A complete physical assessment is also necessary, noting any changes that are the result of normal aging. His appetite improves, but he never returns to his pre-illness status. Serum BUN and creatinine levels. Product Liability and Mass Tort. The potential for self-neglect and inadequate medical care is high, and Patient S is not able to return to his apartment to live independently. Another trial of megestrol acetate involved 47 elderly community patients mean age: This is called a determination of capacity and usually requires the signatures of two physicians.
This form is designed to relieve responsibility of the nursing facility when a patient does not follow recommendations. Conditions such as atrophic gastritis, gastric or peptic ulcer, constipation, lactose intolerance, diverticulosis, colitis, and diabetic gastroparesis may be the cause of significant weight loss. Dysphagia assessments may include bedside assessment of swallow, the videofluoroscopic swallowing study VFSS , and the fiberoptic endoscopic evaluation of swallowing FEES [24, 25]. Known hazards of polypharmacy include lack of adherence, overtreatment, adverse drug reactions including unexplained weight loss , and incorrect dose and administration regimen. Partial credit is not available. His physician instructs Patient S to continue with the current treatment plan, including following up with psychiatry and urology as necessary. If the NOE is untimely:
Course Content - # Geriatric Failure to Thrive: A Multidimensional Problem - NetCE
Physician notification, dietician consults, and speech therapy evaluations are usually the first interventions. What is this perplexing condition, and what should you do if a loved one is diagnosed with it? For patients with abnormal cardiovascular findings, additional diagnostics include chest x-ray, electrocardiogram, echocardiogram, and hour Holter monitoring. Supplementation with IU of vitamin D daily is recommended and has been shown to reduce falls . The study found that megestrol acetate — mg daily increased prealbumin levels in recently hospitalized elderly patients. Input from medical specialists, nursing staff, social workers, and physical, speech, and occupational therapists should be considered. Screening for thyroid dysfunction, and treating when present, may improve weight loss in some elderly patients.
There are multiple long-term complications associated with typical and atypical antipsychotic medications, including pharmacokinetic and pharmacodynamic changes, limitations, and cardiovascular and other adverse effects e. Studies of illness in the aged. No fee schedules, basic unit, relative values or related listings are included in CPT. Physicians should recognize the diagnosis of failure to thrive as a key decision point in the care of an elderly person. The stigma of psychiatric illness may prevent elderly patients from seeking help for depression.