PCL 8: Confusion Reigns

Details of the PCL
Madam Leong
· 82 y.o
· Mental and physical health deterioration
· Had right knee replacement due to osteoarthritis
· Accelerated memory loss due to physical inactivity
· Absent minded
· Lives in nursing home currently
· John (only son) unable to visit and take care of her frequently
· Visited once a week
· More confused; cannot recognize son
· Stiff movements
· Needs help going to bathroom
· Urinates more frequently
· Painful when urinating
· Smells like urine sometimes
· Has urine incontinence
Important info:
· Absent minded
· Memory loss
· Stiff movement
· Urine incontinence/ frequency
· Pain during urination
· Brain problem???
Hypothesis
· Parkinson’s
· Alzheimer’s
· Senile
· Depression
· UTI (urinary tract infection)
Learning Issues
· Anatomy of the genitourinary system (female)- sites of frequent infection (1) David
· Definition and Microbiology (normal and abnormal flora) at and around the area of UTI (2) Fui Chen and Syukriah
· Pathogenesis and routes of infection (2) Kieron and Deepak
· Signs and symptoms- define the SS and why it occurs (2)- Lukman and Nicole
· Diagnosis and investigation- Viran
· Management and treatment plus Complications (as well as cognitive impairment) (2)Shamendri and Sam
· Social issues regarding the elderly and nursing homes- Rose