What Matters, Medication, Mentation and Mobility, each scored and tied to two goals a composite retired bus driver names, organize NU584's closing geriatric care plan. Searches like "nu 584 unit 10 assignment example", "nu584 unit 10 sample" and "nu584 unit 10 example" land here.
A Garden Plot and the Corner Store: A Comprehensive Geriatric Care Plan Organized by the 4Ms for an 83-Year-Old Retired Bus Driver
[Student Name]
Purdue University Global
NU584: AGNP II - Primary Care of the Frail Elderly
Unit 10 Comprehensive Geriatric Care Plan
[Instructor Name]
[Date]
The patient is a composite; scores, doses and dates are bracketed, and medication actions are proposals for the prescriber.
What Matters, in His Words
Mr. [T.], 83, drove a city bus for thirty-one years. "I want to keep my garden plot, and I want to walk to the store for my paper. And I want to stay in my apartment." His apartment is on the second floor, with [fourteen] stairs. The 4Ms framework from the Institute for Healthcare Improvement puts what matters to the patient first, then aligns medication, mentation and mobility with it (Institute for Healthcare Improvement, 2020; Fulmer et al., 2018). Care aligned with patients' own priorities has been associated with less treatment burden in older adults with multiple conditions (Tinetti et al., 2019).
Summary
1. What matters: the garden, the store, the apartment. Intervention: every domain below serves these. Owner: all. Review: every visit.
2. Mobility: one fall in six months; Timed Up and Go [13] seconds; Clinical Frailty Scale [5]. Link: kneeling and rising in the garden, stairs, walking to the store. Intervention: physical therapy for strength, balance and floor-to-stand practice. Owner: physical therapist. Review: [eight] weeks.
3. Mentation: MoCA [23] with hearing aids in; PHQ-9 [4]. Link: managing his own medicines and shopping. Intervention: repeat cognitive screen in twelve months; a pill organizer. Owner: nurse practitioner. Review: [twelve] months.
4. Medication: [eleven] medicines; eGFR [38]; atrial fibrillation on [apixaban]; A1C [7.9] percent. Link: dizziness, falls, clarity. Intervention: two changes, below. Owner: prescriber. Review: [four] weeks.
5. Sensory: hearing aids worn; last eye examination [three] years ago. Intervention: eye examination. Owner: optometrist.
6. Nutrition: weight stable; eats one hot meal a day. Intervention: garden vegetables encouraged; protein at each meal.
7. Social: widowed; a nephew visits weekly; friends at the garden. Intervention: none needed now.
8. Advance care planning: no documented agent. Intervention: name a health care agent; discuss goals. Owner: nurse practitioner. Date: next visit.
Mobility
Strength and balance training is aimed at the two movements his goals require, kneeling down to his garden bed and rising again, and climbing fourteen stairs with a grocery bag. Physical therapy will use those tasks as the exercises, with a garden kneeler that has handles and a rail on both sides of his stairs.
Mentation
A MoCA of 23 with hearing aids in suggests mild cognitive impairment rather than dementia, since he manages his own affairs. His PHQ-9 of 4 does not suggest depression. A repeat screen in twelve months will show whether it changes. His medicines go into a weekly organizer his nephew helps him fill.
Medication
Two proposals, applying the 2023 Beers Criteria and a time-to-benefit view (American Geriatrics Society Beers Criteria Update Expert Panel, 2023):
1. [Glipizide]: stop, and relax his A1C target to below 8.0 percent; his current A1C of 7.9 is already within that target, and a sulfonylurea adds hypoglycemia and fall risk with reduced kidney function.
2. [Diphenhydramine] at night for sleep: taper and stop; strongly anticholinergic, it worsens cognition and fall risk.
Apixaban continues, at the dose appropriate for his age, weight and kidney function.
Conflicts
The stairs to his apartment carry fall risk, but moving would take away something he values; the plan keeps him there with rails and strength training. A looser glucose target trades long-term control for safety now. Anticoagulation with a fall history: stroke prevention outweighs bleeding risk from falls in most older adults with atrial fibrillation, and falls are addressed rather than the anticoagulant stopped.
Follow-Up and Coordination
The plan is shared with his nephew, with Mr. [T.]'s permission, since the nephew fills the pill organizer and drives him to appointments. Physical therapy starts within [two] weeks, with a home safety visit for the stair rails. The prescriber reviews the glipizide and diphenhydramine changes at a four-week visit, when his glucose log and sleep are checked. The eye examination is booked for [date]. At every visit, the first question is his own: can he still get to the garden and the store? If a new problem threatens either, the plan is revised around it, not around the problem alone.
What Would Change the Plan
A second fall, a drop in his MoCA score, a hospital stay or a change in what he says matters would each prompt a full review. If the stairs become unsafe despite training and rails, the conversation would turn to what he would trade to stay at home, perhaps a stair lift, perhaps a first-floor apartment near the same garden, and the choice would be his.
For Mr. T., in Plain Words
You want your garden, your walk to the store and your apartment. To help: exercises that practice kneeling and stairs; rails on both sides of your stairs; stopping two medicines that can make you dizzy or foggy; an eye exam; and choosing someone to speak for you if you ever cannot.
References
American Geriatrics Society Beers Criteria Update Expert Panel. (2023). American Geriatrics Society 2023 updated AGS Beers Criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society, 71(7), 2052-2081. https://doi.org/10.1111/jgs.18372
Fulmer, T., Mate, K. S., & Berman, A. (2018). The Age-Friendly Health System imperative. Journal of the American Geriatrics Society, 66(1), 22-24. https://doi.org/10.1111/jgs.15076
Institute for Healthcare Improvement. (2020). Age-Friendly Health Systems: Guide to using the 4Ms in the care of older adults. https://www.ihi.org/networks/initiatives/age-friendly-health-systems
Tinetti, M. E., Naik, A. D., Dindo, L., Costello, D. M., Esterson, J., Geda, M., Rosen, J., Hernandez-Bigos, K., Smith, C. D., Ouellet, G. M., Kang, G., Lee, Y., & Blaum, C. (2019). Association of patient priorities-aligned decision-making with patient outcomes and ambulatory health care burden among older adults with multiple chronic conditions: A nonrandomized clinical trial. JAMA Internal Medicine, 179(12), 1688-1697. https://doi.org/10.1001/jamainternmed.2019.4235
How this NU584 Unit 10 example is structured
What Matters comes first and governs the rest, which is the point of the 4Ms framework from the Institute for Healthcare Improvement. Each later domain follows the same pattern, finding, meaning for his goals, intervention, owner, date, so the plan argues a single case instead of piling up consults. Medication applies the course's earlier tools, Beers 2023 and a time-to-benefit view, and proposes two changes for the prescriber. Mentation separates mild cognitive impairment from mood, with a PHQ-9 of 4, and plans a repeat screen in twelve months. Mobility links strength and balance training to the garden directly, since kneeling and rising are what he needs. Competing demands are handled in a conflicts paragraph: the stairs to his apartment, a sensible glucose target, and anticoagulation with a fall history. A single page written for him in plain language ends it.
Get an NU584 Unit 10 example written to your instructions
Send the full Unit 10 case, with every score, medication and social detail it provides, along with the rubric and any framework your section prefers. The sample plan leads with the patient's goals, carries each domain through finding, intervention, owner and date, and ends with a page written for the patient. First request free; delivered in 24-48h. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.
NU584 Unit 10 questions, answered
Should the plan use the 4Ms or another framework?
Either can work if it is named and followed. The 4Ms from the Age-Friendly Health Systems initiative suit primary care, and the domains of a comprehensive geriatric assessment suit a longer plan. Some sections name one in the prompt. What graders look for is a framework that organizes the plan and a patient's goals that govern it.
How long should a comprehensive geriatric care plan be?
Often six to eight pages, though sections set their own limits. Opening with a single-page summary table lets the grader see the whole plan before the detail, and it keeps the domain sections from repeating each other. Length spent on integration earns more than length spent restating assessment results.
Does the plan need a version for the patient?
Many sections reward one, and it demonstrates health literacy in practice. A single page in plain language, listing goals, changes and contacts, shows that the plan can leave the chart. If your prompt does not ask for it, a short patient summary still strengthens the final section without adding much length.