Three photos of older adults
Advancing Care Excellence for Seniors logo

Red Yoder

Overview

Red Yoder is an 80-year-old farmer who lives alone in the farmhouse where he grew up. It is located 20 miles outside of town. Red has been a widower for 10 years. His son, Jon, manages the farm now, but Red is still involved in the decision making. Red's current medical problems include insulin dependent diabetes complicated by an open foot wound. He also has some incontinence and difficulty sleeping. 

Monologue

Red is awaiting a visit from the home health nurses. He relates that he has an open wound on his big toe that developed after walking in a new pair of shoes. When his daughter-in-law Judy saw the wound, she called the family doctor, who suggested a visit by the wound care nurse who works with the home health agency. Red agreed as long as his VA benefits cover the costs. Red is aware that his son and daughter-in-law have concerns about him living alone, but Red insists that while he needs a little help from Jon and Judy at times, he is still capable of caring for himself.

Scenario 1 Scenario 2 Scenario 3

Simulation Scenario 1 occurs in Red's home during a visit by the nurses from the home health agency to assess the breakdown on his toe. During the assessment, the nurse discovers that Red is having sleeping problems and some urgency incontinence. He also makes statements that should cue learners that further assessments are needed of his diet, medication, and alcohol use, and to rule out elder abuse. Concerns expressed by the daughter-in-law about Red's ability to care for himself should prompt learners to use the Katz Index of Independence in Activities of Daily Living assessment tool. Other assessment tools recommended for this scenario include SPICES: An Overall Assessment Tool of Older Adults, the Pittsburgh Sleep Quality Index (PSQI), the Elder Mistreatment Assessment, and the Alcohol Use and Screening Assessment.

 

Finish the Story Assignment

Learners have now seen Red at four snapshots in time. What do they think his life will be like three months from now?


Author Information

Teri Boese, MSN, RN
International University of Nursing
St. Kitts, West Indies

 

The Red Yoder unfolding case content was reviewed in 2024.