n elderly patient presents with decreased n

n elderly patient presents with decreased n elderly patient presents with decreased memory and increased confusion. The daughter is present at the exam. The daughter states that her mother has lived on her own for many years, but recently she has begun to become unable to take care of herself. The daughter states that her mother has become withdrawn and has lost interest in her usual activities. The patient was always a good housekeeper. However, recently she is noticed to wear the same closed for several days and her house is unkept and dirty. She seems anxious and confused and she calls her daughter several times a day worried that the neighbors previously good friends are spying on her. She denies bowel or urinary incontinence, and she has had no trouble with headaches or gait instability. Overall, she has been very healthy, and she only receives treatment with hydrochlorothiazide for hypertension. She never smoked or drank alcohol. On examination, her blood pressure is 116/56, heart rate 78 bpm, temperature 98.7 Fahrenheit and her respiratory rate is 18 breaths per minute. Her weight is 160 pounds, and her height is 5’3″. She is well-developed, but her affect throughout the examination is SCIENCE HEALTH SCIENCE NURSING

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