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Mr. L. is a 70-year-old male. He has been widowed for two years and recently remarried. He met

Carol, age 69, at their high school reunion, and they’ve been married for six months. They both

enjoy reading, doing crossword puzzles, and watching old movies.

Mr. L. had a total knee replacement one year ago but hasn’t restarted his daily two-mile walk

with his dog. He had bilateral cataract removal several years ago. He uses 

MiraLAX® for periodic constipation but takes no regular prescription medications. He doesn’t

smoke or use illegal substances. He typically has a glass of wine or a mixed drink in the evening.

He enjoys sexual activity and denies problems with pain, hearing, vision, appetite, bowel,

bladder, or sleep. He still works part-time as a financial consultant and denies issues with

memory and cognition. He states that he has never experienced anxiety or depression, except for

situational depression that occurred with the loss of his first wife.

Mr. L. and his new wife want to be more active and maintain a quality of life for many years to

come. He wants to know how to start an exercise program.

Physical examination: Ht 69 in; weight 166 lb.; BMI is 24.5; BP 136/72; HR 76 and regular; RR

14; T 98.4°F. Physical findings are negative, including neurological and musculoskeletal

systems.

3. What national guidelines are appropriate to consider?

4. Are there any screening tools that you want to use? Why?

5. What is your plan of care?

SCIENCE
HEALTH SCIENCE
NURSING
NURS 8111

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