Carmelo Soto is a 90 year old male, with history of diabetes and hypertension, who is admitted to the nursing home 2 weeks ago because of memory loss that disrupts his daily life, especially forgetting recently learned information. He is disoriented to place, time and person. He has trouble to understand something if it is not happening immediately. His communication is not clear, so he is unable to follow the interview and has difficulties finding the right words during assessment. Skin was cool to touch with normal color according to age, but we notice a breakdown of the skin at the level of his calf muscle (left leg). His family complaints about his constant need to urinate, and he is unable to delay going to the toilet. He also complaint about muscle weakness at the level of his lower extremities evidenced by inability to perform what he wants to do with his legs every time he tries.
In addition, a Braden Scale was performed to determine whether this patient is at high risk for pressure ulcers. He has a total risk score of 17, which places him at mild risk for the development of wounds. Next, a …show more content…
These changes depend not only on genetic patterns but also on environmental factors. With age, the skin becomes less elastic and more lined and wrinkled. The oil glands gradually produce less oil, making the skin drier than before. In addition, it is normal for hair to gradually thin on the scalp, pubic area, and armpits. As hair pigment cells decline in number, gray hair growth increases. By age 80, it is common to have lost as much as 2 inches (5 cm) in height. This is often related to normal changes in posture and compression of joints, spinal bones, and spinal discs. Also, older adult develop a need for reading glasses as the lenses in the eyes become less flexible (presbyopia). It is also normal for night vision and visual sharpness to decline. Also in the later years, glare increasingly interferes with clear