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Fatigue and difficulty breathing make it hard for her to stay active

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Limited mobility and increased risk of falls due to weak bones and curved spine

risk factors for osteoporosis:

age with loss of bone mass

females - decline of estrogen levels

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Surgery ten years ago affects her mobility, she uses a cane for support

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Trouble holding urine especially at night increases her fall risk

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Left a pot on the stove while watching TV which is a fire risk

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Moves slowly, uses furniture for support and uses a cane. This makes her prone to falls

Factors that increase fall risk:

alcohol use

incontinence

cognitive impairment

polypharmacy

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Her son is worried that no one would be there to help if she falls

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Misses her husband and often attends friends' funerals

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Feels attached to her memories, where all of her kids grew up and wants to remain in her home

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Cat provides comfort and connection to her deceased son

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Drinks whiskey nightly to relax and cope with stress. Was an evening ritual with her husband that she carries on.

Increase risk of:

hypertension & stroke

dementia

balance

etc

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20mg QD

Taken for blood pressure control

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10mg QD

Helps with fluid management and reduces swelling

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5mg IV

Given annually to strengthen bones

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1200mg QD and 15mg QD respectively

Taken to maintain bone health

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Primary caregiver who lives in Montreal and takes care of his mom

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They support Daniel's decisions and can support financially, but are not close by to assist regularly

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Mr.s Ryan knows her care impacts Daniel and feels guilty about it.

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Wants to stay in her home due to memories and the attachment to her cat

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Prefers she move to long-term care facility for safety reasons

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Mrs. Ryan is open to adding assistive devices like electronic alert bands, sturdy handles, and occasional nurse visits.

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SBNH Value: Respect for Individual's Preferences

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SBNH Value: Respect for Individual's Preferences

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This emphasizes understanding Mrs. Ryan's desire to stay in her home and respecting her choices while considering her safety

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It's important to involve family members when making decisions

Emotional well-being, like feeling connected to her home, affects Mrs. Ryan's physical health

Making changes to the home can help keep Mrs. Ryan safe while letting her stay in a place she loves