This document provides a geriatric assessment for a 60-year-old Filipino woman named Edwina Parcotilo. It includes her medical history, current health concerns of hypertension and back pain, medication regimen, social situation living with family, and elimination habits. Her medical history notes past hospitalizations and treatment for cervical cancer from 2009-2010. The assessment evaluates her nutritional status, social support, and insights into managing her own mother's care as a student nurse.
This document provides a geriatric assessment for a 60-year-old Filipino woman named Edwina Parcotilo. It includes her medical history, current health concerns of hypertension and back pain, medication regimen, social situation living with family, and elimination habits. Her medical history notes past hospitalizations and treatment for cervical cancer from 2009-2010. The assessment evaluates her nutritional status, social support, and insights into managing her own mother's care as a student nurse.
This document provides a geriatric assessment for a 60-year-old Filipino woman named Edwina Parcotilo. It includes her medical history, current health concerns of hypertension and back pain, medication regimen, social situation living with family, and elimination habits. Her medical history notes past hospitalizations and treatment for cervical cancer from 2009-2010. The assessment evaluates her nutritional status, social support, and insights into managing her own mother's care as a student nurse.
This document provides a geriatric assessment for a 60-year-old Filipino woman named Edwina Parcotilo. It includes her medical history, current health concerns of hypertension and back pain, medication regimen, social situation living with family, and elimination habits. Her medical history notes past hospitalizations and treatment for cervical cancer from 2009-2010. The assessment evaluates her nutritional status, social support, and insights into managing her own mother's care as a student nurse.
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Geriatric Assessment Tool
Name: Tabacolde Edwina Parcotilo
Age: 60 years old Gender: Female Religion: Iglesia Filipina Independiente Address: Poblacion Guipos, Zamboanga del Sur No. of years of Residency: 37 years Birth Place/ Province: Gubac, Zamboanga Del Sur Civil Status: Widowed No. f years widowed: 37 years
Medical Assessment Medical Concerns/ Complaints: Hypertension History of Present Conditions/ Illness: Lumbar pain
Previous Hospitalization Year Hospital/ No. of Physician Treatment days /Medication/surgeries 2010 Cardinal Santos- Dr. Dungo Chemotherapy, OPD Brachytherapy,and Radiation therapy 2011 Pagadian City Dr. Irmazchelle Panto plus, Kremil-S, Medical Center- 5 Gallardo Metoprolol, days Amplodipine 2021 Pagadian City Dr. Irmazchelle Metoprolol, Amlodipine Medical Center-2 Gallardo days
Patient History: In the middle part of the year 2009, client began experiencing throbbing back pain and had a check-up at Pagadian Metro Hospital, Pagadian City. She was diagnosed as having kidney UTI. Seeking for second opinion, she submitted herself for further check-up with an specialist at Chiong Hua Hospital, Cebu City. After her check- up at the hospital, she was again referred to Cebu Doctors Hospital to confirm her ailment. After various check-ups and laboratory tests that client went through, she was diagnosed with Stage 2 Cervical Cancer. When the client’s family and relatives heard about the news, they came up with the decisions to take the all the necessary procedures and treatments advised by the physician at Cardinal Santos General Hospital. She stayed at the residence of one of the client’s relatives which is near to the hospital; completed treatment for almost 2 months. She was advised by the physician to take care of herself, follow medical advise and religiously have herself for a yearly check- up and laboratory at the referred physician at Pagadian City with Dr. Gallardo. Medication Review Generic Brand name Dosage Timing Classification Telmisartan Micardis 80 mg 8pm Angiotensin-II OD receptor antagonists
Are medications taken religiously? If not, why? Yes
Any drug allergies? ____ Yes / No . If yes, specify ________________ Do you self- medicate? _____ Yes _______No . If yes, reasons for taking: For maintainance Do you take herbal medicines/ preparations? / Yes ____ No If yes, specify the source: Own backyard How is it prepared? : Decoction How did you learn about it? : Videos of Doc Willie Ong Does it improve your condition? / Yes ___ No . Explain how : It makes me feel good
Client’s perception of health and illness:
Describe your health: Mejo healthy pero naay gibati na sakit- sakit. Rate your health on a scale of 1 to 3 ( 1- poor, 2- fair , 3- excellent ): 2- fair Perception of illness: Natural na magsakit ky tigulang na. Effects of illness on ADL’s: Okey ra man pero kapoyan na usahay dli parehas sauna. Use of alcohol/ tobacco, drugs: _No Nutritional Status 24 – diet recall Breakfast 2 cups of rice, mango, fish tinola Snacks Shake- apple, banana Lunch 1 cup of rice, mango, fried bangus Snacks bread Dinner Fried fish, mango, fish tinola Appetite: / Good ____ Fair ____ Poor History of poor appetite: Yes ___ No Describe: “ wala ko gana kay nabilar ug FB”. Are you on therapeutic diet? ___ Yes ___/_ No Do you take Vitamins: ___Yes / No Fluid Intake : 8 glasses of water / day Food/ fluid preferences: Sea Foods like “ isdang til-ogon”. Reaction to stress: eat/ drink more / less: eat less Who shops for food? Personal Who cooks? Own self, or sometimes own son/ daughter. Prepares meals: own self Food preparation/ storage? Refrigerator Any oral/ dental problems that affect appetite: Use of dentures
Nutritional Knowlegde a. Name basic food groups: Go- rice, camote, Grow- chicken, pork, fish and Glow- vegetable b. Can you name foods high in calories? Fruits, rice c. Can you list foods low in nutritional value: junkfoods, softdrinks d. How would you improve your present diet? Maglikay sa mga pagkaon nga dli healthy sama sa karneng baboy, longganisa ug bulad. Kaon daghan prutas ug utan.
ELIMINATION HABITS Frequency Twice a day Consistency Solid form Color Brown Pain ___ Yes _/__ No Use of Laxatives ___ Yes _/__ No Suppositories ___ Yes _/__ No Ileostomy/ Colostomy __ Yes _/__ No Constipated ____Yes _/__ No LBM ____ Yes _/__ No Bladder Habits Frequency 4 times/ a day Amount 20 ml Color Clear Pain ___ Yes _/__ No Hematuria ___ Yes _/__ No Incontinence ___ Yes _/___ No Nocturia ___ Yes _/___ No Retention ___ Yes _/___ No Infection ___ Yes _/___ No Catheter ___ Yes _/___ No
Social Assessments Aspect of family and community relations among geriatric clients
Do you stay alone or with your family? With family
How do you feel about your family? Happy Do you have major family problems? No How does your family/ others feel about illness/ hospitalization? Stressful because of high hospital bills Describe your role with your family: Head of the family Do you have any difficulties associating the rest of your family? None Have you experience elderly abuse? No Does your health condition affect the way you relate with your family? No How did/are you prepare/ adjust for your new role as a senior citizen? With family support and friends. Who do you turn to when problems arise? Family and daughters and sons Are you still part of the decision making in your family? Yes, but I consulted my sons and daughters. Who is the most important person in your life? Sons and daughters. Describe the community in which you live: Peaceful and clean How do you feel about the people in the community? Friendly and very active in church activities Do you participate in any social group or activities? Yes., usually if they were allowed. Conflicts with neighbors: None What would you like to change in the community: None so far. What would you change about your community? Government How does the community you have lived treat of Senior Citizens like you: Part of the group .
Insights Being a nurse in our family is both hard and challenging. It is because , for the people around me, they consider me as their physician :0 and a universal healthcare provider- from being the consultant, who would answer all their health -related queries to the decision maker about what is good for these and those:0. They would be asking me questions like: who is the best doctor, what is the schedule for consultation of Dr so and so, what is the best vitamins, how to manage this illness- these are just one of the countless concerns thrown to me simply because I am nurse😊. But still, I am very thankful…especially, at this practicum that I will be taking care of my own mom. The time when Doc Lau mentioned in our class that one of the requirements is to take good care of a family member, as part of managing a community or a family member. So, I took the chance of taking the case of my own mother. True indeed that procrastination piles up paperwork happened 😊. Considering that I could see my mom every day but it was her case that I am doing last in line aside from all the requirements. My practicum experience with mama brought joy to my heart because, of course, I would be rendering care to my own mother but I am just worried because for sometimes, we have some arguments on some little things like when it comes to her lifestyle- she loves to watch videos of Raffy Tulfo sumbungan ng bayan as her past time and every time there are complaints against each party, she would overreact and it will become a cause of being moody for the whole day. Pathophysiology
The pathophysiology of hypertension involves the impairment of renal pressure
natriuresis, the feedback system in which high blood pressure induces an increase in sodium and water excretion by the kidney that leads to a reduction of the blood pressure. Pressure natriuresis can result from impaired renal function, inappropriate activation of hormones that regulate salt and water excretion by the kidney (such as those in the renin-angiotensin-aldosterone system), or excessive activation of the sympathetic nervous system.
Nursing Care Plans for Managing Hypertension
Nursing care management and care plans are essential for patients with hypertension as they provide structured guidance for nurses to assess, plan, implement, and evaluate interventions tailored to the patient’s needs. These plans help monitor blood pressure, promote medication adherence, and provide education on lifestyle modifications, ultimately improving patient outcomes.
Nursing Interventions and Actions
1. Managing Decrease in Cardiac output and Blood Pressure Monitoring
Interventions Rationale
1. Review with conditions that Acute or chronic conditions may
stress the heart. compromise circulation and place excessive demands on the heart.
2. Check laboratory data (cardiac To identify contributing factors.
markers, complete blood cell count, electrolytes, ABGs, blood urea nitrogen and creatinine, cardiac enzymes, and cultures, such as blood, wound, or secretions).
3. Monitor and record BP. Measure Comparison of pressures provides a
in both arms and thighs three complete picture of vascular times, 3–5 min apart while the patient is at rest, then sitting, involvement or the scope of the then standing for problem. initial evaluation. Use correct cuff size and accurate technique.
4. Note the presence, and quality of Bounding carotid, jugular, radial, and central and peripheral pulses. femoral pulses may be observed and palpated. Pulses in the legs and feet may be diminished, reflecting the effects of vasoconstriction (increased systemic vascular resistance [SVR]) and venous congestion.
