Discharge Placement

Discharge Placement

Introduction

This report deals with the case study of Mr. Henry Trosack, where he has gone through a major surgery and on his recovery phase. In this case we will be looking into different aspects, both medical and social, for Mr. Henry Trosack,

Case overview

Mr. Henry Trosack is a 72-year-old, second-generation Polish American who, until recently, has been in excellent health for all of his life. He reticently admits that prior to this hospitalization he has not had a physical examination in over 10 years, is taking no prescription medications, and has never had surgery in his life. In passing, he mentions taking some “vitamins” to “help his energy” every day, but he is not sure what they are. He wears glasses for reading and has hearing loss at 60% in his left ear. He manages a family-owned bakery along with his brother Karl, who is a widower. Mr. Trosack's wife of 40 years, Helena, died two years ago at the age of 70. Mr. Trosack has lived in a two-bedroom apartment on the second floor in a three-story, post-WWII apartment building in downtown Chicago since he married his wife, Helena. Mr. Trosack has one married son, Peter, 44, a financial consultant. Peter and his 43- year-old wife, Rita, both work an average of 60 hours a week and are trying to conceive their first child. They live in a condominium in downtown Chicago close to the lake and not far from the bakery. Although both were raised Catholic, neither chooses to practice their religion at this time. This infuriates Henry, but he doesn't talk about it. Contact between Peter and his father is infrequent. One month ago while taking out the trash, Mr. Trosack fell down the long flight of steps leading to the ground floor of his apartment building, fracturing his right hip. His brother called 911, and Henry was brought to the hospital where he underwent a right total hip replacement (THR) within 24 hours of admission. After a successful and uneventful surgery, Mr. Trosack has been in in-hospital rehabilitation for the past 2 weeks. Upon discharge, Mr. Trosack will use a walker as the only means of assisted mobility.

Mr. Trosack is not happy about being what he calls “disabled” and having to take the medications. His apartment is on the second floor, and he is concerned that it will be difficult and painful to climb the stairs. While this frustrates him, he is determined to be able to help in the bakery. However, he admits that he cannot go down to the basement where the supplies are stored. Mr. Trosack insists that he can take care of himself and can take his own medications. He has lived alone for two years since hiswife died. The Apartment in which he lives in is small and cluttered with furniture and memorabilia. Bathroom is small and does not include any safety features. Kitchen is small but clean, and there is room to maneuver with the ...