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NRNP 6540F WEEK 7 ASSIGNMENT WALDEN UNIVERSITY
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NRNP 6540F WEEK 7 ASSIGNMENT1
WALDEN UNIVERSITY
Managing Genitourinary Disorders
Nancy S. Doctura
Walden University
NRNP 6540F Advanced Practice Care of Older Adults
Dr. Donna Petko
October 18, 2020
,2
Managing Genitourinary Disorders
As people age, functional and structural changes occur in their bodies. Changes take
place as a part of the normal aging process in the absence of systemic diseases. However,
common disorders in old patients can significantly affect the normal aging urogenital organs of
older adults. In this paper, the goal is to present a focused subjective, objective, assessment, and
plan (SOAP) for an elderly male patient with hematuria complaints. The author also aims to
discuss the differential diagnoses, diagnostic exams, treatment plans, and reflect on the learnings
from reviewing the patient's condition. An advanced nurse practitioner must make an appropriate
assessment and treatment plan to assist elderly patients as they face aging and comorbid
conditions that affect their renal functions.
Focused SOAP Note
Subjective
Patient Information:
R.B. 95-year-old, White, Male
Chief Complaint: RB came to the clinic accompanied by son, reporting his "urine is really red."
History of Present Illness:
RB is a 95-year-old white male who came to the clinic 2 days ago, accompanied by his
son, and complained that his urine appeared to be bright red in color. No other symptoms were
reported. No other characteristics of the urine were reported. Alleviating and aggravating factors
, 3
were not reported; however, the patient has a history of gross hematuria and malignant neoplasm
of the prostate. Time of symptoms, the environment where symptom occurs, and severity of pain
(if there's any) were also not reported.
Current Medications:
Tamsulosin 0.4 mcg, 2 capsules daily,
Aspirin 325 mg daily
Atorvastatin 10 mg 1 tablet daily
Donepezil 10 mg 1 tablet PO QHS
Metoprolol 25 mg 0.5 mg tablet every 12 hours
Acetaminophen 500 mg 1 tablet BID
Analyzing RB's home medications based on the BEERS criteria, the chronic use of
Aspirin should be avoided in patients over 70 years old unless other alternatives are not effective,
and the patient can use gastroprotective agents like proton pump inhibitors (American Geriatrics
Society, 2019). Using aspirin will increase gastrointestinal bleeding risk and induce kidney injury
(American Geriatrics Society, 2019). With RB's symptoms of hematuria, the use of Aspirin
should be analyzed for potential risk of worsening of the current complaint.
Allergies: Penicillin- hives
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