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CASE STUDY

Fall Risk and Cognition Assessments

Mrs. L is an 89-year-old widow who lives independently in her home. She drives, and she is an avid quilter. Her daughter lives within 2 miles and checks in daily with Mrs. L by phone or in person.

Mrs. L has been admitted to your hospital with the diagnosis of R/O pneumonia.

Her past medical problems include the following:

· Bilateral hip replacements

· Detached retina × 2 (right eye)

· Osteoarthritis

· Depression

· Orthostatic hypotension

· Falls at home × 1

· Urinary frequency

· Insomnia (sleeps about 3 hours per night)

Mrs. L takes no medication, “not even an aspirin.”

Mrs. L uses her call button frequently to request assistance to the bathroom. Upon rounding, her nurse found Mrs. L on the floor, having crawled out of her bed with the side rails up. She was assessed and was found to have no injuries. Her gown was wet with urine. When asked to describe what happened, Mrs. L stated the following: “I called for help to the bathroom and no one came. So rather than wetting the bed, I managed to crawl over the side rails. I slipped on the floor trying to get to the bathroom.”

1. What are Mrs. L’s known risk factors (in the hospital) for falling?

· Environmental

· Medical conditions

· Unsafe behaviors

Sample Solution

nability is the ability for something to be maintained at a certain rate or level, in construction terms it can mean avoiding the depletion of natural resources in order to get environmental balance and to strive for environmental sustainability.

Sustainable construction corporates the design and management of structures. It can be broken down into environmental, social and economic impacts. Sustainable construction needs to be environmentally friendly and should use as many renewable resources as they can, this not only doesn’t deplete resources but also doesn’t have a detrimental effect on the environment. Firms will use lifecycle analysis, this is a method that is used to measure the environmental impact of a construction project throughout is entire lifetime and not just during the building stage; but including extraction of the raw materials, distribution to the construction companies, the cost of running and maintaining the building throughout its lifetime, recycling and then its destruction and disposal. This can also be called Cradle-to-Grave analysis. A lot of the goals that are spearheading the movement for sustainable construction run parallel to the sustainable development goals.

Moving on to the social impact of sustainable construction, we need to create living spaces that improve the quality of life of its occupants and needs to promote the importance of “socially viable living” but also care for the working environment, this means incorporating high safety standards for the general labour force.

Organisations use finance models that help them to gain a higher output with lower input, they can then reinvest what they have earned and progress the business faster, this extra capital can be used to further develop other aspects of the business; such as putting funding towards CSR and EMS which I will get to later on.

Multinational Corporations and Organisations will use management tools to find out various details about certain aspects of a project. This will include SWOT and PESTLE analysis, triple bottom line and sustainability services such as sustainable procurement (Standard ISO20400), a guideline that helps firms to provide sustainable outcomes. Sustainable procurement is ever increasing and the transparency within the industry is also growing, supply chain is generally the largest risk but is also the largest contributor to becoming a much more sustainable business. Supply chain is essentially the network of organisations and resources involved in getting your product to market, in this case it is taking a building from an id

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