Final answer:
The appropriate management for a 91-year-old female post-hospital discharge to a skilled nursing facility includes a comprehensive assessment by an interdisciplinary team, ensuring continuity of care, addressing psychosocial needs, monitoring for infections, and conducting multidisciplinary rounds.
Step-by-step explanation:
The question pertains to the management of a 91-year-old female who has been discharged from the hospital to a skilled nursing facility. Given the patient's age and the transition from an acute care setting to a long-term care facility, the most appropriate management should involve a comprehensive assessment by the interdisciplinary team. The team typically includes a physician, nurse, and possibly a physical therapist or an occupational therapist among others.
Initial management should include a thorough review of the patient's medical history, current medications, and recent hospital course. It is critical to ensure that there is continuity of care with respect to any treatments started in the hospital and to assess the need for any new medical interventions.
In addition to medical management, attention should also be given to the potential psychosocial and emotional needs of the patient. This could involve palliative care consultations, if appropriate, or establishing a care plan that ensures the patient's comfort and dignity. Furthermore, as infection control is a concern in skilled nursing facilities, appropriate measures such as monitoring for signs of infection (e.g., fever) should be an integral part of the patient's care plan.
Multidisciplinary rounds that include all members of the healthcare team are important to identify and address potential risks and to ensure a holistic approach to care. Communication with caregivers and the input from the patient, where possible, should guide the establishment of care priorities and goals.