History of Hypertension, Osteoarthritis, and COPD
Mr. Coffman is a 63-year-old male with a history of hypertension, osteoarthritis, and COPD. He recently had a COPD exacerbation and a moderately sized STEMI. Mr. Coffman has been a smoker for the last 40 years, but has recently considered quitting due to his worsening health condition. He is currently being treated in an acute care hospital setting for his recent MI and COPD exacerbation. At home, he wears 2 liters of oxygen at night, but he has been prescribed continuous oxygen at 4 liters since his hospitalization. Mr. Coffman spent 1 day in the intensive care unit and was then moved to the telemetry unit because his condition was improving. His physician has ordered OT evaluation and intervention to address the client’s decreased independence with ADLs and other occupations, shortness of breath, reduced functional activity tolerance, anxiety due to poor breathing patterns, and fatigue with daily activities.
Mr. Coffman has been married for 35 years to his wife Betsy, and they reside in a two-level house with three steps to enter the home. The main bedroom and bathroom are on the first floor, so he does not have to go upstairs when he first discharges home after his hospitalization. He has three children and seven grandchildren. His children live nearby and are willing and able to help him if needed. Mr. Coffman’s parents passed away several years ago, but all four of his siblings are still living and he visits with them often. He enjoys socializing with friends and customers at a local farmer’s market. Mr. Coffman has a high school education and has not completed any college courses.
Mr. Coffman was independent with all self-care activities, functional mobility, and driving until his most recent hospitalization. He was also able to help with light home-management tasks, although his wife does most of the cooking, cleaning, and laundry in their home. Mr. Coffman enjoys yard work, such as mowing and tending to his large garden, but he has found this to be increasingly difficult over the last few years. He enjoys spending time with his grandchildren, and he often attends their baseball games and other activities. Mr. Coffman had to retire early from his factory position due to his health conditions, but he still works for several hours 2 days a week at a local farmer’s market during produce seasons.