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Crossroads of Care: Managing Serious Illness in th ...
Minerva Case
Minerva Case
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Pdf Summary
Minerva, an 86-year-old female, was recently discharged from the hospital after being treated for congestive heart failure and cellulitis in her legs. She has a history of recurrent hospital admissions for similar issues as well as for urinary tract infection and mental status changes. Minerva also suffers from moderate Alzheimer's disease with worsening behavioral disturbances in recent months. She lives with her daughter who is her primary caregiver, while her son is her healthcare power of attorney.<br /><br />Minerva's current health issues include Alzheimer's dementia, cerebrovascular accident, heart failure with reduced ejection fraction, osteoarthritis, and macular degeneration. She experiences behavioral disturbances such as forgetfulness, agitation, verbal and physical aggression. Her medications include those for dementia, pain management, cardiovascular health, and other conditions. Minerva has mobility limitations, a sacral pressure ulcer, and requires assistance with activities of daily living.<br /><br />Her family desires medical advice to manage her heart failure, leg swelling, and behaviors to reduce ER visits and caregiving burden. They also seek interventions to improve Minerva's strength, mobility, mood, reduce UTIs, and heal her pressure ulcer. The healthcare team plans to assess and address Minerva's various health conditions, prioritize her preferences and goals of care, improve her mood and cognition, and ensure medication management aligns with her needs. Minerva's complex health issues, caregiver burden, and social determinants of health such as limited mobility, financial constraints, and the need for family support are key considerations in her ongoing care and treatment plan.
Keywords
Minerva
86-year-old
congestive heart failure
cellulitis
Alzheimer's disease
behavioral disturbances
healthcare power of attorney
cerebrovascular accident
osteoarthritis
pressure ulcer
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