No Plegarism please, assignment will be checked with Turnitin.\u00a0
\nWill need minimum of 1 to 1 and 1\/2 full content pages, plus title, and reference page APA Style, double spaced, times new romans, font 12, and and 3 references with intext citations. References within 3 years (2016-2018).\u00a0
\n\u00a0
\nLocation: XYZ Family Practice<\/p>\n
You are an NP student in this practice. Your next patient is the following:
\n\u201cI had to come in today because I have been coughing for a long time\u201d
\nAmanda Smith (69 year old, black female) is a retired postal worker. During the visit, she is coughing continually. She states the cough started 5 days ago intermittently but 2 days ago it became constant. Her chart indicates that she has been a patient of the practice for 5 years, gets care regularly and her HTN has been controlled for 4 years.<\/p>\n
Social History
\nMarried \u2013 2 adult children A & W
\nNon-Smoker now. Smoke 1 pack a day for 15 years. Quit x5 years ago
\nNo alcohol or drug use
\nBaptist, attends church regularly and is a member of the choir<\/p>\n
Family History
\nMother \u2013 Deceased at age 27 from traumatic accident
\nFather \u2013 Deceased age 78 related to renal failure secondary to diabetes type II
\nSiblings \u2013 one brother age 61 A & W
\nMedical\/Surgical\/Health Maintenance Hx
\nMeasles, mumps and chicken pox as a child.
\nTetanus\/Diptheria\/Pertussis \u2013 Last dose 2 years ago
\nInfluenza \u2013 Last dose 9 months ago
\nPneumococcal vaccine at age 65
\nZostivax at age 60
\nChronic diagnoses \u2013 HTN x 5 years
\nTakes HCTZ 25 mg daily<\/p>\n
ROS
\nGeneral
\nUsual weight has been maintained
\nFever for 5 days up to 101<\/p>\n
Skin
\nDry skin, uses emollient frequently<\/p>\n
HEENT
\nWears reading glasses
\nDentition fair. Partial upper denture
\nNeck
\nNo swelling or stiffness<\/p>\n
Chest
\nSubsternal pain on cough
\nRespiratory
\nBegan coughing 4 days ago. Started mild, intermittent and non-productive. Two days ago became constant and productive of frothy sputum. Keeps her awake at night. No relief with OTC cough syrup. She states she is short of breath today.<\/p>\n
CV
\nNo CP at rest or when not coughing<\/p>\n
PV
\nSome swelling of feet and ankles at end of day, relieved by elevating feet<\/p>\n
GI
\nDecreased appetite for one week
\nNo change in bowel habits<\/p>\n
GU
\nNo frequency, hesitancy, nocturia or change in bladder habits<\/p>\n
Genitalia
\nNo changes<\/p>\n
MS
\nStiffness in hands and legs on awakening. Relieved with activity<\/p>\n
Psych
\nNo depression, anxiety, or memory change<\/p>\n
Neurologic
\nNo numbness, weakness, headache, change in mentation, or paralysis<\/p>\n
Hematologic
\nNo past anemia<\/p>\n
Endocrine
\nNo change in weight, thirst, heat\/cold intolerance.
\nYour physical exam reveals:
\nTemp 101.4, Resp 30 labored, no retractions, BP 135\/92, HR 110, Pulse Ox 90 Wt 130 lbs
\nGeneral appearance \u2013 Alert in all spheres, in mild respiratory distress, able to answer questions with short sentences, tripod breathing<\/p>\n
HEENT \u2013
\nEyes ,ear, nose, head wnl
\nMouth -mucosa dry
\nPharynx \u2013 tonsils present not enlarged, normal pink color
\nLymph \u2013 no enlargement
\nSkin \u2013 Dry and scaly legs and arms. Tenting of skin noted
\nHeart- regular rhythm at 110 bpm, no murmurs or extra sounds
\nLungs \u2013 normal breath sound without crackles, bronchophony or egophony
\nAbdomen \u2013 no mass, tenderness, rigidity
\nExtremities \u2013 Hands \u2013 no swelling, Feet\/legs – +1 edema feet to ankle level
\nPedal pulses \u2013 wnl
\nDifferential diagnoses:<\/p>\n
CAP
\nAcute bronchitis
\nCongestive heart failure
\nInfluenza<\/p>\n
Plan – transfer to acute care setting for further work-up\u00a0<\/p>\n
Assignment Details:
\nThe \u201cElevator Consult\u201d\u00a0
\nIn this activity, you will practice giving a synopsis of your patient to your preceptor. In practice, you may often give this type of report if you are sending a patient for a consultation and your phone the specialist to discuss the patient. This report should be concise and clear. The receiver should, within one minute (slightly less for simple cases, slightly more for complex cases) have a picture of the patient in his\/her head. You will report on ONLY items pertaining to the acute problem in this case. Do not include extraneous material or material not directly impacting the decision-making regarding this problem. Remember, this is a FOCUSED visit and assessment to evaluate a focused concern. The history and physical exam applies techniques relevant to the specific complaint for the patient at that visit. Your report should be similarly focused, providing only information that relates specifically to the presenting problem.\u00a0
\nPlease review the grading rubric under Course Resources in the Grading Rubric section.<\/p>\n","protected":false},"excerpt":{"rendered":"
No Plegarism please, assignment will be checked with Turnitin.\u00a0 Will need minimum of 1 to 1 and 1\/2 full content pages, plus title, and reference\u2026<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[565],"tags":[195,194,191,202,204,189,200,198,197,192,201,205,190,76,203,196,193,199],"class_list":["post-6708","post","type-post","status-publish","format-standard","hentry","category-uk","tag-buy-cause-and-effect-essay","tag-buy-compare-and-contrast-essay","tag-buy-thesis-online","tag-case-study-writing-service","tag-nursing-apa-assignment-help","tag-nursing-care-plans-editing-services","tag-nursing-case-study-in-apa-writing-services","tag-nursing-evidence-based-practice-editing-services","tag-nursing-pico-project-editing-services","tag-nursing-research-proposal-editing-services","tag-nursing-term-paper-in-apa-writing-help","tag-nursing-thesis-in-apa-writing-help","tag-pay-for-thesis","tag-research-paper-writing-service","tag-write-my-case-study","tag-write-my-nursing-apa-essay-for-me","tag-write-my-nursing-paper-for-me","tag-write-my-research-paper"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/6708","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=6708"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/6708\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=6708"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=6708"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=6708"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}