A 76-Year-Old Women: A Case Study

The patient is a 65-year-old gentleman who presents to the ED on the 28th complaining of fever and chills. He has a long complicated medical history. The patient had a left total hip revision done on 8/19/2016 for presumptive infection of a continued seroma collection. He is known to have continues seroma collections on a recent CT in the outpatient setting. He presents now because of chills and fever. It is to be noted he is already been scheduled for surgery on the 29th. In view of the chills and fever he was sent in the evening prior the surgery. His temperatures were recorded when seen in the ED as 99. He is awake, alert and oriented. He does have an elevated C-reactive protein. His medical history is also significant for hypertension,

Growing up I never got to experience a childhood due to my mom’s disease. She was diagnosed with Multiple Sclerosis (MS) when I was the age of two and, that’s all I remember her as. MS caused her mobility to weaken and she had to use a walker at the age of 32. How many kids do you know that have a parent that has to use a walker and wheelchair? Not many. From the ages of 6-14 I had to take care of her and I had to sacrifice doing many things like going to the pool, going shopping, going on vacations, going to parties or even hanging with friends. My dad always told me that my childhood was robbed because, I haven’t gotten to try new things and do as many things as my friends and other kids my age. In elementary school and even middle school

This is 36 year old whte female. Patietn is complaining of severe earache 9/10. Patient reports she was seen at St.Vincent ED yeasterday, but didn't get treated and was told to take ibuprophen and flushout the ear with OTC. The patiet is tearful, and scared. Patietn also reports alll of her current Rx been out for past 2 weeks and haven't been taking any of her Rx. Patient denies chest pain, SOB, N.V/ D, or fever. Patient reports depressive moods, but denies thoughts of suicide or homicide.

Mrs. Win is a fiercely independent lady, as a woman born in the 1940's surviving a ruthless patriarchal society that wore all woman of all ages down to the bones, but she survived. During these times, the second world war came, and all women were called to action to take the man's place in their society, as the men in the world died by the thousands in a seeming endless war they rarely survived.(Ergo.slv.vic.gov.au, 2016) Mrs. Win's husband was also a fierce and brutal man that showed his abusive side continuously throughout their marriage and Mrs. Win grew accustomed to taking the brunt of his anger, but with her seven children she vehemently survived it all, just to end up aged, deteriorating and completely alone and isolated with no family surrounding and supporting her (Greaves and Rogers-Clark, 2011.) Aging is a brutal battle, and with the stigma surrounding the aged population it becomes an unrelenting war to get the needed help that is vital to the survival of our elders.

A elderly patient by the name of Mr. Nathan was hospitalized for Prostatic surgery. He woke up in the middle of the night and tried to leave. A registered nurse approached him and tried to hold him down. He pushed her into a wall and hit her in the face. As a result, she developed an concussion. There after, the unit clerk that was on duty called for security. Mr. Nathan tried escaping by running to the exit, but he was stopped by two orderlies and a security guard. During this time, Mr. Nathan was making accusations of false imprisonment. A doctor ordered restraining for him to be checked in an hour and ordered the patient to be sedated. Mr. Nathan was bruised in the struggle. In addition, the registered nurse was taken to the emergency room and couldn't go back to work for two weeks. Mr. Nathan said he will be suing the hospital for assault and false imprisonment.

I visited Wheaton Franciscan Healthcare- Terrace St. Francis on June 5, 2015 and I observed a new geriatric patient, who is female and 81 years old. She fell on the ground and has a left hip fracture and an open reduction and internal fixation (ORIF), but the therapist and I did not know how this happened to her because she has dementia, and did not remember when the therapist asked her or her sister, who is the only person responsible for the patient, was not with her during the session. After the evaluation was done to the patient, it was concluded that the patient has muscle weakness and mild pain in

Six months later, PET CT showed Subcarinal and subaortic lymph nodes with a maxim SUV of 2.53 and 3.3 respectively. Subcarinal adenopathy biopsy was performed with a result of sarcoid reaction.

The reporting party (RP) stated resident Jean Callow age 87 has complained of stomach pain for more than a month and has received no proper medical attention. Subsequently there is no proper documentation regarding the resident's medical issues or concerns. According to the RP the resident has difficulty breathing and cries for help during the night. The RP reported the resident's medical issues to the proper medical staff in the facility; however no medical attention has been sought for the resident. Consequently the RP has concerns for the health and safety of the resident at the

Her bilateral ear canals were examined. Each has a complete cerumen impaction. No obvious redness. No pain with movement of the external ear.

Another caveat in seeing ENT is that the referral was needed from family doctor. Upon her visit to the family doctor, the doctor issued a referral that was never sent over to the ENT clinic. After multiple weeks of severe pain and frustration with the clinic staff, the ENT office staff got the doctor’s referral but as it turns out, her health insurance does not allow her to see ENT without specialized approval. After she obtained the needed approval, the ENT clinic once again asked for a doctor’s referral. After multiple phones call back and forth over duration of a week, the ENT clinic got the needed referral, however, the family doctor’s clinic referred her to ENT that did not accept her insurance. After the same error happened twice, the family doctor office finally found ENT that accepted her insurance. However, to see ENT she had to wait a period of two weeks. The following week, she woke up in the middle of the night with blood and yellow mucus coming out of her ear along

I have no recall of my mother’s interactions with service professionals in the medical field. My mother, did not bring me to the doctor’s office often. In fact, we only saw the doctor for school required checkups, and vaccinations. The only interaction I can remember occurred when my mother had a meeting with the principle of my grade school because of a scuffle between me, and another student. This was the third school I had attended by 5th grade. The principle suggested I be tested for behavior issues. After I completed the testing. The results shown that I was hyperactive, and should be put on medication. My mother’s response to this was “there happens to be nothing wrong with my son”, and I will not put him on

In response to your first question, I can relate to a personal experience of assuming about elderly. I was a new hired in a nursing home. I was giving medication to all the patients in the dining room so as I went around; I noticed many of the patients were hard of hearing. I was talking loudly them, until I reached this patient. I gave him his medication and spoke to him in a very loud voice assuming he was hard of hearing too. The patient was very upset and angrily told me why I was shouting at him. I at once realized that I was making an assumption based on his age. The incident ended with me apologizing and learning my lesson. Palmer as cited in Nemmers (2004) reported that assumption of physical ailments and disrespect was listed as most frequently form of ageism

The following is a case study of a 67-year-old male patient who has been in good health most of his life and is not a smoker and was recently having symptoms of fatigue, dizziness, shortness of breath, difficulty sleeping, and frequent headaches. In the past years, he has experienced heartburn, nausea, and indigestion with certain foods, in which he was eventually diagnosed with chronic atrophic gastritis. In addition to his symptoms, his doctor noticed a mild tachycardia with his recent visit.

The following is a case study of a 66-year-old Caucasian female client, C.S, who has major depression and a history of posttraumatic stress disorder. The patient is married and her highest level of education is a bachelor’s degree. Her religion is not specified. The patient looks a little disheveled. She has short gray curly hair, glasses, and a floor length white dress with colorful stains throughout it. Before approaching the client, she appeared to be anxious. Her hand is against her chest and she is taking deep breaths. The patient says “I voluntarily committed myself here because I don’t feel safe on my own and I was going to kill myself.” As I continue to talk to the patient, her anxiousness does decrease and she tells me more about her depression.

[Name] wished to be seen today from _____(Cumanin) clinic as she has had swelling in her sighted left eye. Her right eye is not sighted. She did have a syncopal episode, and was seen in the ER. She did fall, but said she struck the other side of her face. Does not recall any trauma. Otherwise she has also had some diarrhea previously that is, now, not present.