Exam (elaborations)
NRNP 6540F WEEK 7 ASSIGNMENT WALDEN UNIVERSITY
- Course
- Institution
NRNP 6540F WEEK 7 ASSIGNMENT WALDEN UNIVERSITY
[Show more]
Seller
Follow
Classroom
Reviews received
Content preview
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
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62890 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
Recently viewed by you
Summary ·
Samenvatting van hoofdstuk 9 en 13 havo 5 (Chemie)
