Discussion Part One (graded)\t\u00a0\t\u00a0\tKatie Smith, a 65 year-old female of Irish descent, is being seen in your office for an annual physical exam. You are concerned since she has rescheduled her appointment three times after forgetting about it. She and her husband John are currently living with their daughter Mary, son-in-law Patrick, and their four children. She confesses that while she loves her family and appreciates her daughter’s hospitality, she misses having her own home.\u00a0 As she is telling you this, you notice that she develops tears in her eyes and does not make eye contact with you.\t\u00a0\t\u00a0\tBackground:\t\u00a0\tAlthough Mrs. Smith is scheduled for an annual physical exam and reports no particular chief complaint, you will need to complete a detailed geriatric assessment. Katie reports a lack of appetite. She tells you that she nibbles most of the time rather than eating full meals. She also reports having insomnia on a regular basis.\t\u00a0\tPMH:\t\u00a0\tKatie reports a recent bout of pneumonia approximately 3 months ago, but did not require hospitalization.\u00a0 She also has a history of HTN and high cholesterol.\t\u00a0\tCurrent medications:\t\u00a0\tHCTZ 25mg daily\t\u00a0\tEvista 60mg daily\t\u00a0\tMultivitamin daily\t\u00a0\tSurgeries: \ufffd\t\u00a0\tAppendectomy as a child in Ireland (date unknown)\t\u00a0\t1968- Cesarean section\t\u00a0\tAllergies: Denies food, drug, or environmental allergies\tVaccination History:\t\u00a0\tCannot remember when she had her last influenza vaccine\t\u00a0\tDoes not recall having received a Pneumovax\t\u00a0\tHer last TD was greater than 10 years ago\t\u00a0\tHas not had the herpes zoster vaccine\t\u00a0\t\u00a0\t\u00a0\tScreening History:\t\u00a0\tLast Colonoscopy was 12 years ago\t\u00a0\tLast mammogram was 4 years ago\t\u00a0\tHas never had a DEXA\/Bone Density Test\t\u00a0\t\u00a0\t\u00a0\tSocial history:\t\u00a0\tEmigrated with her husband from Ireland in her 20s and has always lived in the same house until recently. She retired a year and a half ago from 30 years of teaching elementary school; has never smoked but drinks alcohol socially. She states that she does not have an advanced directive, but her daughter Mary keeps asking her about setting one up.\u00a0\tFamily history:\t\u00a0\tBoth parents are deceased but lived disease-free up into their late 90s.\u00a0 She has one daughter who is 44 years old with no chronic illness and two sons, ages 42 and 40, both in good health.\u00a0\t\u00a0\tDiscussion Day 1:\t\u00a0\t\u00a0\tDifferential Diagnoses with rationale\t\u00a0\tFurther ROS questions needed to develop DD\t\u00a0\tBased on the patient data provided, choose geriatric assessment tools\tthat would be appropriate to use in conducting a thorough geriatric assessment. Provide a rationale on why you are choosing these particular tools.<\/p>\n","protected":false},"excerpt":{"rendered":"
Discussion Part One (graded) \u00a0 \u00a0 Katie Smith, a 65 year-old female of Irish descent, is being seen in your office for an annual physical exam. You are concerned since she has rescheduled her appointment three times after forgetting about Read More …<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-230096","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/230096","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/comments?post=230096"}],"version-history":[{"count":0,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/230096\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/media?parent=230096"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/categories?post=230096"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/tags?post=230096"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}