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Asked by kosomona

Mrs. Reimer is a 91-year-old widowed female who lives alone in a well-organized single-family home on one level. She has a daughter and son-in-law who check on her about twice weekly. Neighbors also look out for her and are available if needed. Mrs. Reimer’s medical problems include type 2 diabetes, hypertension, osteoarthritis with back pain, osteoporosis, and a history of deep vein thrombosis (DVT). Her current medications include Dipyridamole to prevent DVT, Simvastatin, Olmesartan, Pioglitazone, ASA 81 mg, and weekly Fosamax (Alendronate). She has peripheral neuropathy in her lower extremities, which contributes to her weakness and imbalance. Mrs. Reimer uses a walker for ambulation and has fallen in the past. Mrs. Reimer manages all activities of daily living (ADLs) independently and states that she bathes at the sink. Most instrumental activities of daily living (IADLs), including shopping, cleaning, and bill payment, are handled by her family. She states that she is happy and very satisfied with her life.  

Because of her advanced age and multiple chronic problems, individualized preventive services are important. Discuss primary, secondary, and tertiary preventive services to meet Mrs. Reimer’s health promotion needs.

SCIENCE
HEALTH SCIENCE
NURSING
NUSING N583

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