Health of older adults Discussion 2022

Health of older adults 1
Health of older Adults
By
Name
Course
Professor’s Name
Institution
Location of institution
Date

Health of older adults 2
Health of adult
Introduction
The thesis of the term paper presented entails a medical assessment report of Mr. George who
has been diagnosed by acute health problem thus following his past health history which
includes; type 2 diabetes mellitus, hypercholesterolemia, hypertension and coronary artery
bypass which has lasted for 5 years.
Based on Mr. George’s past health history, he has been put into various medication which is
believed to control and prevent further infections which may arise due to his old age. Upon
admission, Mr. Gorge’s vital assessment is unremarkable but he has noted some symptoms of
pitting oedema in his both legs related to reduce pedal pulse. He also complains of chest pain,
therefore, the medical practitioners took some sample of his obs to identify his chest pulse rate.
Primary admission diagnosis
The primary admission diagnosis for Mr. George thus based on the signs and symptoms he has
explained during his medical assessment by the medical practitioners can be identified as the
coronary artery disease which according to the assessment, its symptoms cannot be easily
identified but the patient can experience various complications like chest pain, light-headedness
or sweating and shortness of breath. (Abdar, et al, 2019, pg. 105992)

Health of older adults 3
The above-mentioned symptoms are associated with coronary artery disease as explained by
Mr. George. Coronary artery disease causes damage in the heart’s major blood vessels like
arteries, capillaries and veins which are responsible for the circulation of the of blood in the
whole body for the proper function of the body. The condition has no cure but can be controlled
through medication since it can be a lifelong complication. (Acharya, et al, 2017, pg. 70).
The disease can be diagnosed through symptoms, medical history and also risk factors as
stated in Mr. George’s case. The diagnostic test is also recommended for instance through
electrocardiogram test and echocardiogram test. (Verma, Srivastava and Negi, 2016, pg. 178).
The coronary artery disease is associated with the following risk factors which are line with
Mr. George’s past health history as provided in his medication case study. Old age is one of the
risk factors of coronary artery disease since Mr. George is sixty-eight years old, he is likely to
suffer from coronary artery disease which may be as a result of damaged arteries. Smoking is
also identified as one of the risk factors of coronary artery disease. (Halvorsen, et al, 2017, pg.
1457).
According to Mr. George’s past health history, he has been smoking 15 cigarettes per day
which might have to risk him in contacting the coronary artery disease since smoking has been
identified as the risk factor. Sex or gender has been identified as the risk factor of the coronary
artery as male gender are generally at greater risk of coronary artery attack as compared to
female being. Mr. George is a male individual, the risk of coronary attack is high. (Alizadehsani,
et al, 2016, pg. 189).

Health of older adults 4
Mr. George being diabetic, he is prone to coronary artery attack. According to Mr. George’s
health history, he has been suffering from diabetes which is considered a predisposing factor for
the coronary artery attack therefore, his primary diagnosis is likely to be coronary artery attack.
(Altan, 2017, pg. 35).
Nursing problems
According to Mr. George’s primary diagnosis, the patient is likely to experience a various
nursing problem which is as a result of his past health history which is likely to worsen his health
status. Some of the health problem that Mr. George is likely to experience thus according to the
primary diagnosis result is that the coronary artery disease cannot be cured but can only be
prevented and controlled from more attack. The second nursing problem associated with the
primary diagnosis conducted is that Mr. George will be at higher risk of frequent attack due to
his smoking habit which has been identified as the risk factor for coronary artery disease.
(Arabasadi, et al, 2017, pg. 25).
The actual nursing problem with the diagnosed disease that is the coronary artery disease is
that the complication cannot be completely cured rather can be controlled through medication
and physical exercise which will help to burn out some of the cholesterol in the blood vessels.
The identified nursing problem will require regular checkups and medication to Mr. George to
help reduce the incidents of the attack hence Mr. George will be off and on from the hospital.
The identified nursing problem will be specific to Mr. George thus following his past health
status and his old age. (Catapano, et al, 2016, pg. 3039).