Question

In: Nursing

a 75 year old male who has come to the clinic for a comprehensive health assessment...

a 75 year old male who has come to the clinic for a comprehensive health assessment

what are your primary concerns for this patient and what assessment would be associated with your concerns and why

Solutions

Expert Solution

The primary concerns for this patient at this age are

  • Chronic illness (Diabetes , cardiovascular disease ,arthritis, respiratory infection , musculoskeletal issues , neurological and cognitive issues , sensory or perceptual issues, etc.,)

The assessment will include the following

  • Complete physical examination from hard to toe(to rule out any problems system or organ wise and then planning for care)
  • History collection of past medical and surgical data(gives knowledge of client 's past health status and it's interactions with current treatment if any)
  • Any allergies (to prevent adverse reactions )
  • Childhood illness and vaccination (to know the immunity level )
  • Present medical illness (to diagnose and treat it)
  • Medications (to assess drug interactions)
  • Psychosocial assessments (to identify the relationship with others)
  • Neurological assessment or MSE (as cognition decrease as one ages )
  • Lifestyle assessment (to rule out use of any alcohol ,substance ,smoking)
  • Cultural assessment (people of older generation view on current or modern medicine is different and dangerous )

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