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Case Study Assisted Living

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Patient is a 71 years old female who is from assisted living who presents in the Emergency department due to tachycardia and chest pain. Her symptoms started before going to bed and she felt like her heart rate was racing and felt short of breath. EMS was called and patient states her shortness of breath improved after 12 mg adenocard was given by the EMS. Patient has a medical history of senile nuclear sclerosis, anxiety, hypertension, diabetes, heart disease, asthma, heart attack, copd, renal insufficiency, palpitations and cataract removal. Patient is taking 22 medications in the assisted living. She was then admitted in our telemetry unit with a diagnosis of chest pain. Upon arrival in the unit, patient was Alert and Oriented to name,…show more content…
It is important to maintain patient’s cognitive status by stimulating her cognitive status and social activity thru leisure activities that improves memory and cognitive skills (crosswords, puzzles, bingo, cards, etc.). Likewise, enhancing the patient’s physical activity will improve brain function by increasing the oxygen delivery and cerebral blood flow of the brain resulting to decrease the risk of dementia. Due to her co-morbid illnesses and subsequent falls, it is important to use the Hendrich II fall risk model to help me identify her risk for fall. My patient’s age, co-morbid illnesses, multiple drugs, and renal insufficiency, this will make my patient at risk of polypharmacy. It is important for healthcare professionals to be more vigilant of the possible effects of her medications and before prescribing new medications to the patient. Likewise, patients and their caregivers must be educated about their medication and the possible side and adverse effects, so they have the knowledge when to seek help when
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