Problem #15

Norman is a 83 y.o. male who is referred to home care physical therapy with a diagnosis of congestive heart failure(CHF). Norman is living in his home with the assistance of his younger sister, Adrian who is 80 y.o.

Subjective:

• Norman reports he does not need to be restrained in his chair, and would like you to make his sister remove the posey
• Adrian reports that Norman has frequent falls especially at night when he attempts to walk to the bathroom
• Adrian also reports that it is difficult to remember to give Norman all of his medications, and the pills are so easy to mix-up

Objective:

• Gait: with a walker for twenty feet, min. assist., large medial- lateral displacement of COG
• Vital Signs: At rest: Radial pulse is weak and difficult to assess, BP is 140/60 sitting

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