Mrs. Lee Now 83: A Case Study

A is an 87 year old women, with a long history of health troubles including chronic kidney disease, congestive heart failure, coronary artery disease, a pacemaker insertion for her atrial fibrillation, type 2 diabetes, dyslipidemia, colon cancer, breast cancer, mild cognitive impairment and most recently paranoid psychosis.

During the investigation, The Department discovered Mrs. Lawson's health had declined both mentally and physically over the past year and a half. She now had diagnoses of anxiety disorder, COPD, reflux disease, acute respiratory failure with hypercapnia, hypoxia, Acute hyponatremia, B-12 deficiency, hyperthyroidism, depression, coronary artery disease, acute tubular necrosis, chronic obstructive pulmonary disease with acute exacerbation, and hypokalemia.

Past Medical history includes : Essential Hypertension, Cardiac pacemaker, Coronary Artery Disease, Dyspnea, Sensiosenural hearing loss, Restless legs, headache, acute hypothyroidism due to radiation, Mandible Cancer, Pseudophakia of both eyes, Posterior vitreous detachment, malnutrition, Generalized weakness, Smoker of 2 packs of cigarettes per day for 30 years.

A part in the brain called hippocampus is very important to memory. Hippocampus is the vital key to remembering and it is also vital to emotions. It also helps you make new memories so you aren’t just remembering the past. The cerebral cortex is also very important. It helps you do things without you thinking about them. Examples of what the cerebral cortex does is breathing, how to swallow, or to catch yourself before you

Claimant reports history of multiple medical complaints. Since the age of 60 she reports struggling with urinary incontinence, which impacts her functioning at work. She reports feeling ashamed and guilty that she is unable to control her urination and has the need to periodically utilize the restroom or go to her car taking time away from her responsibilities. In the past few years claimant has severe intensification of physical symptoms, including back pain, right shoulder and hand weakness, blood pressure, headaches, sleep difficulty, and depression-related fluctuating appetite, fatigue and sluggishness. She reports experiencing heart palpitations present (racing heart), dizziness, and fear of actual fainting, a feeling of choking and not being able to breathe, chest pains, nausea or intestinal pains, shortness of breath, tremors in the hands, hot flashes and tunnel vision. The claimant reports that she sleeps very minimally; averaging 3-4 hours of sleep per night on an interrupted basis due to physical and emotional pain. She reports that she has very poor mobility due to pain and depression-related poor motivation.

Mrs A is a 71 year old widow with CCF and osteoarthritis who has recently been exhibiting quite unusual behaviour. Her daughter is concerned about her mother's ability to remain independent and wishes to pursue nursing home admission arrangements. She fears the development of a dementing illness. Over the last two to three months Mrs A has become confused, easily fatigued and very irritable. She has developed disturbing obsessive/compulsive behaviour constantly complaining that her lace curtains were dirty and required frequent washing. Detailed questioning revealed that she thought they were yellow-green and possibly mouldy. Her prescribed medications are:

Alzheimer’s disease is a degenerative disease of the brain that causes gradual loss of memory, judgement and ability to function. This age-related, non-reversible brain disorder develops over a period of years. This disease is named after Dr. Alois Alzheimer. He had noticed changes in the brain tissue of a women who had died of an unknown mental illness. Alzheimer’s usually appears in people over the age of 65 but earlier stages of Alzheimer’s is created throughout adulthood. The early stages of Alzheimer’s is yet unknown but the damages to the brain is said to be caused up to a decade earlier before the problems become evident. Amyloid plaques, neurofibrillary tangles, and neurons, being the loss of connection between nerve cells, are the main features in Alzheimer’s disease. Abnormal deposits of protein form amyloid plaques and tangles throughout the brain and the at once healthy brain begins to work less efficiently. Over this time, neurons then lose the ability to function and communicate with each other and they eventually end up dying. The damage caused by this soon spreads to a near structure in the brain called Hippocampus. Hippocampus plays important roles in the the brain such as long-term memory. As more and more neurons tend to die, the affected parts of the brain begin to shrink. By the final stage of Alzheimer’s, the damage has spread throughout the affected patient’s brain and the patient’s brain tissue has significantly shrunk. Alzheimer’s disease can also be

. Mary, 75 year retired female, was bought to the Sunnydale Public Hospital emergency department by her son Greg 18 months ago fearing that she had developed dementia. Mary’s home was found to be messy, not like her usually self, she had loss weight, there was no

A review of the medical records indicates that she suffers from advanced Dementia and seems to be having a functional decline. She is sleeping more during the day and sleeps through medication s times. She suffers from co-morbidities of chronic stable HTN, chronic osteoporosis and chronic depression.

A review of the medical records indicates that she suffers from multiple medical illnesses which includes, advanced Alzheimer’s, advanced stable CKD, chronic depression, chronic stable hyperlipidemia, chronic stable HTN and chronic stable hypothyroid.

A review of her medical records indicates that on 12/16/16 and 12/20/16 she has urine ordered for UA, C & S due to increased incontinence. On 1/3/17 she was ordered a psych consult due to mood changes. She is taking buspirone hcl 15 mg for agitation. She does suffer from advanced dementia. The facility nurse reports that she continues to suffers from co-morbidities of hypothyroid-stable, HTN-stable and anemia which is chronic. She is known to the palliative care team as she was admitted to palliative care July of 2016 due to her advanced dementia and weight loss, at which time she was in assisted living. She has since transferred to SNF at the gardens due to her progressive decline.

The brain is vital to the functioning of every human being. After studying the brain for a whole semester, it made me realize how important it is to keep the brain health and protected. God made human being very complex, and trying to understand how each organ relates to each other has been a challenge for anyone in the medical field. Each year, new techniques are discovered as to what, where and how the human brain operates. There are discoveries made in the medical field everyday that were not known before. The brain is the part of the central nervous system that encompasses the cranium that consist of the forebrain (prosencephalon), the midbrain (mesencephalon) and the hindbrain (rhombencephalon). If the brain is damage due to an acquired brain injury, it can

The frontal lobe is what controls the cognitive capabilities in a human. It controls the problem solving, sexual behavior, memory, social behavior, language, impulse control, and etc., amongst executive function. Executive function is mental skills that we use in an everyday task to get through things. If a frontal lobe is damaged it could cause memory loss, the change in mood, short temper, and the lack of control to manage behavior.

The patient is an 89-year-old woman who presented to the ED with altered mental status. She was unable to give any history. She is known to be long-term nursing home resident of care Dr. Cronin. She was transferred to the hospital on the 2nd because of altered mental status. In particular it was described that she had become nonverbal, as well as lethargic. She does have history of dementia but it does appear that her current mental status on presentation was worse than it had been previously

A 76-year-old female _____ today, complains about a hearing problem, and left eye problem. Both are long standing issues. She has just decided she would like to pursue getting her hearing formally checked, and get some hearing aids if needed. In addition her left eye has flared up, and she is out of the Blephamide. She said that helps the most. She has some erythromycin ointment also used when it flares up. She describes having a tear duct drain inserted once, and I wondered if it clogged up, as she seems to be watering more. It is irritating her. No chills or fever. She also needs a B12 shot for pernicious anemia. Also needs a prescription for that.