Mr. D. is a 65-year-old male nonadherence diabetic with end-stage
Submission Type: A narrated 12-slide presentation responding to the bullet points for each case. Using the case details on pp. 612 “Do you really think she can go back home?” Elliot asked his sister, Jana. “I don’t know. The next fall might be much more serious,” Jana replied. “I want to go home. I’ll be fine,” insisted their mother, Rayna. Hospitalized over the past two days, 85-year-old Rayna is impatient and ready to go home. Like many other older adults, she no longer drives because her vision is poor. She often finds herself not hungry so she sometimes skips meals. Despite her poor eating habits, Ruth has felt that she manages her diabetes well and keeps her blood glucose levels in a healthy range. Osteoarthritis, however, makes Rayna’s daily routine more challenging. She has difficulty opening pill bottles, reading newspapers, and sometimes working doorknobs. Rayna has adapted to these challenges by purchasing tools and gadgets, such as non-childproof pill bottles and nonslip grips for doorknobs. Rayna’s children worry about their mother’s ability to manage her daily life, and more importantly, they fear that she will injure herself in a fall or accident. What developmental changes make it more difficult for older adults to live independently? In your view, is Rayna capable of independent living? Why or why not? If not, what supports can help her live as independently as possible? How might her illnesses complicate Rayna’s ability to live independently? Rayna’s children worry about injuries. Is their worry founded? Discuss factors that influence injuries in older adulthood as well as the possible consequences of injuries. What factors will determine whether Rayna can continue to live independently? Under what conditions should her living status change? How would you assess for elder abuse as she continues to live independently? Using the case details on page 637 On their 50th wedding anniversary, Mike and Carol celebrated with a big party, with family and friends. Their four children and 13 grandchildren attended. Nearly all of the grandchildren were married, with children of their own—some teenagers. In addition, a few very close friends attended, some from the neighborhood and a few lifelong friends they met when they were very young. “How fortunate we are,” Mike remarked in a toast. His friend called out, “We hear that another congratulations is in order—you’ve just retired!” Carol replied, “Yes. It will be so nice to have him home with me.” “Mom, don’t you think he’ll get underfoot?” their daughter asked. “We’ll see,” Carol answered. What can the couple expect with Mike’s retirement? How might it affect their marriage? What can Carol expect about Mike’s adjustment to retirement? How can the couple aid this adjustment? What can the couple expect in the coming years? What developmental challenges will they face in their twilight?
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