Bryant and Stratton College
Nursing 222 Geriatrics
Geriatric Teaching Plan
Mr. R.D. is an eighty-year-old male. He currently resides at the Manor Care Rehabilitation/Nursing Center. Mr. D was admitted on January 5, 2010 for pneumonia. Mr. D has other medical history problems, which include leukocytosis, headache, hypertension, depressions, postural insufficiencies, arteriosclerotic heart disease and dementia Parkinson’s.
Mr. D does not currently have any food or drug allergies. Mr. D has a wife, three children, two girls and one boy. Mr. D has four grandchildren. He has at least one person visiting him every day, and you can tell by his expression he is very happy when they are visiting. Mr. D is a very pleasant quiet patient that is very helpful at answering questions to nursing students and the center staff. Mr. D is on a mechanical soft diet but uses honey-thickening liquids to ease his swallowing of fluids and has no added salt. Mr. D does not have a history of drinking or smoking.
Mr. D’s current medications
Ø Acidophilus Capsule- two capsules twice a day to regulate good bacteria in intestine
Ø Carbidopa-Levo 25-100mg 1 tablet every six hours for the treatment of parkinsons disease
Ø Comtan 200mg 1 tablet every six hours for the treatment of Parkinson’s disease
Ø Flomax 0.4 mg cap 1daily for the treatment of urinary urgency and nocturia
Ø Fludrocortisone 0.1 mg tab 1 twice a day a synthetic adrenocortical steroid possessing very potent mineralocorticoid properties and high glucocorticoid activity; it is used only for its mineralocorticoid effects.
Ø Guaifenesin 200 mg tab 1 tab four times a day- an expectorant
Ø Lovastatin 20mg 1 daily- a statin for cholesterol control
Ø Midodrine HCL 2.5mg three times a day with meals used as a vasoconstrictor used to treat dizziness from orthostatic hypotension
Ø Namenda 10 mg tablet 1 twice a day for moderate to severe Alzheimer’s dementia
Ø Senna 10mg laxative tab
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