigue easily, needing to sit down and rest often during the day.
Additional concerns raised were related to Mrs. Y's cognitive and emotional changes. Difficulty in managing her budget and paying bills on time, increased irritability, occasional disorientation during walks, and lapses in memory suggested a possible decline in her cognitive abilities beyond normal aging effects. These symptoms prompted her family to encourage a medical evaluation, including a physical exam, cognitive tests, and brain imaging to explore the underlying causes of these changes.