Medical Case Study

MedicalCase Study


MedicalCase Study

MT,an 81-year-old white man who has been living independently due to thedemise of his wife, gets admitted to the hospital for the first time.His grandson has been very attentive in helping the senior man ingrocery shopping and yard care since he is limited by arthritic pain.MT, though, relatively healthy, he has been smoking for 40 yearsbefore quitting for ten years now. He has been takinghydrochlorothiazide daily to manage hypertension as well asalbussterol inhaler occasionally to manage mild emphysema andbronchitis. On lying down, his blood pressure (BP) is 130/78 with apulse of 84 while on standing his blood pressure drops to 100/63 ashis pulse rises to 124. The medical situation of MT iscomprehensively analyzed in this paper.

Atolder ages, people tend to develop orthostatic hypotension which is aPostural hypotension resulting from a reduction in systolic bloodpressure which should be more than 20mmHg after standing for aboutone minute. The drop in blood pressure observed when MT assumes astanding position is a normal and natural phenomenon found in peopleof his age. This fact is also true to his pulse rate increase when MTtakes a standing position against his sitting position (&quotOlderpeople top health agenda, says Milburn,&quot 2012).

MT’srespiratory evaluation showed poor oxygen circulation as well asshallow inspirations and crackles audible at the bases of both of hislungs. It is so likely for one to attribute MT’s abnormalities inpulmonary function to his smoking behavior in his former days of hislife since research has it that smoking has an adverse effect on thehealth of human lung. However, the respiratory system of a personundergoes physiological and anatomical changes which includedeformities in the chest wall and thoracic spine which may impair thetotal respiratory system compliance thus leading to increased work ofbreathing. Chronic Obstructive Pulmonary Disease (COPD) concernsdiseases that cause airflow blockage as well as breathing-relatedproblems. In North America, three out of four COPD cases are believedto be caused by cigarette smoking. After undergoingnon-cardiothoracic surgery, a patient may develop Postoperativepulmonary complications (PPCs) that affect the respiratory tract thusadversely influencing the clinical course of the patient aftersurgery. The PPCs include bronchospasm, Pneumonia, bronchitis amongothers (&quotOlder people top health agenda, says Milburn,&quot2012).

Theregular medication that MT took might have resulted into gastritiswhich is an inflammation of the stomach lining, which can causebleeding in the stomach. This condition might have been the primarycause of his upper gastrointestinal bleeding. Older patients may showdifferent symptoms of upper GI ulcers including trouble inbreathing, appetite changes, vomiting blood and feeling faint againstheartburn and nausea in younger patients. Upper GI ulcers is acondition which can be life threatening if not medically addressedthus more research is necessary to mitigate the problem (&quotOlderpeople top health agenda, says Milburn,&quot 2012).

Inmany times, MT gets assisted by his grandson on his daily chores dueto arthritic pain. This fact amounts to a lack of enough exercise byMT thus probably leading to his constipation problem. It is thereforerecommended that MT engages himself in active responsibilities togive his body the required amount of exercise to help in fooddigestion thus addressing his constipation issue. The story of MT is,however, educative as it depicts the adverse effects caused bysmoking especially at older ages. Young people should learn from themedical condition of MT at his older age and embrace healthypractices during their youthful time.


Olderpeople top health agenda, says Milburn. (2012). NursingOlder People,14(4),5-5.