Simulation Scenario 3 occurs 5 days later when Red is scheduled for discharge from the hospital. Jon thinks that Red should move in with him for now, but Red is sure he is able to care for himself, and insists that his c
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Simulation Scenario 3 occurs 5 days later when Red is scheduled for discharge from the hospital. Jon thinks that Red should move in with him for now, but Red is sure he is able to care for himself, and insists that his confusion was due to the fact that he did not have his glasses or hearing aids for the last week. Learners will need to determine how much, if any, functional decline has occurred while Red has been hospitalized. The risks and benefits of Red’s living arrangements need to be analyzed in collaboration with Red, Jon, Judy and the healthcare team. Suggested tools for this scenario include the Katz Index of Independence in Activities of Daily Living (ADL) and/or the Lawton Instrumental Activities of Daily Living (IADL)Scale, and the Transitional Care Model (TCM): Hospital Discharge Screening Criteria for High Risk Older Adults.
Finish the Story Assignment
The “Finish the Story” assignment is the same for all cases. Learners have seen the older adult at several snapshots in time. This last assignment in each of the cases calls for the student to “finish the story” and relate where they see the older adult or older couple about three months after their last encounter. This assignment should give faculty insight into what students have learned from the unfolding case.
Introductory Monologue
I understand you want to hear my story; well I’m not much for talking, but I can give you the highlights. There’s a lot that’s happened over my 80 years.
From the top. My name is Sherman Yoder, but I answer to “Red”. No one around here even remembers my real name. I was born in this house in the downstairs bedroom. Mom had already delivered 6 kids and there was no way I was waiting for Dad to finish feeding the hogs and get Mom to town before I come out. Mom used to love to tell that story. Dad bought this farmhouse and the first hundred acres right before he went off to WWI. The folks saw good times and bad in this ol’ place and so have I. All my brothers and sisters left the land as soon as they could. I was the only one of the lot to care about this place and want to carry on what Dad started. I really haven’t gone far from this spot in my entire life. The one time I got it in my head to try something different; I wound up in Korea with an Army uniform on. I was glad to get back to this place after that stint and here I’ve been ever since. Married the neighbor girl Bessie when I got back. Her dad wasn’t so sure that it would work out since she was 8 years younger than me and she intended to go off to the state college. We sure did prove him wrong; we celebrated our 50th anniversary the week before Bessie died. The ladies at the church had the hall all decorated up and we brought Bessie home from the hospital for the afternoon. She was bound and determined to live for that day; no way did she want her friends to go to that much work for her to not show up. I couldn’t believe it when the ladies had to prepare for the reception after we buried Bessie in that same hall one week later. We had such a good life together.
That was 10 years ago.
I don’t do much of the farm work anymore. Our son Jon takes care of the crops and the few animals we have. I still go out to the hen house every morning to collect the eggs. I’m a little stiff in the morning, but I get loosened up enough to walk out to gather some fresh eggs to go with my bacon for breakfast.
I get in to town at least once a week; on Monday morning me and my buddies meet at the VFW for our coffee and donut break. I get caught up on all the town gossip and we laugh and bellyache about what’s going on in the world.
Three weeks ago I celebrated my 80th birthday. My daughter in law, Judy, organized a big “to do” at the church after the Sunday service with cake and ice cream and all the fixings’ for my party. I had a big piece of cake but skipped the ice cream. Doc Baker was there and I knew he would scold me about too much sugar. Six months ago he told me I had diabetes and I started taking a pill for it, but a few weeks ago he put me on insulin. I figure I should be able to eat what I want; come on, I’m not going to live forever, and it was my favorite cake, German chocolate. I ate it in the kitchen so the Doc wouldn’t see me; wouldn’t you know, his office nurse Helen came in the kitchen with a load of dishes just as I was putting the last bite in my mouth. She just winked at me and smiled.
After the party I went out to the mall with Jon and the grandkids. I’m not one for shopping much, but I needed a new ink cartridge for my printer and the computer store is the one
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