[Verified Answer]: Mr

Mr. Thomas is an established 92-year-old patient who is cared for in his home by his daughter and son-in-law. He has Parkinson’s for which he received regular home health visits. He also has emphysema and has recently gotten over an episode of pneumonia. He sits up in a chair several times a week and is doing relatively well. He has no significant edema and his appetite is good. He has occasional coughing spells related to his emphysema for which he uses a nebulizer with good results. He is on long-term home oxygen. The patient does suffer with severe osteoarthritis in both knees. OBJECTIVE: He is afebrile. Pulse is 68 per minute and regular, respiratory rate is 20 per minute and somewhat labored. He is in no acute distress. He is somewhat lethargic today. Lungs demonstrate some wheezes. Heart demonstrates a regular rate and rhythm. Abdomen is soft, benign with no masses or tenderness. Extremities demonstrate no edema. ASSESSMENT: 1. Parkinson’s 2. Emphysema 3. Osteoarthritis, severe, bilateral knees