Xanax Patient Hypotension

Mrs Gale is a 70 year old widow and retired unskilled worker. The patient lives alone and relies on her son to provide basic care, medication and meals. Mrs Gale has a history of weight fluctuation owing to lifestyle but is currently at risk of malnutrition due to Parkinson’s disease. Mrs Gale shows signs of early dementia and suffers from poor mobility and pain caused by arthritis. Mrs Gale also has mild depression triggered by loss and has become socially isolated. All names have been changed as per the Nursing and Midwifery Council confidentiality guidelines (2008).

Susan is a 78 year old widowed lady who was admitted to a medical ward following an episode of coffee brown vomiting and breathlessness. Susan has a past medical history of chronic

The patient was a female on her 80s who was admitted to the hospital because of the COPD exacerbation. She had a history of stroke with minor residual effects, smoking, hypertension, and schizoaffective disorder - a chronic mental condition that is manifested mainly by the symptoms of schizophrenia, such as hallucinations or delusions, and mood disorder symptoms like manic or depressive episodes (NAMI, 2017). Patient length of stay was more than 300 days. She had two daughters who visited her everyday.

The multidisciplinary team (MDT) meeting that the author attended was regarding Laura 's case, a 62 year old lady that lives alone and had a fall followed by knee surgery on her right leg which now needed rehabilitation. Laura also has Hypertension, arthritis and was recently diagnosed with Parkinsons Disease, which is managed with medication.

She converses appropriately. Blood pressure 92/60 supine. Blood pressure decreased to 72/50 standing. Pulse is 90 and regular. Weight 113 pounds. She has a normal appearance of her face and does not have a masked appearance of her face. She has good strength throughout her face. She has good strength of her extremities. She has only minimal cogwheel rigidity at the left wrist, but no cogwheel rigidity at the right wrist. She has no tremor of her hands. She moves her extremities freely and with normal speed. She is able to rise on her own from a sitting to a standing position, only minimal bradykinesia of standing. She walks fairly freely and there is a normal cadence of her gait. She did not have dyskinetic movements of her extremities. She is able to walk, including turning without losing her balance. She does not shuffle her feet when walking. She does not have en bloc turning. She has good posture stability

The clinical features Mrs Lee now 83 is displaying changes to health and cognition noted in the last three to four months, with two transient ischaemic attacks but no significant medical issues. Although currently taking three medications for high blood pressure. Changes in word finding, getting words mixed up and confusing identifying words. Insisting everything is fine showing a lack of insight into her changes or difficulties. Short term memory Mrs Lees has difficulty retaining recent memories, however long term memory appears reasonable. Although Mrs Lees home is reasonably well maintained, she is emaciated and personal hygiene is poor. There is also evidence of emotionally Liable being frequently teary with no reason. History includes

-Contacted Desert Springs facility and follow-up on the patient. Spoke to medtech Muriel and stated that another caregiver has been going to patient’s room and no complaint or concern was raised from the patient. Instructed Muriel to see the patient and she stated that patient is the same and “normal” sitting up in her recliner’s chair. Speech is clear and no facial droop per Muriel. Per Muriel, patient did complaint about a week ago with right foot

The patient is an 85-year-old female who is brought to the ED by her family because of increasing confusion and supposedly she had a degree of altered mental status of two hours previous to presentation. In the ED she is completely worked up. CT shows advanced atrophy with microvascular changes and several lacunar infarcts nothing acute. Specific gravity in the urine reveals her to be markedly dehydrated. She culture completely, started on IV antibiotics, IV fluids and B12. On the day after admission she still presents as persistently confused. She is evaluated by PT. The patient who was formerly ambulating with a walker and allegedly driving a car is unable to be ambulated. Before the history indicates that she has a slow downward

At today's visit she is found in her room sitting in her recliner. She reports chronic, intermittent, dull, achy, lower back pain. Her current pain regimen is effective for her pain according to the facility staff. The staff reports that the patient is sleeping more hours during the day. She has increased generalized weakness. No acute distress noted this visit.

SW was paged at son Dean's request by Pt's nurse April Tucker, RN. Pt was in be and Pt's granddaughter and son Dean were present in the room. Pt appeared brighter today and reported she was feeling o.k. Pt reported Dr. Reda, Neurologist came in yesterday and ordered more tests. Pt. Reported she is still going to get better, and no one can tell her different. Pt reported she is not going to begin her medications again because she took the medications Dr. Reda ordered and she became weaker and is now in the hospital. I asked Pt. If she felt it was a coincidence that her physical decline occured when she began taking the medication, and Pt. Reported "I was not coincidence, it made me not be able to walk."

The woman is in stable condition following treatment for a medical condition that went untreated for years while she was locked away.

The patient reported having feelings of depression and anxiety since a recent job change that occurred six months ago. She also expressed feeling overly emotional in stressful situations for the past six months. The patient reported having trouble keeping details straight at work. She reported that she is not as “sharp” as she was previously. She has disengaged also from activities she once enjoyed including: book club and watching a television show called The Bachelor/ Bachelorette with friends, an activity that she calls “Bachelorette night.” She reported that she has planned a dinner party next month, but has considered cancelling due to feeling overwhelmed about the event. She reported relational problems with her children and recently learned that her daughter is abusing narcotics. The patient reported feeling fearful, fatigued, trouble sleeping, reduced appetite, becomes easily overwhelmed, and ruminates. She explained that she sleeps five hours per night on average. She endorsed insomnia over the past few months paired with difficulty falling asleep due to thinking too much at night. As a result, she explained that she experiences decreased energy during the day and is unable to take naps despite the desire to do so. She expressed that she feels hopeless about the future, given problems at work and difficulty with her children. She stated that she is “not sure what to do.” She explained that she and her husband also experience some marital stress and her husband had commented that she has become more “testy” over

A-The patient engaged well with this writer during the counseling session. Appeared to be at the maintenance stage of change as he continues to make significant progress within his recovery. No evidence of SI/HI.

Billy a 68 year- old Parkinson’s patient is coming into physical therapy for the second time. One day Billy noticed that his hand started to shake a little but he and his wife thought nothing of it. When Billy’s shaking got worse and he started to move slower, feel stiff and not have as good balance as he once did, he knew he had to go see a doctor to get an explanation as to why he was feeling the way he did. Imaging tests along with the UPDRS showed that Billy is in stage 2 of Parkinson’s. At quick glance when he walked into the office, he showed to have a resting tremor and hypokinesia. He is currently taking Levadopa daily and states that when taking the drug, it has helped him walk better and feel himself. He has a history of concussions back from when he used to play soccer, but other than that he’s never had any other medical problems. Billy states he has difficulty going to answer the house phone because by the time he gets to his phone from his couch, the answering machine goes off. He has to get from his living room couch to the ringing house phone about 18 feet away and it really frustrates him that he can’t do it. Billy states that it

Patient also, has history of hypertension, GERD, morbid obesity, anemia, and depression. She reported that the past few months, she has been feeling very weak and overall generalized deconditioning. Her ability to care for herself including her activities of daily living (ADLs), and her basic physical needs (like bathing, grooming, ambulation, meal preparation, transportation, errands, and housekeeping), had decreased, and cannot consistently carry them out.