Lesacote - Lesa Cote
More Posts from Lesacote and Others
NR 601 Week 1 Case Study Discussions Physical Examination (Part 1) NEW
Discussion Part One (graded)
You meet your first patient of the morning. A.K. is a 65-year-old Caucasian male who you are seeing for the first time. Both wife and daughter are present.
Background
He reports that he has had an 18-pound unintentional weight loss in the last 2 months “I am just not hungry anymore, and when I do eat, I get full so fast. In fact, it is really hard to eat, and I don’t eat nearly as much as usual, even though I eat 3 times every day”. He also reports feeling more tired than usual. “I am not sleeping very well. My wife wakes me up when I am snoring, or when she thinks I am not breathing. I used to have sleep apnea, but I don’t think I have it anymore. Besides, that mask is so horrible to wear.” He reports day time somnolence. He reports that he is at the clinic today because of his wife and daughter’s concern about his weight loss and loss of appetite.
PMH
Mr. A.K. has a history of hypertension, cataracts, and osteoarthritis. Current medications:
Ibuprofen 600 mg po TID
Lisinopril 20 mg po QD
Hydrochlorothiazide 25 mg PO QD
Simvastatin 20 mg po QD
Vitamin D3 50,000 units po weekly
Omeprazole 40 mg po QD
Sudafed 50 mg po TID prn
Surgeries
April 2010-Right cataract extraction with Intraocular Lens Placement June 2010- Left cataract extraction with Intraocular Lens Placement November 2011-Left total knee arthroplasty
Allergies: No known drug or food allergies. Allergies to latex causing difficulty breathing and to bee stings, causing widespread edema and airway obstruction.
Vaccination History
He receives annual flu shots “most of the time”. His last one was 18 months ago.
Received a Pneumovax “the day I turned 65”.
His last TD was greater than 10 years ago.
Has not had the herpes zoster vaccine.
Social history
He has an 8th grade education and is a retired concrete finisher. He lives with his wife of 45 years and his daughter lives next door. He enjoys working in his back yard garden and recently tripped over the garden hose last week where his neighbor had to come and help him up.
Family history
Both parents are deceased. Father died of a heart attack at the age of 80; mother died of breast cancer at the age of 76. He has one daughter who is 45 years old and has hypertension. Hypertension, coronary artery disease, and cancer runs in the family.
Habits
He drinks one 4 ounce glass of red wine nightly; previous smoker of 30 years; he quit for 10 years, and is now smoking ¼ pack per day for the last 6 months.
Discussion Part One:
Provide the differential diagnoses (DD) with rationale
for assignment help and quiz,
visit
http://www.dreamassignment.com/
5 Master Tips for Taking Calculated Risks in Business
Is it tough to take calculated risks in your business? Here the 5 mantras are free to you. Read it promptly and become an expert in taking measured risks in business.
PSY 490 Week 5 DQ 2
How can psychology be integrated into your career and educational decisions?
Would you recommend a Bachelor of Science in Psychology to people in other fields of study? Explain your response.
PSY 490 Week 5 Learning Team Jeopardy Game Presentation
Develop a 20-minute Jeopardy game presentation that integrates the breadth and depth of core psychology knowledge.
Search the Internet for a Microsoft® PowerPoint® jeopardy game template.
You will be developing Questions & Answers related to your topics. Remember that your questions should increase in level of difficulty related to your point value.
Include the following topics in your game:
· Holistic approach to prior learning
· Integrating psychology into your personal life
· Psychology across all disciplines
· Integrating psychology into career and educational decisions
· Your personal learning theory (you and your team will agree on a learning theory to use for this category.)
for assignment help and quiz
http://www.dreamassignment.com/
NR 601 Week 4 Case Study Discussions Physical Examination (Part-1) NEW
Discussion Part One (graded)
You are seeing S.F., a 74-year-old. Hispanic male in the office this morning for difficulty breathing.
Background:
S.F. presents with increased dyspnea on exertion that has become progressively worse over the last 3 days. You observe that he is using pursed lip breathing as he explains his chief complaint. He reports that he has been coughing up a moderate amount of thick, green sputum for approximately one week that was accompanied by a fever of 100.6 and chills. He took Ibuprofen 400 mg every 4 hours and increased his fluid intake for the last week. Two days ago he noticed that the sputum is now yellow rather than green and that he has not experienced any more fever. Overall, he feels like he is getting better. However, the dyspnea on exertion developed three days ago without relief despite the use of his Spiriva HandiHaler. He reports that he lost his rescue inhaler and has not had it to use in over 2 months.
PMH:
COPD
Hypertension
Osteoarthritis
Current medications:
Asprin-81 daily
Cyclobenzaprine 10 mg prn
Meloxicam 15 mg daily
Metoprolol 25 mg daily
Spiriva HandiHaler daily as directed
Tramadol 50 mg daily prn
Surgeries:
Appendectomy as a child (date unknown)
2004-Left cataract extraction with intraocular lens placement
2008-Right cataract extraction with intraocular lens placement
Allergies: NKA
Vaccination History:
Influenza vaccine- October 2013
Pneumovax-2010
His last TD-can’t remember
Has not a TDAP/TD in 20 years
Screening History:
Last Colonoscopy was 2012-normal
Last dilated retinal and glaucoma exam was 2013
Social history:
Retired roofer-stopped working in 2004 due to arthritis and pain in his rotator cuff. Is married and lives with spouse. They have 4 grown children who live within a 10 mile radius of them. Currently smokes-is down to ½ pack cigarettes daily. Has smoked for 45 years total. Family history:
Father is deceased and had a history of hypertension and diabetes; Mother is deceased and had a history of CAD/MI; Sister-history of colon cancer.
Discussion Part One:
Provide differential diagnoses (DD)with rationale.
Further ROS questions needed to develop DD.
Based on the patient data provided, choose geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. Provide a rationale on why you are choosing these particular tools.
for assignment help and quiz,
visit
http://www.dreamassignment.com/
Dream assignment provides effective html assignment help,homework help and coding help for your projects. We are ready to help college and university students to submit their html assignments questions with proper solution.
