Risk Assessment Older Adults Orthopedic Optimization
NSG4076 Week 4 Project
South University
Introduction
The aggregate is a group of three individuals failing surgery optimization. These patients present potential risks that endanger their lives in the event of surgery. Surgery optimization describes the preparation of patients to improve their chances of survival in the event of surgery by minimizing the probable risks of complications. The aggregate participants have a common characteristic of advanced age. One of them has diabetes with A1c elevated another one with obesity and the last one is a smoker. This paper seeks to present a risk assessment of these persons, examine their home and environmental risks and also provide their strengths and weaknesses.
South Charlotte is a major modern city center and also a commercial center in Mecklenburg County, North Carolina state. The region has a total population of 233,794, 111,395 males and 122,399 females, with a median age of 38.8 years for the residents (Point2 Homes, 2020). South Charlotte is made of six distinct regions namely; Arboretum, Ballantyne, Blakeney, Matthews, Pineville, and SouthPark. Chronic conditions like cancer, diabetes, and cardiovascular diseases account for approximately 50% of all deaths in South Charlotte. Risk Assessment Older Adults Orthopedic Optimization Essay Paper
Older Persons
The aggregate participants have a common characteristic of advanced age. Older persons include people aged 65 years and over. This population would benefit from the optimization of risk factors such as smoking, poor management of diabetic A1C, and increased body max. Older adults are the fastest-growing population group within South Charlotte, NC. The mortality rate, co-morbidities, and prevalence of many chronic diseases are higher among older adults in the area. According to these evolving demographics, projections indicate that there will be a synchronized rise in the demand for various surgical services in South Charlotte, NC.
In our textbook, Stanhope reveals that the EPA uses a process referred to as “risk assessment” when they develop health-based standards. The term risk assessment refers to a process to determine the probability of a health threat associated with an exposure (Stanhope, 1950).
Environment Assessment
The environmental assessment reviews that the aggregate under review has been identified as South Charlotte, in Charlotte City, Mecklenburg County, North Carolina State. The community is suffused by old-fashioned southern charm with a unique feel, culinary sophistication and culture. It has a population of 233,794 comprised of 122,399 females and 111,395 males. The median age of the residents is 38.8 years (Point2 Homes, 2020). South Charlotte is comprised of six distinct areas. The first area is Arboretum, located at the intersection of NC Highway 51 and Providence Road (Highway 16) with most buildings constructed in the 1980s and 1990s. The second area is Ballantyne that covers an area of 2,000 acres and located in the southern tip of Mecklenburg County. It was initially farmland and was recently converted into a residential area. The third area is Blakeney located to the south of I-485 and located at Rea and Ardrey Kell Road. It is a 300 acre development that includes upscale home, office parks, apartments, retail shops, and restaurants. The fourth area is Matthews. It was founded in the 1800s as a farming community that produced cotton. It is currently a residential area with 25,000 residents, schools, and enjoys lower taxes. The fifth area is Pineville, a shopping hub that houses major retail outlets. It has 6,500 residents and is located between York County and Charlotte. The sixth area is SouthPark, which occupies a 3,000-acre area. It was initially owned by North Carolina Governor Cameron Morrison but was later transformed into a live/work community (Reimax, 2020). Risk Assessment Older Adults Orthopedic Optimization Essay Paper
BUY A PLAGIARISM-FREE PAPER HERE
Home Assessment
The home assessment of the aggregate reviews that there is an average of 577.3 houses per square mile with non-obstructive distances between houses and businesses. About 33,436 housing units exist in the area according to the 2010 statistics. Many households have at least two cars and the public transport system also operates within the area. A number of healthcare facilities also exist in the area. The aggregate is hosted at the Novant Health Wellness Clinic.
Strengths and Weaknesses
A review of the community influence of the aggregate, multiple strengths and weaknesses have been identified. For instance, the aggregate has identified their health problems and the need to seek treatment to improve their health status. This makes the participants more receptive to the interventions suggested to them by the providers and as well are presented favorable candidates for the programs. The treatment program to assist in surgery optimization is offered with both the professional and technical assistance necessary to manage the behavior as well as the underlying conditions hindering the successful recovery after surgery. A controlled and safe environment is provided to enhance treatment. Finally, the aggregate is provided free counseling services to facilitate their successful change of behavior and enhance mental wellness. The area has a strong community presence and after interviewing the three clients they are safe and happy. This makes the participants more receptive to the interventions suggested to them by the providers and as well are presented s favorable candidates for the programs. The weaknesses identified include the continued triggers to diseases and negative behaviors. These include lifestyle factors such as availability of cigarettes for the smoker as well as ease of access to unhealthy foods that aggravate diabetes and worsen the obesity status of the aggregate. Another weakness is discrimination based on the social and economic status of the aggregate who come from not well up backgrounds (Milstead & Short, 2019). The environmental conditions also allow the aggregate to access the avenues of risks considering their vast knowledge in getting drugs and unhealthy junk foods. The abundant source cigarettes for the smoker as well as ease of access of nutrition guidelines and physical restrictions that aggravate diabetes and worsen the obesity status of the aggregate. Another, issue addressed was age discrimination based on the social and economic and health literacy (Hamilton-Childres, 2017) . Health disparities associated with economic and social states are rampant within the American healthcare system (Milstead & Short, 2019). The lack of senior targeted exercise and programs did not meet their needs. This a relevant weakness of the aggregate which worsens their weight gain and consequently the diabetes levels. A very interesting expressed concern for a coordinated service in community health resources and education that was user friendly.
Risk assessment
The assessment of the community as a client followed the fact that the diabetes, obesity and smoking are significant aspects of concern in the South Charlotte. A stepwise process was employed in assessing the risk. The initial step involved planning and organizing as a community intervention. It also identified the capacities and strengths including the access of resources and feasibility of scope. In this case, the scope of intervention is limited by the unavailability of sufficient resources applicable to the whole community. The second step engaged the community with regard to demographical and geographical area. The next step was characterized by the development of a vision/goal for the aggregate and the community (Stanhope & Lancaster, 2016). Apparently, the case of concern in this case is the failure of surgery optimization which triggered the need for the identification of the problem. The behavioral program was restricted to the aggregate participants as a representative of the whole community.
Community health assessment is the fourth step. It entails the determination of the specific population needs. Here, engagement of the community for opinions was conducted and the statistics evaluated. On the other hand, the first step of the assessment sought to prioritize the health issue with the intention of theme organization with regard to the attention of needs. Step six developed a plan for community improvement targeting thru identifies aggregate to improve the health of the public while step seven explored implementation and monitoring of the plan for successful data collection and application. Evaluation of the plan was the final step of assessment to monitor the outcomes and the process focusing on how effective the strategies performed and evidence of a need for change.
References
Hamilton-Childres, E. (2017). Community needs assessment of the aging population. Charlotte: Charlotte Urban Insitute.
Jin, F. &. (2001). Minimizing perioperative adverse events in the elderly. British Journel British Journal of Anaesthesia, Volume 87, Issue 4, 1 October 2001, , Pages 608–624, https://doi.org/10.1093/bja/87.4.608.
Kumar, C. S. (2018). Preoperative Assessment in Older Adults: A Comprehensive Approach. American Family Physician 98(4), 214-220.
Leung, J. &. (2011). Relative Importance of Preoperative Health Status Versus Intraoperative Factors in Predicting Postoperative Adverse Outcomes in Geriatric Surgical Patients. Journal of the Geriatric Society Vol49(8), https://doi.org/10.1046/j.1532-5415.2001.49212.x.
Milstead, J. & Short, N. (2019). Health policy and politics: a nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Stanhope, M. &. (2016). Public Health Nursing: Population_Centered Health Care in the Community, ED. 9. St. Louis, MO: Elsevier-Health Services Division.
Risk Assessment Older Adults Orthopedic Optimization Essay Paper