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Question
A patient comes to the office for routine follow-up. History includes hypertension, coronary artery disease, emphysema, arthritis, and limited vision. She takes multiple medications. In recent months, she went to the emergency department twice for breathing difficulties, and in the past year, she was admitted to the hospital twice: once to exclude a diagnosis of myocardial infarction, and a second time because of uncontrolled hypertension. The patient lives alone in a subsidized senior apartment complex. After her last hospital discharge, she received home health services; the agency discharge documentation notes concern for cognitive impairment, as she is often confused about her medications. She also seems depressed. She is adamant about staying in her own home. Which of the following is the most appropriate next step?
a. Refer her to the local Program of All-Inclusive Care for the Elderly (PACE).
b. Request that home health services perform a home safety evaluation.
History note that she has lanugo, has not had a menses in 4 months, and has a daily history of vomiting and taking laxatives.
The nurse is caring for a child diagnosed with juvenile idiopathic arthritis.
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