Reference no: EM133847969
Case Study : Older Adult
Chief Complaint: "I'm just here for my normal visit, but I have some questions about falling."
History of Present Illness:
Mrs. Green is a 74-year-old female who is seeing her primary care provider for her annual wellness visit. She has no acute complaints but is nervous about falling because her neighbor fell last week and is currently in the hospital. She has a history of a stroke one year ago and has some residual left-sided weakness. Her stroke was due to a subtherapeutic INR while taking warfarin; and she was switched to Pradaxa at that time. She states that she is fearful of falling but has not fallen yet; she walks with a cane and does not leave the house much anymore due to a fear of falling.
Past Medical History:
• Atrial fibrillation (A. Fib) [Diagnosed age 71]
• Depression [Diagnosed age 73]
• Hypothyroidism [Diagnosed age 52]
• Thromboembolic cerebrovascular accident [1 year ago secondary to A. Fib]
Social History:
Lives alone Denies any use of alcohol, tobacco or illicit substances
Allergies: NKDA
Medications:
• Sertraline 50 mg by mouth daily [1 year]
• Atenolol 100 mg by mouth daily [3 years]
• Pradaxa (dibigatran) 150 mg by mouth twice daily [1 year]
• Levothyroxine 75 mcg by mouth daily [5 years]
• Atorvastatin 40 mg by mouth daily [3 years]
• Zolpidem 10 mg by mouth each night at bedtime [1 year]
Questions:
List at least four common environmental hazards that may be found in an individual's home.
Discuss how falls affect older adults and Name some interventions that can help the older adult recover after a fall.
Discuss at least two disorders that may alter an older adult's cognition.