Objective Assessment Ms. R. is a 73 year-old divorced female, who has history of hypertension (HTN), coronary artery disease (CAD), hypercholesterolemia, and osteoporosis. She is on Ecotrn, Fosamax, Citracal, Crestor, Zestril. Ms. R. has been retired for more than 7 years as a factory worker. She lives with her daughter and a dog, named Abbey. Ms. R. lives an active lifestyle, e.g., she walks Abbey three times a day, walks to church for three miles on Sundays, and does work around the house. Every afternoon, she works in her garden where she grows some herbs and seasonal flowers. The vital signs taken at the time of the interview: Temperature = 98.8°F; Pulse = 78; Respiration = 12; and Blood Pressure = 110/80.
Subjective Assessment The
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Activities of Daily Living: The score demonstrated that Ms. R. is highly independent in the performance of all activities of daily living; with no need for supervision, direction, or personal assistance.
3. Oral Health: The condition of the oral cavity, teeth, gums, and mucus membrane, all indicate that Ms. R. is well hydrated. Although, there is a need for a dental care follow-up on her broken tooth.
4. Fulmer SPICES Assessment: The result confirmed the data on the two assessment tools on sleep and fall risk. Ms. R. identified these two areas, where she had evidence of a problem. She indicated having a disordered sleeping pattern and a history of a fall.
5. Nutrition: Ms. R.’s score of thirteen (13) on the assessment tool, showed that she has normal nutritional status and has a body mass index (BMI) of 21.9 that falls within the normal range for her weight and height.
6. Pain: Ms. R. at the time of the interview, declared that she did not have pain. However, she stated that on some occasions, she experiences mild to moderate pain on her lower back.
7. Hearing: The Hearing Handicap Inventory indicated that Ms. R has a mild-moderate hearing impairment.
8. Fall Risk: Results showed a score of zero (0), which indicated that Ms. R does not have any risk for
The patient has no family history of heart disease or diabetes, however both her parents are on medication for high blood pressure. Her paternal grandmother died of breast cancer at age 47. Her maternal grandmother
9. Which of the symptoms that Y.L. reported today led you to believe she has some form of neuropathy?
Haydn (2009 cited in Capel et al 2009 page 329) defines assessment as "all those activities which are undertaken by teachers, and others, to measure the effectiveness of teaching and learning".
The results of the WISC-III evaluations indicate Frieda is below average for her age in her cognitive ability, verbal skills, nonverbal skills, and visual imaging. Frieda’s academic achievement skills in reading and math are below average, and there is no score at all for the written expression because she refused to do it.
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.
In the case study it discusses a patient, Mrs. Harris, who is a 72 year old and is complaining of fatigue and swelling in her feet. Mrs. Harris also expresses her concern on the swelling, as some days she is unable to put her shoes on despite proper elevation. She also states walking to her mailbox can be challenging because it causes her to feel more tired and to have shortness of breath, also known as dyspnea. Mrs. Harris is currently taking medication for high blood pressure, hypertension; and is also drinking approximately 8-12 glasses of wine a week. While examining Mrs. Harris it’s clear she is a little overweight and has swollen ankles. Upon listening to Mrs. Harris’s breathing, crackles are heard. Therefore, Mrs. Harris seems to have congestive heart failure.
The nurse's assessment findings include right sided weakness, slurred speech, and dysphagia. The nurse identifies that Mrs. Rusk is at high risk for several problems.
Fall risk assessments tools, which help to identify those patients at risk of falling, play a vital role in reducing the number of falls. The basis for this assessment is that if patients at high fall risk can be
M. H. states that she is generally in good overall health. No cardiac, respiratory, endocrine, vascular, musculoskeletal, urinary, hematologic, neurologic, genitourinary, or gastrointestinal problems.
The patient is a 64-year-old, African-American female with a body mass index (BMI) of 51.31. She has a medical history of type 2 diabetes mellitus, asthma, hypertension, and history of gastric bypass surgery in 2014. She lives alone in a one-storey apartment. Her walking is limited to household distances and occasional walks outside her apartment. She reports avoiding walking outside due to fear of falling and shortness of breath. Her blood sugar
To office testing, she is oriented x3, alert and cooperative. Good short-term, long-term and intermediate memory, except for amnesia for some of the period of illness from March to May, otherwise her memory is good for short-term and intermediate and long-term. Normal attention and concentration. Normal language. Normal fund of knowledge.
S.P. is admitted to the orthopedic ward. She has fallen at home and she has sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three children living nearby. Her father died of cancer at age 62; mother died of heart failure at age 79. Her height is 5’3 and weighs 118 pounds. She has a 50 pack year smoking history and denies alcohol use. She has severe Rheumatoid Arthritis (RA) and had an upper GI bleed in 1993 and had Coronary Artery Disease with CABG 9 months ago. Since that time, she has engaged in “very mild exercise at home.” Vital signs are 128/60, 98, 14, 99 degree farenheight (32.7 degrees C) SAO2 94%
Falling is inevitable at some point in life, and although most of the time falls are not serious, some can be life-threatening. Falls are a danger to both physical and psychological well-being because they may diminish a person’s ability to maintain an active and independent lifestyle.1 There are many factors that place individuals at risk for falls such as age, muscle weakness, difficulty with balance or walking, psychological diagnosis, and several medical conditions.1,2 Approximately one-third of people over the age of 65 fall at least once a year.3 Individuals that are status post stroke are at an increased risk of falls, making falls assessment and prevention a common priority for clinicians treating this population.1,2 Therefore, to direct the experimental methods and build on a basis of previous literature on this topic, the search began using OneSearch, CINAHL, PubMed, and
The learning objective for question number 1 was, “to correctly write the expanded form of a 4- digit number.” Most of the students understood this concept, but didn’t read the direction in full to understand that they were supposed to define expanded form, and then show an example. Students lost one point for not defining, giving the class average for question 1 a 66%. Only one student lost 2 points on the question, half are almost approaching the objective, and the other half are meeting the objective. The next objective was, “to accurately solve multi step equations using 4 different methods.” This was a difficult question for the class. The average for this question was 54%. Four students are below the objective, one in the middle, and
My interviewee was a 70-year-old female who was re-admitted to CCC in March 7th, this year. Her primary diagnosis was status post CVA with left hemiplegia. Other past medical history includes major depressive disorder, hypertension, hypothyroidism, COPD, anxiety, GERD,