Case study Mr. Tran is a 75-year-old man, was brought

Case study Mr. Tran is a 75-year-old man, was brought to the emergency department (ED) by his daughter following a fall at his home. There was no loss of consciousness or head injury as a result of the fall. His daughter gave him two Panadine tablets prior to coming to the ED. Initial Assessment Mr. Tran is disorientated to time and place. He smells slightly of urine. He was brought in a wheelchair, and he is not complaining of pain but is running his hand over his in his right hip and pelvis area repeatedly. BP – 126/73 HR – 106 bpm and regular RR – 18 rpm Temp – 37.9C (tympanic) Sa02 – 98% RA Height -169 cm Weight – 71 kg ECG – NAD MMSE – 23/30 Urinalysis – dark concentrated yellow, cloudy urine, SG 1.010, pH 7, Leukocytes and nitrite- positive. BGL – 4 mmol/L Medical history Mr. Tran has a history of multiple chronic medical conditions, including osteoarthritis, hypertension, and Type 1 diabetes. He is on several medications and has regular visits with his primary care physician. Patient history Mr. Tran lives independently in his own home and usually cooks his own meals at home. His daughter visits him a couple of times each week. He wears glasses for long distance and bilateral hearing aids. Mr. Tran’s daughter explains that he is very independent and maintains his personal hygiene, nutrition, and household upkeep. He is a retired engineer and has a strong interest in politics in the Southeast Asian region, regularly participating in online forums to discuss current events. You are the registered nurse looking after Mr. Tran. 1. Initial assessment of Mr. Tran in ED (500) Discuss how negative stereotypes of older people may impact an ED nurses’ initial impression, and nursing care for Mr. Tran. Relate directly to the case study. 2. Pathophysiological aspects of ageing related to falls in older people (600 words) a) Discuss pathophysiological aspects that may increase the risk of a fall for Mr. Tran. b) Using the points identified in 2(a) describe two (2) evidence based nursing interventions, with rationales, that could be implemented for Mr. Tran to reduce the risk of falls whilst in hospital? Do not include referrals in your answer. 3. Pharmacological considerations for an older person (400 words) Discuss why Mr. Tran, as an older adult, is more vulnerable to adverse drug events. Ensure you include factors related to the anatomical, physiological, and behavioral, considerations associated with ageing.

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