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Morningside Meeting a Seventy Six Year Old Widow in Geriatricians Office Case Study

 

You meet a 76-year-old widow in the geriatrician’s office. Her daughter brought her to the geriatrician for a comprehensive geriatric assessment. The widow is a retired school teacher who lived with her husband of 58 years in another state until he passed away 6 months ago. She sold her house and moved in order to be closer to her daughter and two sons. She purchased a condominium in a high-rise luxury building within walking distance of one of her son’s homes and approximately a 15-minute car ride from her daughter’s home.

She has a history of lung cancer, hypertension, hyperlipidemia, osteoarthritis, and osteoporosis. She is 5 feet tall and weighs 85 lb. She reports a 10-lb weight loss over the past year and attributes it to the illness of her husband. She was an avid walker before her move, walking a minimum of 1 to 2 hours per day. She was also very social and had many friends with whom she socialized. She states that she is sad over the loss of her husband, but very happy to be near her children and grandchildren. She states that she is “not going to let the cancer get the best of me.” She also reports that “minor aches and pains will not stop me.”

· Rate her self-perception of wellness on the continuum of wellness. Explain your answer.

· How would you rate her level of wellness? Why?

· List two areas where you would make recommendations on changes in health practices that would maximize the patient’s level of wellness. Explain why this is so important.

· In light of her medical diagnoses, discuss primary and secondary prevention.

This patient now has a reoccurrence of her lung cancer that requires hospitalization for symptom management. Discuss each branch of the transitional care model and what services would be provided within each branch. In each branch of care explain the areas where there is the greatest chance of a lapse in service.