24 Nov HAA7
9065P.J. is an 82-year-old man who presents to the outpatient office for a 6-month check-up.
Subjective Data
Lives in assisted living apartments
Widower
One meal a day in dining room; has light meals for breakfast and lunch
Nonsmoker, never smoked
Retired police officer
Has three grown children who live nearby
Walks with cane
Complains of urinary incontinence
Objective Data
Vital signs: T 37.7 BP 108/62 HR 62 Resp 14
Height and weight = Within normal limits
Immunizations = Up to date
Medications: Digoxin (Lanoxin) 0.5 mcg per day, hydrochlorothiazide (HCTZ) 5 mg per day, aspirin 81 mg per day
Allergy to sulfa medications = Hives
Questions
What special considerations should the nurse keep in mind regarding the physical exam for individuals in this patient’s age group?
What similarities does the assessment of older adults have to the assessment of younger adults?
What are the expected findings in the older adult for the following systems: skin, hair and nails, eyes and vision, ears and hearing, mouth, and musculoskeletal system?
What are some abnormal findings in the older adult for the following systems: skin, eyes and vision, ears and hearing, mouth, and musculoskeletal system?
Based on the readings and the objective and subjective findings, what is the most likely cause of this patient’s urinary incontinence?
What interventions should be implemented for this patient’s urinary incontinence?
APA7
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