Dr. Danilo Ocampo is a 74-year-old retired pathologist. He
lives in his home with Lydia, his wife of 51 years. Their only
child, a son, was killed at age 22 in an automobile accident.
Danilo was born and raised in the Philippines and came to the
United States when he was 23. Danilo is the last living member
of his immediate family. He has a few nephews and nieces in the
Philippines, but no relatives live nearby.
Dr. Ocampo’s health has been declining for the past few
years. He has a medical history that includes hypertension,
myocardial infarction, angina, and class 2 heart failure.
Because of these cardiovascular disorders, he takes multiple
medications, including metroprolol, lisinopril, aldactone,
furosemide off and on, K+ when taking furosemide, aspirin,
isosorbide dinitrate, and nitroglycerin. He has a good
understanding of the pharmaceutical properties of the
medications. At times, he is not sure he gets good health care
because of all the medications he takes – he often does not
believe they are helpful because he experiences many side
effects, and he has required multiple admissions to the
hospital. He usually feels better after a few days in the
hospital but typically checks himself out of the hospital before
his physicians are ready to discharge him.
Because Lydia has dementia, most of Danilo’s time and energy
are spent managing their household and taking care of her. He
has been resistant to outside help, believing he can care for
her better than anyone else does. He maintains a very consistent
schedule, and they get along quite well. Although at one time in
their lives they were very socially active, at this point, they
rarely go out.