HAdiscussion2.docx
Case 1
Chief Criticism (CC)
“I came for my annual bodily examination, nonetheless affect no longer must be a burden to my daughter.”
History of Latest Illness (HPI)
At-likelihood 86-year-ragged Asian male – who’s physically and financially dependent on his daughter, a single mom who has minute time or money for her father’s nicely being needs.
PMH
Hypertension (HTN), gastroesophageal reflux illness (GERD), b12 deficiency and continual prostatitis
PSH
S/P cholecystectomy
Drug Hx
Latest Meds: Lisinopril 10mg each day, Prilosec 20mg each day, B12 injections monthly, and Cipro 100mg each day.
Hypersensitive reactions
Family Hx
Total
+ weight reduction of 25 lbs over the final year; no fresh fatigue, fever, or chills.
Head, Eyes, Ears, Nostril & Throat (HEENT)
No changes in imaginative and prescient or hearing, no danger chewing or swallowing.
Neck
No anxiety or anxiety
Respiratory
CV
GI
GU
no urinary hesitancy or trade in urine circulation
Integument
multiple bruises on his larger hands and inspire.
MS/Neuro
+ falls x 2 within the final 6 months; no syncopal episodes or dizziness
PE
B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8
Total
HEENT
Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera positive, nares patent, nasopharynx positive, edentulous.
Lungs
CTA AP&L
Card
S1S2 without rub or shuffle
Abd
benign, normoactive bowel sounds x 4
GU
Ext
no cyanosis, clubbing or edema
Integument
multiple bruises in assorted phases of healing – on his larger hands and inspire.
MS
Neuro
No evident deformities, CN grossly intact II-XII
For this Dialogue, you are going to take on the role of a clinician who’s building a nicely being historic previous for one of the predominant next cases.
Answer the next questions about your explicit case number assigned:
1. Discuss the explicit socioeconomic, non secular, each day life, and other cultural components linked to the nicely being of the affected person you chosen.
2. The usage of the 5 overview domains, which ones would you exhaust for your affected person in conducting a comprehensive nutritional overview?
3. Discuss the purposeful anatomy and physiology of a psychiatric mental nicely being affected person. Which key ideas must a nurse know in converse to assess explicit capabilities?
Your initial post needs to be no no longer as much as 500 phrases, formatted and cited within the sizzling APA vogue with strengthen from no no longer as much as 3 tutorial sources.
Due Wednesday Oct.23 at 11:59pm
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