Geriatric Health Assessment Essay

3022 words - 13 pages

Geriatric History and Physical with Problem List and Plan
Health Assessment Lab


General Patient Information
Client: 81-year-old Caucasian/Italian female
Source: Client, seems reliable
Marital status: Widower
Religion: Catholic

Occupation: House wife
Formal education: High school
Primary language: English, written and spoken
Secondary: None
Reason for Seeking Care: Shortness of breath and productive cough.
History of Present Illness: Recurrent episodes of shortness of breathe and productive cough since 2008. First episode occurred when she was in her early 80’s. She was awakened in the middle of the night with a very painful right-sided chest pain and ...view middle of the document...

Her shortness of breath is occurring more frequently with similar onsets as previously described. She keeps her prescribed medication with her at all times.
Respiratory: Other than that reported of shortness of breath and productive cough, no history of on going chest pain. Denies nausea or vomiting. When walking long distances she gets bilateral leg swelling. As mentioned earlier she uses a walker for assistance to prevent her from become short of breath. Occasional wheezes heard on auscultation, bilaterally.

Past Medical History
Childhood illnesses: Chicken pox as young child.
Accidents or Injuries:
2010 Mechanical trip and fall breaking her left wrist and bruising of her face.
Serious or Chronic Illnesses:
2012 diagnosed COPD
2012 diagnosed with Kidney Failure
2008 diagnosed with Congestive Heart Failure
2002 Heart Attack
1999 diagnosed with Hypertension
1996 diagnosed with Diabetes
Hospitalizations:

2013 Kidney Failure / Congestive Heart Failure
2012 Kidney Failure
2012 exacerbation of COPD
2008 Pneumonia
2002 Heart attack
Operations:
Triple Bypass
Stents
Cataracts in both right and left eye
Removal of cancer from left breast
Immunizations: Tetanus / Diphtheria / MMR / Hepatitis B / Influenza / Pneumonia
Last Examination Date:
Last exam12/2012
Last EKG 12/2012
Last physical 9/2011
Last eye exam 6/2010
Allergies: Penicillin / Sulfa / Codeine – No known food allergies
Current medications:
Pantoprazole 40mg once a day
Aspirin 81mg once a day
Furosemide 80mg twice a day
Amiodarone 200mg once a day
Iron 325mg once a day
Cyclobenzatrine 5mg twice a day
Hydralazine 50mg once a day
Vitamin B12 1,000mg once a day
Nitroglycerine 2.5mg twice a day
Simvastatin 40mg once a day
Calcium 600mg once a day
Folic acid 1mg once a day
Potassium Chloride 10mg once a day
Metoprolol 50mg twice a day
Altrazolam 0.5mg once a day
Allopurinol 100mg twice a day
Family History
Paternal
Grandfather, died age 52 from Heart attack
Paternal Grandmother, died age 86 from old age
Maternal
Grandfather, died age 87 from old age
Maternal Grandmother, died age 49 from COPD
Father, died age 83 from Cancer of pancreas
Mother, died age 92 from Heart attack.
Son age 64, alive with history of Cancer / Hypertension
Daughter 57, alive with Multiple Sclerosis / Hypertension / Diverticulitis
Daughter 48, alive with Fibromyalgia
Son [adopted] age 46, alive with Hypertension
Son who passed away at age 6
ROS
General: Describes health status as “fair”. Height attained 5’2” weight 183 lbs. Patient states she has not experienced any changes in her weight over the past couple of months. Her ability to do activities has decreased since diagnosed with COPD and Congestive Heart Failure. She notices walking from the car into the house or activities such as watering the garden take more of an effort and her breathing becomes labored. Denies fever, chills, sweats, or night sweats unless exacerbation of...

Other Essays Like Geriatric Health Assessment

Amt Task 4 Essay

1508 words - 7 pages Trinity Hospitals five year plan includes development of an orthopedic center, cardiovascular center and a cancer center. Task four asks for an assessment of the viability of one of these service lines. By assuming the role of the hospital CEO, I will evaluate the orthopedic center service line and present the findings to the board of directors for their approval. Demand for Orthopedic Service Line As identified in the Trinity Community

Elderly Suicide Attempts Essay

950 words - 4 pages likely to succeed in their attempts. Mental health professionals should focus on prevention, intervention, and postvention methods to safeguard clients from unnecessary risk for death from suicide and its aftermath. Prevention includes begin proactive and setting up early detection procedures for suicide risk. One of the most important preventive measures that a crisis counselor can possess is to become adequately trained in effective assessment and

chronic disease

1566 words - 7 pages together. By planning ahead allows them more choices and this improves their levels on independence, and their quality of life (helpguide, 2012). The effective care for elderly patients requires the accurate assessment of health status. The factors that may influence their health status is the physical, psychological, social and behavioral and the health system. There is the functional health status which includes: the basic daily

Jean Watson’s Caring Theory

2577 words - 11 pages Jean Watson’s Caring Theory Nurses’ responsibilities to their patients are continually changing with the times. Jean Watson formed the “caring theory” to convey the significance and emphasize nursing as a diverse health profession. Using the Jean Watson’s caring theory enables nurses to maintain their perspective on caring for patients when overwhelmed with increased acuity, responsibility and workload. With the increase of patients and their

Health Policy Context Report

3156 words - 13 pages , health care facilities and regional health conferences responsible for defining health care priorities at national level, implemented through regional strategic health plans (PRS) WHO(2010) * National Health Authority (HAS) - combines varying (non-government) organisations with the responsibility of improving the quality of patient care and equity within the health care system through the assessment of drugs, medical devices and procedures to

Comfort Theory

1126 words - 5 pages , including esteem, identity, sexuality, meaning in one’s life, and one’s understood relationship to a higher order or being. Environmental—pertaining to the external background of human experience (temperature, light, sound, odor, color, furniture, landscape, etc.) Sociocultural—pertaining to interpersonal, family and societal relationships (finances, teaching, health care personnel, etc.) Also, to family traditions, rituals, and religious practices

Hgcv, Nbvvhj

1484 words - 6 pages System—Research A. Research impacts EMS through a focus on improving patient outcomes (long-term results) and through evidencebased techniques. B. Evidence-based process 1. Forming a hypothesis 2. Reviewing literature 3. Evaluating the evidence 4. Adopting the practice if evidence supports it XIII. Components of the EMS System—The EMS Role in Public Health A. Injury prevention for geriatric patients (e.g., identifying hazards or running blood

Community Emergency Paper

1908 words - 8 pages nurse (Violet Brinkworth), who treated Kelsey Young because of her assessment skills she was able to identify that Kelsey was experiencing respiratory problems. Also, the hospital nurses like Kate Swanson, who treated the residents in the community experiencing respiratory problems. Nurses that can monitor effects of this emergency on this community health are the public health nurses, who play a key role in their community preparedness. Public

Elder Abuse in Residential Care Facilities

2334 words - 10 pages assisted living facilities. Public Health Nursing, 29(6), 499-509. http://dx.doi.org/10.1111/j.1525-1446.2012.01029.x Stefanacci, R. G., & Haimowitz, D. (2013). What we need to report and to whom... Geriatric Nursing, 34(1), 68-71. http://dx.doi.org/10.1016/j.gerinurse.2012.12.006 Westrick, S. J., & Dempski, K. (2009). Essentials of nursing law and ethics. Sudbury, MA: Jones

Research Proposal For Development Of Training Manual For Senior Directors

8959 words - 36 pages this paper will be the formulation of a universal Senior Center Director's Manual that can be incorporated in any senior center in any community. For centuries the aging population has been looked upon as a source of wisdom and with honor; unfortunately this is not always the case in our current times (World Health Organization 2007). Many families are too busy with their own careers, mortgages, children and other pursuits that caring for an

Alternative

5632 words - 23 pages community because evidence based assessment of safety and efficacy is either not available or has not been performed for many of these practices.DEFINITIONAlternative medicine includes all such practices which are outside the domains of conventional medicine in several countries and defined by its usersas preventing or treating illness ,or promoting health and wellbeing.(INSITUTE OF MEDICINE),U.S.AThe National Center for complementary and alternative

Related Papers

Urinary Tract Infection In The Geriatric Population

1326 words - 6 pages (Nicolle, Bradley, Colgan, Rice, Schaeffer, & Hooton, 2005). Conclusion Urinary infection is an important clinical problem in the geriatric population affecting both the walking well to the institutionalized. Health professionals caring for this population must understand the high frequency and appropriate management of asymptomatic bacteriuria, the diagnostic uncertainty in identifying symptomatic infection, and appropriate treatment of

Cognative Loss In Dementia Essay

4536 words - 19 pages have functional deficits (i.e., disability). 11 T L C What to do when there is an acute change in cognitive or functional status L Initial assessment for medical conditions, psychiatric disorders, medication effects, environmental factors, unmet needs; refer to the RAPs T C Get help from the interdisciplinary team: PT, OT, Speech, Social Work, Pharmacy Request consultation from Gerontological Nursing, Geriatric

Assessing Multi Organ Failure Essay

3354 words - 14 pages Anna Bunting Contemporary Nursing Issues GNT1 - 724.2.1-01-08 October 25, 2011 Rubric A: Assessment of Patient The geriatric patient in multisystem failure presents many challenges to successful treatment. Differentiation between organ dysfunction and deterioration is often difficult to achieve. Also many typical signs of infection or sepsis that precipitate organ failure are masked or delayed in the

The Ethics Of Using Restraints Essay

3856 words - 16 pages a physician has examined the patient and made an independent assessment. Ideally, proxy consent should be obtained from reliable family members or agents with power of attorney before restraints are applied. The geriatric population may be chiefly vulnerable in long-term facilities. These dispositions arise due to neuropsychological impairments such as a slower reaction time, polypharmacy, increased physical dependency, and the lack of