Assessment Geriatric Patient with Mods

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Assessment geriatric patient with MODS The assessment of a patient that enters into the Emergency Room can be difficult and stressful for even the most seasoned professional. Throw into the mix a geriatric patient with a complex medical history and the inability to tell you what is wrong can make it an even more daunting experience. With the median age of the population increasing and Americans living longer and sicker, encountering a geriatric patient with multiple organ dysfunction syndrome (MODS) is no longer a matter of if, but a matter of when they will roll into the ED. With the aging process comes unique challenges, many of them have learned to live with decreased psychological reserves due to age itself as well as their existing medical problems. In this essay I will walk through a clinical assessment of a geriatric patient that has presented to the ED with MODS. I will make special consideration to address pain, electrolyte imbalance, homeostasis and oxygenation. Assessment of a Geriatric Patient with MODS Upon transfer of Mrs. Baker to the emergency room the initial report from the transport personnel will be received and the initial ED assessment starts. This is concurrent, while receiving the report we are able to look at the patient’s general appearance. We are able to determine form the report that her general complaints are an episode of confusion prior to collapsing in the back yard, respiratory distress and tachycardia. Our systematic, hands on assessment begins with the ABC’s. The airway is visually assessed to make sure that it is open without any types of obstruction; this includes any increased mucus, vomitus, of foreign bodies. We must also consider that she recently started on lisinopril and need to check for any angioedema which could be a life threatening side effect. Breathing is assessed by watching the rise and fall of the chest,

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