Counseling For The Elderly Members Of Society - 1148 Words

Good Evening!! While caring for the elderly members of society, it is common for clinicians to come across ethical situations, especially while, screening and evaluating patients. Genesis rehab policy is that clinicians must first conduct screens before enrolling patients on rehab services. The screening process helps to filter out patients who are indicated for physical therapy on outpatient services versus patients who requires skilled home-health services. The other benefit of screen is to recognize patients who requires consultation to a specialist. â€Å"In primary care setting, PTs should be routinely triaging patients for need of referral† (Wenker, and Euhardy, 2011, P.361). One of the focal reason for administering screens prior to PT†¦show more content†¦He is in his early 90’s, has multiple medical comorbidities, attends group exercise classes 3 times a week, very strong personality, fiercely independent, retired lawyer, now dependent on a 4-wheel walker due to mult iple loss of balance(lately), and had to give up his dog (3 weeks ago) to the care of his caregiver since he was at risk of falling. According to the resident service director of ILF, patient was asked to use the walker inside the apartment which he refused to adhere to, he was told by his neurologist and his daughter to quit driving due to his neuropathy and other medical conditions, which he flat out refused to do so. He reacted very strongly by refusing to go back to the neurologist and is not on speaking terms with his daughter. He claims that he fired his neurologist since they didn’t seem to agree on anything. During the screening process, patient scored really poorly with the TUG test and the 30 sec chair rise test indicating a high fall risk category and poor bilateral lower extremity muscle performance skills sets. Physical therapist asked him about his medication management and he mentioned that his anti- depression pills were not effective at all.PT found patient c rying out every time he mentioned his wife and stated that he missed his wife very much. Pt was having