Comprehensive geriatric assessment and management of an elderly diabetic patient

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 of both prior items)

- Family reinforcement (to ensure increased compliance and adherence) about both

Normal Changes Observed: Decreased metabolism, increasingly sedentary lifestyle, slight dip in bone calcium (not terribly advanced . . . fairly expected for age), starting to need a little assistance here and there with daily tasks (not outside of norm for age, though)

Abnormal Changes Observed:

• Progressing arthritis -- Use pharmacological AORD interventions and calcium supplements in short-term . . . keep up scans and metrics over long-term (WebMD, 2017)

• Progressing type II diabetes -- Patient needs to use drugs to regulate blood sugar and get heart rate up via exercise in short-term . . . track A1C and blood sugar over long-term to monitor progress. (NDEI, 2017).