For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases.

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases.

Case 1

Chief Complaint 
(CC) 

“I came for my annual physical exam, but do not want to be a burden to my daughter.” 

History of Present Illness (HPI)

At-risk 86-year-old Asian male – who is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs.

PMH

Hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency and chronic prostatitis

PSH

S/P cholecystectomy

Drug Hx

Current Meds: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and Cipro 100mg daily.

Allergies

Family Hx

 General

+ weight loss of 25 lbs over the past year; no recent fatigue, fever, or chills.

Head, Eyes, Ears, Nose & Throat (HEENT)

No changes in vision or hearing, no difficulty chewing or swallowing.

 Neck

No pain or injury

 Respiratory

 CV

GI

GU

no urinary hesitancy or change in urine stream

Integument

multiple bruises on his upper arms and back.

MS/Neuro

+ falls x 2 within the last 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

 General

 HEENT

Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous. 

 Lungs

CTA AP&L

Card

S1S2 without rub or gallop

Abd

benign, normoactive bowel sounds x 4

GU

Ext

no cyanosis, clubbing or edema

Integument

multiple bruises in different stages of healing – on his upper arms and back.

MS

Neuro

No obvious deformities, CN grossly intact II-XII

Answer the following questions:

1.
Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.

2.
Utilizing the five assessment domains, which ones would you utilize on your patients in conducting a comprehensive nutritional assessment.

3.
Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions?

Submission Instructions:

· Your initial post must be at least 500 words, formatted, and cited in current APA style with support from at least two academic sources.

· Quotes “……” cannot be used at a higher learning level for your assignments, so sentences need to be paraphrased and referenced.

· Acceptable references include scholarly journal articles or primary legal sources (statutes, court opinions), journal articles, and books published in the last five years-no websites to be referenced without prior approval.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Select a health problem that primarily affect the older adult population. Suggested Topics: Anemia of Chronic Disease, Rheumatoid Arthritis, Restless

Select a health problem that primarily affect the older adult population. Suggested Topics: Anemia of Chronic Disease, Rheumatoid Arthritis, Restless Legs Syndrome, or Hypertension. Provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level. Educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific for

1) In reviewing her medication list and current symptoms and clinical signs, which medication could the nurse practitioner consider de-prescribing. 2)

1) In reviewing her medication list and current symptoms and clinical signs, which medication could the nurse practitioner consider de-prescribing. 2) Once the patient has completed the prednisone taper, which medication could the nurse  practitioner begin to reduce given the patient’s reported symptoms. 3) Given the absence of an exacerbation

See attachment for instructions Use the resources linked below to help complete this assessment. Collapse All Protecting Patient

See attachment for instructions Use the resources linked below to help complete this assessment. Collapse All Protecting Patient Privacy · Assessment 3: Protecting Patient Privacy  reading list. Healthcare Regulatory Agencies · Assessment 3: Healthcare Regulatory Agencies  reading list. · These resources will further your understanding of the major healthcare regulatory