[SOLVED] Geriatric Scenario
An 83 year-old male presents to your clinic for his 3 month check. He is well known to your clinic. His medical history includes hypertension, myocardial infarction followed by quadruple bypass at 60 years-old, atrial fibrillation, hypercholesterolemia, and early Parkinsonism. His medications include metoprolol, Sinemet, clopidogrel, and atorvastatin. He told the medical assistant that he recently moved into a retirement center after he lost his wife. Vital signs: T 97.7F; P 78; R 20; BP 180/96; height 68 inches; weight 135, BMI 20.5. The provider notes that his blood pressure is 180/96 and that he has lost 10 pounds since his last visit. The providers physical assessment is normal for his age and health status. When the provider states that his blood pressure is high, the man states that he has been forgetting to take his medication. The provider then stresses the need to take his medication regularly, provides him with prescriptions for all his medications, and requests that he come back in 3 months.What would you have done differently and why?What is your number one priority in this scenario and why?
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