Blood Pressure and Diabetes

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).

• Weight gain -- Find a way to balance out decrease in calories burned and lack of change in calories taken in (exercise, diet, combo of the two) in short-term. ramp up for back off of interventions in long-term based on results (Reese, 2017). • Fall in blood pressure as compared to prior measurements -- Keep track and use drugs as a means to raise/lower as needed.