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A life review with older adults

A life review with older adults. Linda Pittz Kim Maerz. Case One. 69 year old female C/O weakness, nausea, vomiting No chest pain or pressure History of high blood pressure, High cholesterol and diabetes Some SOB. Case 2. 73 year old male

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A life review with older adults

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  1. A life review with older adults Linda Pittz Kim Maerz

  2. Case One • 69 year old female • C/O weakness, nausea, vomiting • No chest pain or pressure • History of high blood pressure, High cholesterol and diabetes • Some SOB

  3. Case 2 • 73 year old male • Weakness-getting worse • Breathing difficulties-with activities • Neurologically intact • Some confusion

  4. Case 3 • 60 Year old male • General Malaise with increasing weakness • No fever chills • SOB, cough and anxiety • Pale skin cool to touch • Headache • Joint stiffness

  5. Case 4 • 68 year old hypertensive, diabetic female • General weakness • Sudden onset of SOB • Chest pain • Nausea • Heart attack 2 years ago with stents

  6. Case 5 • 78 year diabetic hypertensive male • “Not feeling well” • Nausea and Vomiting • Weakness, dizziness • Unable to get out of bed • Released from hospital 2 weeks ago with urinary sepsis

  7. Case 6 • 68 year old female • Found on bathroom floor • C/O hip pain • Red spot on head noted • Last contact was 9 am found at 6pm • Pool of urine

  8. Pulmonary Embolus Sepsis DKA Mycardial Infarction Pneumonia common cold constipation Congestive Heart Failure Drug overdose Hypertensive crisis Stroke

  9. Pulmonary Embolus Sepsis DKA Mycardial Infarction Pneumonia common cold constipation Congestive Heart Failure Drug overdose Hypertensive crisis Stroke

  10. Take home thoughts • Many symptoms begin or present with weakness, fatigue, N/V, sob and confusion. • Non classic presentation • Details become very important when looking at onset and symptoms. • Poor historians live with elderly significant other that tend to leave out portions of the history that really are pertinent • Differential dx- funnel like

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