Ralph Jackson Case Study
Ralph Jackson is a 68-year-old African American male who lives in a low-income housing complex. He has multiple chronic medical conditions, including coronary artery disease, diabetes, chronic renal insufficiency, and coagulopathy. He lives independently but is mostly confined to a wheelchair for his mobility. He has frequent appointments related to his various ailments but has a difficult time with compliance because of transportation issues.
The housing complex he lives in does not provide transportation. Mr. Jackson has one child who is not able to assist him with his care needs. The nearest bus stop is approximately 1 mile away, and it is very taxing for Mr. Jackson to make his way to the location as frequently as he needs to go. In addition, he is on a fixed income and is unable to afford taxi services.
Critical thinking questions/ Please provide rationale for all answers and cite a reference.
1. What is one of the strongest and most consistent predictors of illness and death for the older adult?
a. family support.
b. socioeconomic status.
c. access to resources.
d. payer source.
2. Which age group is the fastest growing segment of our population?
d. 85 and older
3. What action by the nurse would be most likely to help with Mr. Jackson’s transportation problems?
a. Ask the family for help.
b. Call the Area Agency on Aging.
c. Consult with Social Services.
d. Arrange for Visiting Nurses
4. What factors increase Mr. Jackson’s risk of becoming a victim of crime? (Select all that apply.)
a. Age 60+
b. African American ethnicity
c. Urban dwelling
d. Lack of transportation
e. Use of multiple medications
1. What is one of the strongest and most consistent predictors of illness and death for older adult?
b. Socioeconomic status. It is frequently disregarded in healthcare policies, and it is one of the most potent predictors of sickness and early death around the world. According to Stringhini et al. (2018), socioeconomic status has been linked to cardiovascular disease risk early. Cardiovascular disease is common among individuals in poorer socioeconomic circumstances, especially in high-income countries. Ralph Jackson is an African American male living in a low-income housing complex.
2. Which age group is the fastest-growing segment of our population?
d. 85 and older. It is one of the growing population segments in the United States and other countries. They contribute to the high cost of healthcare and the primary concern among older adults in improving functional independence (Bean et al., 2019). The number of baby boomers will increase rapidly in 2031 when they reach 85.
3. What action by the nurse would most likely help with Mr. Jackson’s transportation problems?
d. Arrange for the visiting nurses. Doing so will help to reduce the cost of transportation for Mr Jackson. Visiting the patient at home motivates both the patient and the family. Home visits act as a valuable tool that helps determine an individual’s health and wellness. It can also help in mitigating future socioeconomic problems that might occur.
4. What factors increase Mr Jackson’s risk of becoming a victim of crime? (Select all that apply.)
African American ethnicity, urban-dwelling, and lack of transportation can make Mr Jackson victims of crime. As an African American, he can be a victim of nonfatal crimes, including homicide, causing bodily harm, and assault. Besides, living in an urban area can make Mr Jackson be a victim of crime, including targeting property due to his low-socio-economic status. Therefore, living in a metropolitan area might cause him to target property to help him get money, making him a victim of crime. Lack of transportation is another factor that could make Mr Jackson be a victim of crime. Here, Mr Jackson will look for ways that will enable him to gather for transportation through stealing.
Bean, J. F., Orkaby, A. R., & Driver, J. A. (2019). Geriatric rehabilitation should not be an oxymoron: a path forward. Physical medicine and rehabilitation Archives, 100(5), 995-1000. Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S000399931930084X
Stringhini, S., Zaninotto, P., Kumari, M., Kivimäki, M., Lassale, C., & Batty, G. D. (2018). Socioeconomic trajectories and cardiovascular disease mortality in older people: the English Longitudinal Study of Ageing. International journal of epidemiology, 47(1), 36-46. Retrieved from https://academic.oup.com/ije/article/47/1/36/4055951?login=true