Millie's Case Study

Millie is at risk for the following safety risks: She is an 84 y.o. female that lives alone with her cat. Although Millie’s cat may be therapeutic for her hypertension and a companion now that her spouse has passed away, the cat can also be a tripping hazard. Her poor vision may cause her to mix up her medications, or she may not be able to read or setup her medications on her own. Millie’s urinary tract infection (UTI), may have been caused due to poor peri cares, in addition to poor fluid intake. Millie’s hypertension and hypercholesterolemia may be poorly controlled due to “quick meals” such as frozen, boxed, or can foods. She may not be able to safely prepare nutritional meals for herself. Thus resulting in an increased chance of her developing a stroke or heart attack. Millie’s osteoarthritis may also cause her knee to become weak and fall, and due to her osteoporosis her bones are brittle and may brake. Lastly, Millie’s fall risk assessment should have been completed on day of admission and interventions should have been put in place to prevent a near fall.

QSEN encourages and incorporates the patients needs as a whole which involves interdisciplinary collaboration with the patient and other interdisciplinary team members such as doctors, therapist, social workers, ect. (Hunt, 2012).
In order to reduce Millie from frequent re-hospitalizations staff need to develop a plan. Millies discharge plan could include home healthcare, through proper collaboration, assessment, education, planning, interventions and evaluation. Home healthcare could provide Millie with companionship, meals, setup her medications, house cleaning, home safety evaluation, nurse assessments, tele-health, and help set her home up with medical adaptive equipment. Staff along with Millie’s daughter should be proactive in advocating for such needs (Hunt,