Reference no: EM133722562

Question

A 77-year-old woman 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? Refer her to the local Program of All-Inclusive Care for the Elderly (PACE). Request that home health services perform a home safety evaluation. Enroll her in IMPACT (Improving Mood: Promoting Access to Collaborative Treatment for Late-Life Depression) program. Recommend enrollment in a local senior center that provides transportation.