Question

Your 80-year-old patient is being discharged home post CVA. She lives alone, yet still requires assistance with ADLs. What referral is MOST appropriate to ensure her needs are met?

Answer 1

Home health services are the most appropriate referral for an 80-year-old patient post-CVA, providing essential assistance with ADLs and possibly cognitive rehabilitation. Considering psychosocial supports and the patient's cultural background is also important in maintaining their well-being.

Step-by-step explanation:

The most appropriate referral for an 80-year-old patient being discharged home post-cerebral Vascular Accident (CVA) who requires assistance with Activities of Daily Living (ADLs) and lives alone would be for home health services. These services provide a range of care, including skilled nursing, physical therapy, and assistance with ADLs. Additionally, it is important to consider the patient's psychosocial health.

Referrals to community-based resources such as senior centers and social work services can help address the need for social connectedness and activities that contribute to a sense of meaning and well-being in older adults.

Home health care services can be tailored to the patient's specific needs, potentially encompassing cognitive rehabilitation strategies, such as virtual reality technology, to help mitigate mild cognitive impairments. Moreover, considering cultural factors is important as some families may have different preferences regarding out-of-home care.

A comprehensive approach should be a balance between professional healthcare assistance and psychosocial support, drawing upon the patient's community, family, and available healthcare services.