The Older Adults

      An 80-year-old patient is brought to the emergency department after fain" rel="nofollow">intin" rel="nofollow">ing at home- EMS verbalized that the client was alone, and it appears that he lives alone- When arrivin" rel="nofollow">ing to the ED his serum digoxin" rel="nofollow">in level is 2-5 ng/mL- He is transferred to a medical telemetry nursin" rel="nofollow">ing unit- The next day, the nurse asks the patient to tell her about his routin" rel="nofollow">ine for takin" rel="nofollow">ing his daily digoxin" rel="nofollow">in tablets- The client verbalized problems hearin" rel="nofollow">ing the nurse- The nurse rephrased her questions- After bein" rel="nofollow">ing asked several times, he states that he was told to check his pulse every mornin" rel="nofollow">ing before takin" rel="nofollow">ing a pill- He does this in" rel="nofollow">in his kitchen because the clock on the wall has big numbers and he can see the second hand go around- The nurse asks him how long he measures his pulse- He replies "I keep countin" rel="nofollow">ing the beats until I get to 60- Sometimes it takes a longtime- Then I take my heart pill-" Later he tells the nurse that he hates "havin" rel="nofollow">ing so many pills to take" and admits havin" rel="nofollow">ing trouble rememberin" rel="nofollow">ing to take his pills- He states that he sometimes can’t remember which pills to take with breakfast and which to take at night- I sometimes take medication when I get up to use the bathroom at night-” I am really not sure which one it took, it was dark-” Insurance: Medicaid and Medicare Other Medications: Simvastatin" rel="nofollow">in 2omg PO daily, Lasix 2omg PO daily, Lisin" rel="nofollow">inopril 2omg PO daily, Tamulosin" rel="nofollow">in 0-4mg daily- Current Medical history: CHF Hyperlipidemia HTN Osteoarthritis COPD Past Medical History: Smoker of 25 years 01. From the history and data presented above what type of physiological changes has occurred? Described the changes- (1opt)