Division of Geriatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Geriatrics and Extended Care, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania, USA.
J Am Geriatr Soc. 2021 Feb;69(2):289-292. doi: 10.1111/jgs.16967. Epub 2020 Dec 6.
Ms. H is a 78-year-old woman with a history of congestive heart failure, chronic obstructive pulmonary disease, and recent stroke who was discharged 1 month ago from a subacute rehabilitation facility. She moved in with her son because she now requires a walker and cannot return to her third-floor apartment. One evening, Ms. H develops a low-grade fever and mild shortness of breath intermittently relieved by her albuterol inhaler. Her son is worried, but knows that his mom does not want to return to the hospital.
H 女士是一位 78 岁的女性，患有充血性心力衰竭、慢性阻塞性肺疾病和近期中风，她一个月前从亚急性康复机构出院。她和儿子住在一起，因为她现在需要助行器，而且无法回到她位于三楼的公寓。一天晚上，H 女士开始出现低度发热和间歇性轻度呼吸急促，沙丁胺醇吸入器可缓解这些症状。她的儿子很担心，但他知道妈妈不想回医院。
