Pleаse use the infоrmаtiоn in this cаse tо answer the questions: EVALUATION OF OLDER ADULTS – EXAMINATION CASE Short term stay rehabilitation unit: 7 days post sx, OT initial evaluation. ELLEN is a 78-year-old Caucasian woman with a diagnosis of R total shoulder replacement. Ellen also has a diagnosis of rheumatoid arthritis. Ellen underwent surgery to replace the GH joint. Her surgery was uncomplicated and she was out of the recovery room to the hospital unit the next day when OT and PT greeted her. Post sx total shoulder precautions: RUE swath sling, external rotation to neutral only, no abduction unless GH joint fully internally rotated. Ellen and her family agreed to a short rehabilitation stay to address ADL skills for a safe discharge home. PMHx significant for B TKR and L THR. Social history: Ellen lives with her son and his family in an apartment adjoining their home in the suburbs. She and her husband have been divorced for many years and Ellen is used to doing everything by herself. She likes being independent and hates “giving in “ to the arthritis. She retired from a job with the telephone company 14 years ago. She had worked there for 35 years as a dispatcher. Ellen reports a gradual increase in difficulty in performing ADLS before the sx for the last year and a half. She required increasing assistance from her daughter-in law to wash and brush her hair, dress her upper extremity, and reach into the closets and cabinets. She eats dinner with her son and his family, but eats the other meals in her own apartment. She was independent in cold meal prep prior to surgery. She ambulated with a straight cane because of left lower extremity weakness. She reports having difficulty since she used the cane on the right side. She reports all daily tasks were difficult and elicited pain throughout the shoulder region. She was unable to continue driving because of her inability to use her right arm to shift gears. Ellen’s favorite leisure activities are Bingo and Crossword puzzles. Case adapted from Lowenstein, N., & Halloran, P. (2015). Case studies through the health care continuum. Thorofare, NJ: Slack. ANSWER TRUE TO INDICATAE THAT YOU HAVE VIEWED THE CASE.
The instructоr's nаme is Dr. Gоrdоn аnd not 'hey' or 'hаy.'