Geriatric Patient Assessment
Temperature
Pulse
Respiration
Blood Pressure: 110/70
Pulse Oximetry: 97% on room air
General Appearance: Fairly good, decently nourished. Non-toxic, Ambulatory female
Mental Status: Patient is alert and fully oriented times 3 . . . .Glasgow coma scale is
Abdomen: Benign
Heart: Mild tachycardia
Lungs: Clear, no noticed issues
Extremities: Pulses are symmetric and seem to be intact
Known Issues/Comorbidities: Type II (Adult Onset) Diabetes, family history of heart disease and arthritis
2A) MMSE will be attached
Pulled from: http://www.dementiatoday.com/wp-content/uploads/2012/06/MiniMentalStateExamination.pdf
2B) KATZ Index will be attached
Pulled from http://micmrc.org/system/files/11.2-ADL.pdf
Vitals fairly in line what is expected a normal for patient of this age, family/patient history of type II diabetes but fairly well controlled, mild arthritis but decently controlled, no sign of heart disease despite family history
4) Patient is putting on a little weight, lives a mostly sedentary lifestyle (but not abnormally so for age bracket), diet a bit substandard based on what is self-reported
5) See goals below where abnormal challenges are listed
6) Four interventions would be:
- Better diet (to keep weight and blood sugar in check)
- Better drug adherence (blood sugar/arthritis management)
- Patient education about both (to lesson need for future amounts...
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