HAA7

9065P.J. is an 82-year-old man who presents to the outpatient office for a 6-month check-up.

Subjective Data

Lives in assisted living apartments

Widower

One meal a day in dining room; has light meals for breakfast and lunch

Nonsmoker, never smoked

Retired police officer

Has three grown children who live nearby

Walks with cane

Complains of urinary incontinence

Objective Data

Vital signs: T 37.7 BP 108/62 HR 62 Resp 14

Height and weight = Within normal limits

Immunizations = Up to date

Medications: Digoxin (Lanoxin) 0.5 mcg per day, hydrochlorothiazide (HCTZ) 5 mg per day, aspirin 81 mg per day

Allergy to sulfa medications = Hives

Questions

What special considerations should the nurse keep in mind regarding the physical exam for individuals in this patient’s age group?
What similarities does the assessment of older adults have to the assessment of younger adults?
What are the expected findings in the older adult for the following systems: skin, hair and nails, eyes and vision, ears and hearing, mouth, and musculoskeletal system?
What are some abnormal findings in the older adult for the following systems: skin, eyes and vision, ears and hearing, mouth, and musculoskeletal system?
Based on the readings and the objective and subjective findings, what is the most likely cause of this patient’s urinary incontinence?
What interventions should be implemented for this patient’s urinary incontinence?

APA7

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