Published
Hi, thanks for getting back to me!
The case scenario is as follows:
Mrs. bryan is a 88 year old recently widowed female. She lives alone in elderly housing with her 3 dogs. Her husband recently died at home from Alzheimer's Disease. She has been independent in all aspects of her life. She does her best to keep up with the housework but her family describes her apartment as somewhat "cluttered". The family has offered to pay someone to come in to help but she has refused, stating she "does not want strangers in her home". She has a history of diabetes and reports poor vision and burning in her feet. She also complains of not being able to sleep and tells you she "can't sleep without taking Ativan". She has not been able to go to the doctor for over a year with her husband being sick. Mrs. Regis has fallen several times in her apartment since her husband has died. Her daughter is fearful she will "break something" given all of the falls. She comes to the clinic today with her daughter for a comprehensive geriatric examination. Patient's main concern for you is that she get a refill for her Ativan. Daughter's main concern is if her mother should be driving?
Medications:
Lisinopril 5mg po qd
Ativan 0.5mgpo qhs
Atorvastatin 80mg po qd
Levoxyl 25mcg qg
Lantus 15units qd
Neurontin 300mg po tid
HCTZ 25mg po qam
EC ASA 325mg po qd
Im having trouble with primary and secondary prevention measures: primary i have... smoke cessation and certain exercise programs given per potential risk for PVD.
Why does she have 2 different names? (Mrs. Bryan and Mrs. Regis)
Also, the case study doesn't mention smoking so smoking cessation wouldn't make sense.
Primary Prevention measures are those aimed at preventing adverse health conditions. Think about what are the health conditions this patient doesn't have but is at risk for and how you could help prevent them from developing.
Secondary Prevention measures are screening to detect problems early. Screening guidelines are a good place to start.
jh206043
2 Posts
Hi, adult geri NP student here. Is anyone able to take time out of their weekend to help me with a case study? I was going to send it as an attatchment. If anyone is able to please reach out to me in my gmail account or direct message me. I would really appreciate it! Thanks a bunch!
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