Discussion Board #6 – Case Study of Maria Diaz – Alexandra Dais – November 20, 2017
1. Identify the geriatric syndromes (tip: there are many) that Maria is experiencing. Provide assessment findings that support your response.
Bladder Control Problems – Urinary incontinence is a common problem in our elderly generations. Urinary incontinence can lead to problems like falls, depression from embarrassment and isolation from not wanting to venture out in public (National Institutes of Health, 2017). Maria states this condition upsets her and she does not like having to wear adult diapers but she does when she goes out in public. Her bladder control problems is enough to be concerned about but Maria also stated that she gets frequent urine …show more content…
There are many risk factors for falling but a health care provider needs to know for the patient to be tested to find the cause and prevent further falls (Abraham & Cimino-Fiallos, 2016). Maria has had several instances with falling. She had broken her nose, left leg and right arm. Each instance she had to go to rehab in order to get stronger and able to walk with a cane and function on her own. Previous medical diagnosis such as arthritis, fractures, urinary incontinence and recent hospital discharges only risk factors for more falls in the future (Abraham & Cimino-Fiallos, 2016).
Osteoporosis – Osteoporosis is a condition where the patient’s bones are more fragile and easier to break (National Osteoporosis Foundation, 2017). Women over the age of 65 usually lose bone density and should get a bone density test (National Osteoporosis Foundation, 2017). Medical solutions can be recommended for treatment. In Maria’s case her falls have resulted in several broken bones; some severely broken. Because of Maria’s advanced age and history of broken bones it would be important for her provider to encourage osteoporosis treatments for …show more content…
• Complete a physical for patient including labs, hypoxemia, electrolytes, glucose, ammonia levels, BUN/Cr and a bone scan.
•
• Evaluate changes in patient because of Infection
• Evaluate any balance impairments related to falls. Evaluate patient for gait, balance, and any neuropathies.
• Check and Monitor high blood pressure.
• Check and Monitor high lipids
• Check for Osteoporosis
• Risk for Imbalanced Nutrition – less than what body needs
• Evaluate Ibuprofen to manage arthritis Delirium is a state of mind, while agitation is a behavioral manifestation. In Maria’s case she gets confused and nervous when she is suffering from a urinary tract infection. Mini Cog Assessment, and Assessing Delirium in Hospitalized
Complete workup must be completed to find overall health of patient. Must review chronic medical conditions as well as kidney/bladder problems and osteoporosis issues.
Closely monitor patient during signs of infection to see severity of delirium. “Get up and Go” Assessment Falls Efficacy Scale Assessment
Check the patient taking medications correctly.
Patient stated she is no longer taking
1. Identify the geriatric syndromes (tip: there are many) that Maria is experiencing. Provide assessment findings that support your response.
Bladder Control Problems – Urinary incontinence is a common problem in our elderly generations. Urinary incontinence can lead to problems like falls, depression from embarrassment and isolation from not wanting to venture out in public (National Institutes of Health, 2017). Maria states this condition upsets her and she does not like having to wear adult diapers but she does when she goes out in public. Her bladder control problems is enough to be concerned about but Maria also stated that she gets frequent urine …show more content…
There are many risk factors for falling but a health care provider needs to know for the patient to be tested to find the cause and prevent further falls (Abraham & Cimino-Fiallos, 2016). Maria has had several instances with falling. She had broken her nose, left leg and right arm. Each instance she had to go to rehab in order to get stronger and able to walk with a cane and function on her own. Previous medical diagnosis such as arthritis, fractures, urinary incontinence and recent hospital discharges only risk factors for more falls in the future (Abraham & Cimino-Fiallos, 2016).
Osteoporosis – Osteoporosis is a condition where the patient’s bones are more fragile and easier to break (National Osteoporosis Foundation, 2017). Women over the age of 65 usually lose bone density and should get a bone density test (National Osteoporosis Foundation, 2017). Medical solutions can be recommended for treatment. In Maria’s case her falls have resulted in several broken bones; some severely broken. Because of Maria’s advanced age and history of broken bones it would be important for her provider to encourage osteoporosis treatments for …show more content…
• Complete a physical for patient including labs, hypoxemia, electrolytes, glucose, ammonia levels, BUN/Cr and a bone scan.
•
• Evaluate changes in patient because of Infection
• Evaluate any balance impairments related to falls. Evaluate patient for gait, balance, and any neuropathies.
• Check and Monitor high blood pressure.
• Check and Monitor high lipids
• Check for Osteoporosis
• Risk for Imbalanced Nutrition – less than what body needs
• Evaluate Ibuprofen to manage arthritis Delirium is a state of mind, while agitation is a behavioral manifestation. In Maria’s case she gets confused and nervous when she is suffering from a urinary tract infection. Mini Cog Assessment, and Assessing Delirium in Hospitalized
Complete workup must be completed to find overall health of patient. Must review chronic medical conditions as well as kidney/bladder problems and osteoporosis issues.
Closely monitor patient during signs of infection to see severity of delirium. “Get up and Go” Assessment Falls Efficacy Scale Assessment
Check the patient taking medications correctly.
Patient stated she is no longer taking