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Review the scenario provided and complete the assessment and plan for the patient presented Page 1 of 2 NUR 657 Week 3 Coding Assignment Case presentation: An 81-year-old female is brought to the emergency department by her daughter after being found wandering s blocks from her house. Per family, patient was confused and did not know who they were or where she was. Currently, patient lives alone in her house. Her husband died 1 years ago, and her children are grown but they a in the same town. Daughter states she spoke with her mother 2 days ago when she took her to the doctor to be evaluated for back pain. At that time, the daughter reports patient appeared to be of normal health. PMH: Coronary artery disease, Hypertension, PSH: Coronary artery bypass graft in 2001 PFH: HTN (father) Social Hx: Widow. Husband passed away from colon CA 1 year ago. Has a daughter, a son, and 3 grandkids. Lives alone in home she shared with her husband. Non-smoker. Denies illicit drug use. Denies alcohol use Chief Complaint: New onset confusion Physical Exam: Temp: 37.5 ° HR: 72 RR: 14 SPO2: 97% on room air B/P: 140/74 Physical Exam: General: Appears stated age, slightly disheveled, does not appear in any acute distress Cardio: Radial pulse +1, + S1, S2, No murmur appreciated. +1 edema in lower extremities Neuro: Disoriented to place, month, year. No tremors. Speech clear. Follows simple commands Pulm: No SOB, positive breath sounds in all f quadrants, no wheezing or crackles Abd: Soft, non-dist

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