Further resources

In the videos, the client called Martta Mäkinen and her functioning is assessed. Now you can get familiar with the case description and the test results:    

Martta Mäkinen    

88-yrs old lady living at home with the help of home care and home care nurse. No children, husband passed away 20 yrs ago. Her sister’s daughter has helped going to the bank and grocery store. Her medical diagnosis are Type 2 Diabetes (insulin dependent), Myocardial infarction in 2015 and Hypertension for 30 yrs. She fell at home and was taken to hospital by ambulance 3 days ago. She was complaining about pain in the left shoulder. The x-rays showed no fractures, but she is having large hematoma in the shoulder and moving the arm seems painful. No acute ischemic changes seen in ECG. No cerebrovascular accident seen in head MRI. She was discharged from hospital yesterday and the doctor has given a referral to a physiotherapist for a home visit and evaluation of the ability to live at home independently.   

Test results for Martta are as follows: 

   

You could now make your own clinical reasoning for Martta’s functioning and spend some time with thinking the following questions: 

1. How you would describe Martta’s functioning, if you consider the physical functioning?  

2. In your opinion, is her still able to live at home independently? With assistance 

3. What is the need for assistance and what kind of assistance she would need at home? 

   

Martta is able to live at home with some assistance. For example, a walking aid is needed to walk safely. She asks herself also assistance in some daily living activities, like taking care of her personal hygiene.