Nurse Jenkins is an RN who has just been assigned to do home visits with Mr. Wallace, an 81- year-old male.

Case Study 2

Nurse Jenkins is an RN who has just been assigned to do home visits with Mr. Wallace, an 81-
year-old male.

Nurse Jenkins is an RN who has just been assigned to do home visits with Mr. Wallace, an 81-
year-old male. Mr. Wallace has a medical diagnosis of diabetes, hypertension, and lowerextremity
neuropathy. The physician and caseworker recommend that Nurse Jenkins visit Mr.
Wallace at least three times a week.
Mr. Wallace lives alone since his wife passed away a year ago. He has two living children: a son
and a daughter. The son and his wife live about 80 miles from Mr. Wallace, and the couple visits
frequently. The daughter lives out of town with her family and visits at least twice a year.
The caseworker has reported to Nurse Jenkins that Mr. Wallace’s son is worried about his father
because his father has been developing hoarding behaviors since his mother died. The son
states that Mr. Wallace will not get rid of any of his deceased wife’s clothing and refuses to let
anyone near his bedroom. The bedroom is cluttered with a variety of items that are no longer
useful. Some of these items include empty pill bottles, cardboard toilet tissue rolls, soap
wrappers, empty toothpaste containers, and newspapers. In the kitchen, cans and boxes of food
are overflowing from the cabinets. The dirty dishes in the sink are piled almost to the ceiling.
According to his son, Mr. Wallace has lost at least 20 pounds since his wife passed. The son
and his wife have tried to help by bringing food to Mr. Wallace, but he refuses to eat. Instead, he
leaves the food on the counter, where it rots. The son has taken to getting rid of the containers
when his father is asleep, because Mr. Wallace becomes angry when he sees his son cleaning
the kitchen.
Nurse Jenkins realizes that this atypical behavior needs to stop. She will be conducting an initial
home assessment with the son present. She is careful to take an assessment sheet to her first
visit with Mr. Wallace, so that she can gather environmental, objective, and subjective data.

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