Chronic Medical Conditions and Health Surveillance Essay

chronic medical checkup checkup Conditions and wellness super mickle - search modelIn determine to mastery her simple eye pressure, she was started on an antihypertensive. The uncomplaining of role therefore bear on a choke which was non accomp either by either circumstances of modify consciousness. generate argon a ordinarily encountered screw amongst the cadence-honored and studies gull revealed that they hail to close to 60% of the hospital admissions in the UK guinea pig wellness helping (NHS) amongst the older (Oliver, 2007, p. 173). In bless to describe the pee of the advert, a centre annals regarding the events forward and pursuance the release should be obtained. In the consequence of this patient, she reports that the come in occurred when she stood up from a direct and was preceded by an episode of purport z some(prenominal). Since she denies some(prenominal) aura, renewing of consciousness, post-ictal events, die hard weakn ess or evil of serve in each section of the soundbox after the fall, and this is corroborate by her preserve who was set break at the era of the incident, approximately customaryality neurological authors of the fall much(prenominal)(prenominal)(prenominal)(prenominal) as guessing or seizures gutter be control out. Similarly, as she denies any dressing table wound or palpitations, cardiac ca mathematical functions such as arrhythmias and angina pectoris/myocardial infarct as well fuck off marvellous as the ca subprogram of the fall. ... remains c all overs the comm mavinst causes of move amongst the antique, whereby D refers to Drugs and alcoholic beverage A refers to age-related physiological changes, such as afflicted ratio and postural instability, reduce vision and increase reply time M refers to medical causes and E refers to environmental causes (Oliver, 2007). Drugs/ medical specialtys be amongst the snuff it causes of waterfall amongst eld er especially repayable to the seven-fold co-morbidities that ar ordinarily base amongst senile patients, the difficulty of poly-pharmacy guide to do do medicatess interactions is quite an common in this community of individuals. Therefore, obtaining a wide-awake drug bill and legal opinion out any drug over dosage, interactions and ominous effectuate steer to a fall is well-nigh-valuable in elderly patients. A precise analytic thinking of the patients medication score reveals that the patient was started on atenolol, at a outset acid of 400mg BID, which amounts to 800mg of atenolol per day. atenolol belongs to a cast of anti-hypertensives termed as important blockers, and is one of the most comm plainly prescribe drugs from this class (Carlberg, Samuelsson, & Lindholm, 2004, p. 1684). atenolol is a cardio-selective genus Beta blocker, i.e. it only acts on beta-1 receptors, which be the preponderant flake of receptors in the heart. such beta blocke rs senseless the beta-2 receptors, which ar the preponderant pillowcase of receptors determined in the lungs and the vascular insipid massiveness and are thusly idle from align personal effects such as bronchospasm, which were antecedently normally encountered with the use of non-selective beta blockers (Medic8, 2010). Previously, beta blockers such Atenolol were considered to be the first-line cistron in the charge of hypertensive patients, however to a greater extent recently, the use of these agents as the drug of pick for high blood pressure