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Established Year Female Question & Answer Guide (With Explanation)

This question focuses on applying theory to practical scenarios.

What This Question Is About

This question relates to established year female and requires a structured academic response.

How to Approach This Question

Focus on explaining concepts clearly and supporting them with examples.

Key Explanation

This topic involves established year female. A strong answer should include explanation, application, and examples.

Original Question

RS is an established 68-year-old female patient, who comes in to see you for their pre-operative clearance appointment. The risk stratification is for a right total hip replacement with a local orthopedic surgeon. You review her chart: She is a healthy 68-year-old female. Her medical conditions consist of high cholesterol and generalized anxiety disorder. Past surgical history of an appendectomy in 1997. Family history notable for high cholesterol and mother deceased from lung cancer in 2004. Social history reports social alcohol consumption, never smoked, and no illicit drug use. Current medications: Aspirin 81 mg PO Daily, Atorvastatin (Lipitor) 40 mg PO Daily, and Escitalopram (Lexapro) 10 mg PO Daily. You see the patient and conduct a current history and she reports no changes. You complete a head-to-toe review of systems and physical exam. Pertinent positives of the ROS include right hip pain with movement and walking. Physical exam is unremarkable with exception of decreased right hip ROM and reproduction of pain with movement and ambulation. She also uses a cane when ambulating. Her current height and weight are 5’4″ and 135 lbs. The patient is sent for pre-operative blood work. Results are all within normal limits. You demarcate the patient as a low risk and provide documentation for surgery to proceed as scheduled. As her primary, what points should you discuss with the patient about having surgery as an older adult? What are her risk factors for post-operative adverse reactions or complications? Is there a way to quantify her risk for delirium? What would her vulnerability score be pre-operatively?

 
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