Scenarios

Chapter 16: Health promotion and older people

Mrs Pathos is 78 years old. She moved from Cyprus to England 40 years ago and lives in a terraced house in London. Her husband passed away two years ago and her son died a year ago. Her daughter Maria works full time and visits at weekends.

Mrs Pathos has osteoarthritis (OA) affecting both her hip joints, and type 2 diabetes. Over the last five years she has experienced increased pain, stiffness and reduced range of movement. She recently fell, when hanging out her washing. She experiences pain when climbing the stairs to reach the toilet and as a result she has reduced her fluid intake. She had a urinary tract infection and her diabetes is no longer within the recommended guidelines. She takes medication for her OA and diabetes.

Mrs Pathos sleeps poorly, has lost her appetite and has lost a lot of weight. She is finding it difficult to carry out personal and domestic activities of daily living. She is tearful and has stopped visiting friends. Maria has recently been doing more of the household duties and getting the shopping. She feels very tired, and is finding it difficult to cope.

• 1. Describe the action you would take to promote the health and wellbeing of Mrs Pathos in relation to: physical health, mental health, and social care needs.

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  Correct answer:
  The scenario highlights the complex needs and diversity of the older population. A holistic and coordinated approach to care is required with a number of different services, with the service user at the centre of all decisions. Identifying strengths and needs, problem solving and enabling approaches are required to assist Mrs Pathos to remain in the community.

• 2. What can be done to support the needs of carers such as Maria?

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  Correct answer:
  The scenario highlights how caring for a relative can impact on physical health, mental health, work, finance, social life and relationships. Carers have the right to a carer assessment, information and advice to support them in their role.