Case : GERIATRIC SYNDROMES

Chief complaint
An 84-year-old man was found by his daughter on the floor of his apartment after failing to answer the
telephone for a day. He complained of pain in his left knee, but was otherwise confused and unable to
explain what had occurred. He was brought to the hospital by ambulance and admitted. He is
incontinent and has lost wt remarkably. He could hardly move after the incident and would usually be
just on bed.

Past Medical/Surgical History – provided by the daughter

 Myocardial infarction ten years ago
 Hypertension
 Peptic ulcer disease with bleeding 20 years ago
 Benign prostatic hypertrophy
 Venous insufficiency
 Bilateral cataract surgery 5 years ago
 Left inguinal hernia repair 25 years ago

Medications:

 aspirin 325 mg daily

 atenolol 50 mg daily
 one Multivitamin daily
 Vitamin E 800 U daily
 terazosin 5 mg daily
 lisinopril 10 mg daily
 Vitamin C 1000 mg daily
 Ginkgo biloba one capsule daily
 Omeprazole 20 mg daily

Social History – provided by the daughter

He lives alone and is able to care for himself. A woman cleans his apartment twice weekly and also does
some shopping. His daughter is very involved and calls about every third day. He was a bookkeeper,
retired at age 65 and became a widower at age 70. He manages his own finances and enjoys baseball on
TV. He denies any recent change in appetite, has some rolls and coffee for breakfast, lunch at the senior
center, and for dinner, he usually warms something left by his cleaning lady or eats at a restaurant near
his home. He smoked 2 packs a day from age 20 to age 55 when he stopped after an episode of
pneumonia. He rarely drinks more than one drink an evening. He does not exercise, and takes his
medications as prescribed.

1. Content of case analysis for patient KB

a. Definition of the case
b. Health history
c. DISCUSS AT LEAST 3 GS ON THE CASE
d. Drug study
e. NCP (AT LEAST 5)
f. HEALTH TEACHINGS