Older Adult client: plan of care

Older Adult client: plan of care. Cecelia Kern NU 421: Gerontological Nursing.

Patient Background. 85 y/o M, living with adult son Wife is deceased Medical Hx: prostate cancer 20 yrs ago, 15-year hx of HTN & hypercholesterolemia Surgical Hx: Prostatectomy Social: 55 yr hx of smoking & alcohol, now sober with minimal smoking High level of independence – requires assistance for transportation Medications: Hydrochlorothiazide, atorvastatin.

Community support & Activities. Family assistance with: Meals Errands Shopping Transportation Family members involved: Sons (x3) Daughter Grandchildren.

Fluid volume deficit r/t inadequate fluid intake.

Risk for falls r/t medications. Side effects that contribute to risk: Hypotension Dizziness – reported by pt Weakness – reported by pt Drowsiness Risk for eye problems w/ hydrochlorothiazide.

Risk for decreased cardiac output r/t htn. S&S to assess for: Tachycardia Changes in BP Diminished peripheral pulses Diaphoresis Cool skin JVD Edema Chest pain Changes in urinary output.

Recommendations & Interprofessional care. Speech Language Pathologist Reassess patient on strategies to assist w/ swallowing Social Work Assist patient to complete their will Provide over the bed table for patient Keeps water near patient Personal items near patient Help patient create emergency plan Fire Tornado Power outage.