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The health care of an older adult extends beyond the traditional medical management of illness. It requires evaluation of multiple issues including physical, cognitive, affective, social, financial, environmental and spiritual components. (Ward & Reuben, 2010). According to the American Nurses Association (ANA), nursing case management is a “health care delivery process whose goals are to provide quality health care, decrease fragmentation and duplication of care, enhance the client’s quality of life, and contain costs” (ANA, 1992).
Healthcare Issues
The “Elder Care Case Study” provided for this task requires the nurse to assume the role of a case manager who is responsible for determining the most appropriate discharge placement for an elderly patient, Mr. Trosack, who will be discharged from the hospital after undergoing total hip replacement surgery. Hip fracture among the elderly is a common and serious healthcare issue. Results from a large population study showed that about one quarter of hip fractures in the elderly results in permanent disability whic…