Indicated and care-related
prevention
ILO - 4
Name:
Class: Next 4
Date: 2023
Subject: Module 4 - Week 10: indicated and care-related prevention?
Objective: The objective of this report consists of two parts namely a completed
intake list, and a formulated lifestyle advice.
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, Assignment 1 – Coxarthrosis case description
Due to coxarthrosis affecting her left side, Mrs Poffertje, a 62-year-old woman, has been facing difficulty
in walking for several years. She has been referred with a diagnosis of moderate coxarthrosis on the left
side, accompanied by pain in her left hip/groin area.
In addition to the pain she experiences, Mrs Poffertje has observed a significant decrease in her
mobility. This becomes evident when she takes her dog for a walk. While she used to walk her dog for 15
minutes, three times a day, she now finds it increasingly challenging to keep up with this routine
(PSC=6). She stated, ‘I walk more slowly, and I waddle like an old goose'. Moreover, her daily walk to the
nearby supermarket, which is approximately 500 meters away from her home, has become a struggle
for her in recent months (PSC=6). For about four months she has had a walker. She can't manage this.
She doesn't like using it.
Furthermore, Mrs Poffertje encounters stiffness when she gets up from her chair after watching TV for
extended periods. This stiffness has been a familiar issue for her. Every morning, upon waking up, she
experiences this stiffness as well. She rarely feels well-rested upon awakening. Her bedtime varies
between 11 pm and 2 am, depending on how long she watches TV before going to bed. Consequently,
she sleeps irregularly for 5-7 hours per day. The lack of sleep leads to sleep deprivation and fatigue
throughout the day.
Mrs Poffertje, who has been happily married for 40 years, has two adult children and four grandchildren
aged between 1 and 5. She and her husband reside in a two-story terraced house, which includes a
spacious backyard. However, climbing the stairs has become increasingly tiresome for Mrs Poffertje, and
her ability to do so is progressively decreasing (PSC=6). One of her hobbies used to be gardening, which
she would do together with her husband. However, due to the pain and reduced mobility, her husband
has taken on the majority of the gardening responsibilities.
Having retired from her profession as a primary teacher, Mrs Poffertje hasn't prioritized her physical
well-being since then. Approximately five years ago, she used to participate twice a week for one hour in
a Zumba/Dance group for elderly individuals at the local sports hall. However, she stopped attending
these sessions due to her complaints and lack of motivation, especially after her friends also stopped
going. She has expressed a desire to return to dancing and engage in that activity once again.
Mrs Poffertje is experiencing increasing difficulty with various daily tasks such as showering, dressing
(putting on tights, stockings, and shoes), and performing light household chores like dusting and washing
up. Engaging in these activities has become particularly problematic due to stiffness and pain in her left
hip. Bending the left hip is especially uncomfortable and restrictive. Additionally, as she walks, the act of
leaning backwards is becoming increasingly painful (NPRS 7/8 during walking), with the pain mostly felt
in her groin area. The ability to stand on one leg without any support has nearly become impossible for
her. Consequently, she has been spending a significant amount of time sitting. Fortunately, sitting is
relatively painless for her. Apart from her hip complaints and being overweight, Mrs Poffertje faces
additional health issues such as hypertension and type 2 diabetes. Although she doesn't take any
medications, it's worth noting that she is considered overweight, currently weighing 84kg with a BMI of
30.9. Throughout the day, Mrs Poffertje tends to indulge in snacks that are high in salt and sugar. Her
meals primarily consist of processed foods, and she frequently orders food for delivery, doing so at least
once a week. She lacks familiarity with healthy eating habits and has not adopted a healthy lifestyle in
terms of her dietary choices. Furthermore, Mrs Poffertje is a heavy smoker, consuming a pack of
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