1. Identify actual and potential medical conditions involved; include complete differential diagnoses
Actual medical Conditions: Impaired Mobility and Gait (2.) Recurrent fall (3). Unexplained emotional outburst (4.) Caregiver Fatigue (5.) Gout (6.) Hypertension
Potential Medical Conditions: Dementia (2) Depression(3) Delirium (4) Chronic Pain (5) Osteoarthritis (6) Syncopal Episode (7) Transient Ischemic attack (8) Anemia
Complete Differential Diagnosis: 1) Unspecified abnormalities of gait and mobility, 2) Repeated Falls, 3) Caregiver Burden, 4) Hypertension, 5) Gout, 6) Episodic Mood Disorder
2. Describe the essential components of an H & P for the patient any other changes in patients’ behavior.
a. A thorough history and physical is essential …show more content…
Which medical condition(s) pose greatest threat to the patient’s functional status and why?
1. Impair Mobility/Gait and Frequent Falls: increase falls as a result of impair gait and mobility will decrease patients independence and put him at risk for serious head injuries as well as fractures which can drastically decrease is health outcome and even cause death. Patient also has history of HTN which is a risk factor for MI, TIA and Syncopal episodes which could also be contributing to his recurrent falls
2. Episodic Mood Disorder: Depression and Dementia in the elderly can lead to failure to thrive, malnutrition and other mental disorders. Therefore it is important to determine whether this patients symptoms are situational or if he has a serious cognitive illness and treat appropriately.
5. List other health professionals/resources that might help you gather information, assess function, help. Which medical decision-making and help implement a management plan? Explain how/why each will be helpful for this patient BE …show more content…
Primary Physician: Differential diagnosis and treatment options would be discussed with patient and family based on PE findings. This is a new patient and the physician needs to evaluate him as well and give input as to whether patient will need transitional care to an assisted living or ACA 24-hour services so he can stay in his home, therefore, a follow-up appointment would be scheduled for patient and family to be seen by Primary Physician within a week. Physical Therapist: Assess gait and mobility/physical strength. Social Worker: Help assist with insurance coverages or possible ACA related services that can provide or assist 24 hour care or companion services and obtaining a med-alert bracelet which will allow patient to stay at home and be supervised with ADL. Occupational Therapy: To assess patients’ functional ability to perform routine household self-care and activities effectively. If PE indicates a Psychiatrist to evaluate better for possible depression and a Neurologist if PE or diagnostic testing indicates cognitive impairment.
6. Identify actual community agencies specific to your anticipated practice area that might be helpful in management of the patient. Why are you referring there – what specific services do they offer that will
Actual medical Conditions: Impaired Mobility and Gait (2.) Recurrent fall (3). Unexplained emotional outburst (4.) Caregiver Fatigue (5.) Gout (6.) Hypertension
Potential Medical Conditions: Dementia (2) Depression(3) Delirium (4) Chronic Pain (5) Osteoarthritis (6) Syncopal Episode (7) Transient Ischemic attack (8) Anemia
Complete Differential Diagnosis: 1) Unspecified abnormalities of gait and mobility, 2) Repeated Falls, 3) Caregiver Burden, 4) Hypertension, 5) Gout, 6) Episodic Mood Disorder
2. Describe the essential components of an H & P for the patient any other changes in patients’ behavior.
a. A thorough history and physical is essential …show more content…
Which medical condition(s) pose greatest threat to the patient’s functional status and why?
1. Impair Mobility/Gait and Frequent Falls: increase falls as a result of impair gait and mobility will decrease patients independence and put him at risk for serious head injuries as well as fractures which can drastically decrease is health outcome and even cause death. Patient also has history of HTN which is a risk factor for MI, TIA and Syncopal episodes which could also be contributing to his recurrent falls
2. Episodic Mood Disorder: Depression and Dementia in the elderly can lead to failure to thrive, malnutrition and other mental disorders. Therefore it is important to determine whether this patients symptoms are situational or if he has a serious cognitive illness and treat appropriately.
5. List other health professionals/resources that might help you gather information, assess function, help. Which medical decision-making and help implement a management plan? Explain how/why each will be helpful for this patient BE …show more content…
Primary Physician: Differential diagnosis and treatment options would be discussed with patient and family based on PE findings. This is a new patient and the physician needs to evaluate him as well and give input as to whether patient will need transitional care to an assisted living or ACA 24-hour services so he can stay in his home, therefore, a follow-up appointment would be scheduled for patient and family to be seen by Primary Physician within a week. Physical Therapist: Assess gait and mobility/physical strength. Social Worker: Help assist with insurance coverages or possible ACA related services that can provide or assist 24 hour care or companion services and obtaining a med-alert bracelet which will allow patient to stay at home and be supervised with ADL. Occupational Therapy: To assess patients’ functional ability to perform routine household self-care and activities effectively. If PE indicates a Psychiatrist to evaluate better for possible depression and a Neurologist if PE or diagnostic testing indicates cognitive impairment.
6. Identify actual community agencies specific to your anticipated practice area that might be helpful in management of the patient. Why are you referring there – what specific services do they offer that will