An 80-Year-Old Woman Is Brought to the Office for Hypertension

An 80-year-old woman is brought to the office for hypertension monitoring. The patient is given lisinopril, but she hasn't taken it in two weeks since she ran out. She attempted to contact her son to arrange for a refill but was unable to reach him. After her house was sold, the patient moved in with her son two months ago. She claims he spends the week at his girlfriend's house, therefore she has to locate neighbors who can take her about. A cerebrovascular accident with modest residual weakness on the left side is mentioned in the medical history. The temperature is 37 ° Celsius (98.6 ° Fahrenheit) , the blood pressure is 156/88 mm Hg, and the pulse rate is 80 bpm. The patient is fully oriented.  Cardiopulmonary examination shows no abnormalities.  Gait and voluntary movements are normal.  On mental status examination, she appears tired and is wearing tattered clothing.  Which of the following is the most appropriate next step in management of this patient?

A) Arrange for home healthcare services
B) Contact the patient's son to review treatment recommendations
C) Notify Adult Protective Services
D) Recommend an in-home social work assessment
E) Suggest moving into an assisted living facility

Correct Answer:

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