Case Study Mr Gibson

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Case Study – Mr Gibson, age 76 Mr Gibson is a 76 year old living with hypertension, hyperlipidemia and emphysema. He has been residing at a nursing home for the past twelve months. He has an unmarried daughter 56 years old who stays nearby. His wife passed away a year ago and he grieves for her. Today Mr Gibson was admitted onto your ward after presenting to ED exhausted and in chest pain. Mr Gibson has also complained of a productive cough and pain on breathing in. He states that he has lost several kilos over the past two weeks. His vital signs include: • BP: 148/96 • RR: 28 bpm (shallow and on inspiration) • PR: 92 and weak • Temp: 38.9 • Weight: 78 kilos • Height: 174 cms • SaPO2: 92% (2L/min) His current medications include atenolol (antihypertensive) and Lipitor (reduces cholesterol) No known allergies. 1. Mr Gibson has several medical conditions. Briefly discuss the pathophysiology of each condition and identify how these conditions impact on the elderly client (250- 300 words each and references are required) • Hypertension (HTN) – Hypertension (HTN) or high blood pressure, sometimes called arterial hypertension, is a chronic condition in which the blood pressure in the arteries is elevated. This requires the heart to work harder than normal to circulate blood through the blood vessels. Blood pressure involves two measurements, systolic (contracting) and diastolic (relaxed). Normal blood pressure at rest is within range of 100-140mmHg systolic and 60-90mmHg diastolic. Hypertension is said to be present if it is persistently at or above 140/90 mmHg. High blood pressure is very common, especially in middle-aged and elderly people. Once it has developed it tends to last for life. High blood pressure puts a strain on the heart and circulatory system, which can ultimately cause damage to many parts of the body. If high BP is left untreated it

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