Palliative care and inter-professional curriculum


Problem:

Geriatrics, Palliative Care and Inter-professional Curriculum Ms. B is a 76-year-old widow. Her history is significant for diabetes mellitus, coronary artery disease, osteoarthritis and a past history of a total abdominal hysterectomy. She is a five days status post coronary artery bypass. Her postoperative course has been uneventful except for fluid retention as evidenced by pedal edema. Tomorrow she will be discharged to a cardiac short term rehabilitation center. Her baseline ambulatory status is a steady gait with a quad-cane. Medications include: ASA 81 mg PO OD Metformin 500 mg PO BID with meals Micronase 5 mg PO BID Lisinopril 10 mg PO BID Lasix 40 mg PO Q 12H KCL 20meq PO Q 12H You are reviewing her discharge instructions. Ms. B asks "Do you think I will still need these diapers when I get home? I never had problems holding my water before." Use your knowledge of incontinence in the elderly to formulate your response.

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Other Subject: Palliative care and inter-professional curriculum
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