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Homework answers / question archive / Mr  Abdul Y , a 34-year-old man from Ethiopia, has been in the United States for 7 months

Mr  Abdul Y , a 34-year-old man from Ethiopia, has been in the United States for 7 months

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Mr  Abdul Y , a 34-year-old man from Ethiopia, has been in the United States for 7 months. His wife and family are still in Ethiopia. He was planning to return to Ethiopia next week, when his visa expires. Three weeks ago, Mr. Y. sustained a severe spinal cord injury and a fractured right femur in a motor vehicle crash. He was transferred to your rehabilitation unit after the acute period of stabilization. He has been classified as paraplegic, although he has some sensation in his legs. The physicians believe he will eventually be able to achieve bowel and bladder control, but will require extensive rehabilitation (at least 3–4 months). He will also require special equipment, such as a motorized wheelchair. Mr. Y. has no difficulty breathing or eating. His skin is intact, except for one small reddened area on his coccyx. He speaks almost no English. He is unemployed and homeless.

a. Describe major aspects of Mr. Y.’s care that the team needs to address in his care plan.

b. How would you expect Mr. Y.’s care plan to evolve in your rehabilitation unit?

c. Discuss the following aspects of Mr. Y.’s care: mobility, bowel and bladder continence, sexuality, skin integrity, nutrition, communication, diversion, emotional and financial support, and spirituality.

d. What type of living arrangements might be available for Mr. Y. after discharge from the rehabilitation unit?

e. Research immigration laws to determine what steps need to be taken on Mr. Y.’s behalf. What options are available to Mr. Y. regarding remaining in the United States for rehabilitation?

f. Explore options for assisting Mr. Y. to return to Ethiopia for rehabilitation.

g. What continuing care and services might be required for Mr. Y. after discharge from the rehabilitation center?

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