Question Answered step-by-step Asked by Payton_010 Mary is an 81-year-old

Question Answered step-by-step Asked by Payton_010 Mary is an 81-year-old Asian female who has a medical history of vascular dementia, type 2 diabetes mellitus, hypertension, hyperlipidemia, and osteoporosis. She is brought to her primary care provider appointment by her daughter Sara. Home medications include aspirin, donepezil, sitagliptin, amlodipine, atorvastatin (moderate intensity), ezetimibe, calcium with vitamin D, and acetaminophen as needed. Her daughter, who is also her primary caretaker, reports that over the past few months Mary has become increasingly forgetful and has had a decreasing appetite. Sara reports that her mother requires more assistance in her day-to-day activities compared to 3 months ago, when she was mostly independent. Sara states that she usually sets up her mother’s medications every week in a pillbox and has recently noticed that her mother has been more forgetful and even missed taking her medications several times a week. About two months ago, Mary suffered a fall at home and was admitted to the hospital for a fractured hip. Currently, Mary denies pain and discomfort. Her vital signs today are weight: 115 lb., height: 5’4″, blood pressure: 139/84 mm Hg, hemoglobin A1c: 6.8% mg/dL. Her total cholesterol is 210 (low-density lipoprotein [LDL], 118; high-density lipoprotein [HDL], 60; triglycerides, 128). How would you adjust her medication regimen for her hypercholesterolemia? Please include the drugs with appropriate dosage, frequency and duration in Mary’s treatment plan. Which national guideline would you utilize to assist you in making this decision? Identify three barriers that could impact Mary’s quality of life based on her underlying condition of vascular dementia. What resources are available to her and her daughter? (Include at least one social determinant of health in your stated resources.) SCIENCE HEALTH SCIENCE NUR 551

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