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An Asymptomatic 85-Year-Old Woman Is Brought to the Physician for a Routine

question 207

Multiple Choice

An asymptomatic 85-year-old woman is brought to the physician for a routine followup visit. She has a history of progressively worsening Alzheimer's dementia for 8 years. In the past 6 months, she has become nonverbal and can no longer walk. Her son reports that she is eating less, and he is concerned that she is not ingesting enough calories. She is not resistant to care and has had no behavioral disturbances. The patient lives with her son, who assists her with all activities of daily living. Her other medical problems include hypertension, hypercholesterolemia, and a hospitalization for aspiration pneumonia in the past year. Her medications include donepezil 10 mg once daily, lisinopril, and simvastatin. She has no known drug allergies.
The patient's vital signs are within normal limits. She weighs 50 kg (110.2 lb) . Her weight 6 months earlier was 55 kg (121 lb) . She is awake but not oriented to person, place, or time. There is a small stage II decubitus ulcer on her sacrum. The remainder of the examination shows no other abnormalities.
Which of the following is the most appropriate course of action?

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Canadian Population

Refers to the total number of people living in Canada, including all demographics and regions.

Work-Life Balance

The equilibrium between one's job demands and personal life, allowing for a healthy life both professionally and personally.

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A workplace that provides employees with meaning, purpose, a sense of community, and a connection to others.