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My Geriatric Assessment of Mr. Ta

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Thank you very much for referring Mr. Ta for a geriatric assessment. The main concern is that of recurrent hyponatremia.

He is an 86-year-old man who was born in Vietnam and came to Canada in 1995. He is married and lives with his wife, 2 sons and daughter-in-law and 2 grandchildren in a townhouse. He has 3 sons and 1 daughter. He speaks Cantonese. He has primary 3 education. He makes glass bottles.

One of his sons, Wayne is with him for the interview today. Mr. Ta complained about having bilateral ankle sweating for a year. He has no orthopnea or paroxysmal nocturnal dyspnea. He uses only one pillow to sleep. There is no shortness of breath on exertion. He does exercise regularly. There are no recent falls. He had fallen about 2 years ago when he tripped on stairs. He sprained his leg, but was fortunately without any fractures or serious injury. He was previously on propranolol, but that has been changed to bisoprolol. He denied having any liver or renal problem.

He denied having any memory problem. He is safe at the stove and the tap.

He is independent in all aspects of basic ADLs. He bathes himself. For instrumental ADLs, he can prepare his own meals. He does the cleaning and can make telephone calls. His family helps with grocery shopping, laundry and financial management. He does not drive. He hand washes his underwear.

He is an ex-smoker. He used to smoke less than a pack of cigarettes a day for over 40 years and stopped smoking in the year 2000. He
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