What would your plan of care be for this patient and why

Reference no: EM133511907

Discussion Post: Elderly

A 77-year-old African American female presents to the primary care provider for a health maintenance checkup. The patient has a history of hypertension but has not seen a primary care provider in over seven years. The patient denies complaints or problems. She is a widower and lives alone. Her husband died 6 months ago due to complications related to diabetes. She has two adult male children who live approximately 30 minutes away from the patient. Her current medications are over-the-counter ASA 81 milligrams daily as well as hydrochlorothiazide 25 milligrams daily. She has recently been getting her script refills from the local urgent care facility. She is accompanied by one of her daughters who is concerned that her mother is confused or developing dementia because she is having trouble understanding what family members are saying especially during social events. The daughter has not noticed any weakness or gait impairment. No dysarthria. They deny falls or head injury. Vital signs BP 130 / 80, HR 72, resp 14, SPO2 99% on room air. Physical exam is as follows: skin is intact with some age-related changes, there is a skin tear on the left forearm. Head normal cephalic atraumatic (NC/AT), conjunctiva clear, oral mucosa is moist. external ear without cerumen impaction TM's are intact, grey, cone of light normal. Heart rate is regular. Lungs are clear respirations are regular and easy. Abdomen with positive bowel sounds, soft, nontender, no rebound or guarding. Extremities are without deformity. She has 5/5 strength proximally as well as distally including 5/5 grip strength. Laboratory studies CBC, CMP, TSH, vitamin D and vitamin B levels are normal.

I. What are your top three differential medical diagnosis. This should include two diagnoses that the patient likely has and one diagnosis that you considered but is less likely. Please give an explanation of your medical reasoning for all diagnoses with brief (referenced) pathophysiology and rationale.

II. What would your plan of care be for this patient and why?

III. What (if any) concerns do you anticipate?

Reference no: EM133511907

Questions Cloud

What crime or justice related media do you engage on : What crime or justice related media do you engage on a regular basis? Do you mostly consume news, entertainment, or infotainment?

Briefly identify the topic you selected : Briefly identify the topic you selected. Summarize the articles you selected, explaining the most salient ethical and legal issues related to the topic.

Assess the constitutionality of the officers actions : Explain the Fourth Amendment, which governs the officers' actions. Determine which of the following doctrines apply to this case study: plain view, abandonment

Evaluate the video for the communication skills needed : Evaluate the video for the communication skills needed for success in managing a global environment.

What would your plan of care be for this patient and why : What are your top three differential medical diagnosis. What would your plan of care be for this patient and why? What (if any) concerns do you anticipate?

How does perception relate to social relationship : How does perception relate to social relationship and technologies?

What strategies for successful completion do you anticipate : What strategies for successful completion do you anticipate will be the most useful for you, and how will you work toward implementing strategies to meet goals?

What do you understand by the intersection of history : What do you understand by the intersection of history and crisis?

Identify the specific lawmakers by name at the state level : Identify the specific lawmakers by name at the state level (i.e., key members of the state's legislative branch and executive branch of government).

User Account

All Pages