SOLVED871

NUR 6540 wMs. Clara Washington is an 81-year-old in the office today with complaints about vision changes. She states that she is having more difficulty driving at night, there are more problems with glare from oncoming cars, she also has more difficulty reading. She has not had an eye exam in 2 years due to extensive traveling. She has worn bifocals since age 45. She is in good health, stays active in her community, walks daily and takes minimal medications. VS: BP 156/89 Pulse 78 Resp 17 Temp 98.2 PMH: Osteoarthritis in Right hip and knee, hyperlipidemia, recent vision change. Allergies: NKDA Medications: Calcium 500mg po BID Vitamin D 2000 IU daily Acetaminophen arthritis strength 650mg 2 tabs po PRN – up to twice a day Rosuvastatin 10mg po qHS Social History: Clara is a retired high school chemistry teacher. She retired at age 65 but then substituted for several science subjects until age 71. She has been a widow for 20 years. She has one daughter who lives nearby and 2 teenage grandchildren. She has no history of alcohol or tobacco use. No history of falls and feels safe in her 2-bedroom apartment, the building does have an elevator.
SCIENCE
HEALTH SCIENCE
NURSING

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