DQ: Specific socioeconomic spiritual & lifestyle
\nDQ: Specific socioeconomic spiritual & lifestyle
\nDQ: Specific socioeconomic spiritual & lifestyle<\/p>\n
\u201cI came for my annual physical exam, but do not want to be a burden to my daughter.\u201d<\/p>\n
History of Present Illness (HPI)<\/p>\n
At-risk 86-year-old Asian male \u2013 who is physically and financially dependent on his daughter, a single mother who has little time or money for her father\u2019s health needs<\/p>\n
PMH<\/p>\n
Hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency and chronic prostatitis<\/p>\n
PSH<\/p>\n
S\/P cholecystectomy<\/p>\n
Drug Hx<\/p>\n
Current Meds: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and Cipro 100mg daily.<\/p>\n
General<\/p>\n
+ weight loss of 25 lbs over the past year; no recent fatigue, fever, or chills.<\/p>\n
Head, Eyes, Ears, Nose & Throat (HEENT)<\/p>\n
No changes in vision or hearing, no difficulty chewing or swallowing.<\/p>\n
Neck<\/p>\n
No pain or injury<\/p>\n
GU<\/p>\n
no urinary hesitancy or change in urine stream<\/p>\n
Integument<\/p>\n
multiple bruises on his upper arms and back.<\/p>\n
MS\/Neuro<\/p>\n
+ falls x 2 within the last 6 months; no syncopal episodes or dizziness<\/p>\n
PE<\/p>\n
B\/P 188\/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8<\/p>\n
HEENT<\/p>\n
Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.<\/p>\n
Lungs<\/p>\n
CTA AP&L<\/p>\n
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\nCard<\/p>\n
S1S2 without rub or gallop<\/p>\n
Abd<\/p>\n
benign, normoactive bowel sounds x 4<\/p>\n
Ext<\/p>\n
no cyanosis, clubbing or edema<\/p>\n
Integument<\/p>\n
multiple bruises in different stages of healing \u2013 on his upper arms and back.<\/p>\n
Neuro<\/p>\n
No obvious deformities, CN grossly intact II-XII<\/p>\n
Once you received your case number, answer the following questions:DQ: Specific socioeconomic spiritual & lifestyle<\/p>\n
Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.<\/p>\n
Utilizing the five assessment domains, which ones would you utilize on your patients in conducting a comprehensive nutritional assessment.<\/p>\n
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?<\/p>\n
Submission Instructions:<\/p>\n
Your instructor will assign you your case number and you will post on the case number you have been assigned.<\/p>\n
You will reply to the other two case studies (One of each).<\/p>\n
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.<\/p>\n
You should respond to at least two of your peers by extending, refuting\/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)<\/p>\n
All replies must be constructive and use literature where possible.<\/p>\n
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.<\/p>\n
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.<\/p>\n
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