Throughout this course, you were provided case studies that focused on cardiovascular, pulmonary, genitourinary, and musculoskeletal disorders. You will pick one of these cases to analyze and create a comprehensive care plan for acute/chronic care, disease prevention, and health promotion for that patient and disorder. Your care plan should be based on current best practices and supported with citations from current literature, such as systematic reviews, published practice guidelines, standards of care from specialty organizations, and other research based resources. In addition, you will provide a detailed scientific rationale that justifies the inclusion of this evidence in your plan. Your paper should adhere to APA format for title page, headings, citations, and references. The paper should be no more than 10 pages typed excluding title page and references.
HPI
A 52-year-oldIrish American male is discharged from the hospital.He was hospitalized for four days after astent placement, following admission fromthe emergency room with angina symptoms. This patient presentedto the emergency roomwith four hours of crushing chest pain. He wasshort of breath withexertion anddiaphoretic. The patient thought he washaving a heart attack and was afraid to come to the hospital. Thesymptoms lasted for four days before the patient sought help. The patient had been sufferingfrom similarsymptoms for thepast six months but thought that he just out of shape. It was worseupon admission to the hospital.Prior to this,
the symptoms disappeared with rest.
Hissymptoms were relieved in the emergency department with medication andhe was transferred tothe cardiac floor forcatheterization.
The patient’s symptoms were highly debilitating uponhis admissionto the emergency department.
Prior to his admission to the hospital for this event, the patient was not very active because of his angina symptoms. The pain that he hadwas substernal and crushing and radiated to his neck and jaw. Hissymptoms resolve with rest only. He has not sought any therapeutic maneuvers.
He iscurrently asymptomatic and is here for a follow-up visit from his hospitalization to discuss his risk factors. The patientis still concernedthat he may have other episodes of angina, even after the stentplacement.
PMH
The patient has not sought care for his problems in the past. He had been treated for hypertension and high cholesterol in the past but stopped medication on his own.Besides that, he has had no othersignificant illnesses.
He was hospitalized for acholecysectomyten years ago.
This patient had a baselineEKG at his doctor’s officewhen he wasfirst prescribed his blood pressure medication. Otherwise he’s hadno other investigations forheart diseasebesides his cholesterol levels checks.
Results of LaboratoryInvestigationsFollowingHospitalization
Total cholesterol – 210
LDL- 200
HDL- 25
Triglycerides– 250
Fasting bloodsugar – 140
HgbA1c – 7.5
CXR – hyperinflation of the lungs – no infiltrate
EKG – no change from baseline.
Risk Factors:
• High blood pressure
• Hypercholesterolemia
• Type 2 diabetes
• Android obesity
• Cigarette smoker
• Positivefamilyhistory
Past surgicalhistory of Cholecysectomy, almost 10 years agewithout any complications.
ROS
Review of systems is otherwise negative
DISCHARGEMEDICATIONS
Tenormin XL50 mg daily Lipitor 10 mg daily Glucophage– 500mg BID BabyASAdaily
Patient is now compliantwith the prescribed regimen, but wasn’t in the past. The medicines were prescribed bythe physicianwho discharged him fromthe coronary care unit.
ALLERGIES/REACTIONS
Patient has no known drugallergies
SOCIALHISTORY
The patient is a high school graduate and a licensed carpenter andis anxious to get back to work because of finances. His income is around $50,000.00 per year. Hiswife is currently disabled
with uncontrolled type 2 diabetes. The patient hasdisruptedself-efficacy because he is not sure whether hecan care for his wife, who needs his help, now that he is sick. They live paycheck to paycheck and cannot afford a vacation.They have three grown-up childrenwhohave left home and do not live in the area.The patient has lived in thesamecity all his life. He does not participate insports or any other physical activity. Thestreets of hisneighborhoodare not safe for exercising; the crime rate is high. Thereis little community socialization and most people areat
the poverty level.
He is thesolebreadwinner in the family. Hisstress level is very high because of the impending bills that he needs to pay while he is not able towork. He believes that a man should be able to care for his family and be strong enoughnot to suffer from any illnesses himself.
The patient and hiswife live in a one-bedroom apartment in an inner city, quiteisolated fromtheir community. They do not have any relatives living in the area nor dothey socialize with neighbors. He has little emotional or socialsupport.He is stressed most of the time and is now suffering from depressive symptomssuchas sleeping excessively and over eating.
This patient has health insurance through the union to which he belongs, but it does not offer complete coverage of all his prescriptionmedications.Though he goes to a clinic that is associatedwith the hospital, he does not alwayssee the same primary care provider. HABITS
• Diet Habits
The patient usually eats one large meala day afterwork.Heskipsbreakfastmostofthetimes and eats fast food for lunch.He eats fewfruits and vegetables; mostly pasta andmeat at home.
He feels that he got all the exercise he needed whenhe was a young man, and the exercise he gets as a carpenter now issufficient to keep him healthy.
Smoking: Hesmokes 1 pack per day from the past 30years
Alcohol: Does not drink
SubstanceUse: Denies street drug use
• WORK HABITS
He’s alwaysbeen acarpenter; has no hobbies and reads at home.
• FAMILY HISTORY
He has two older brotherswho are being treated forhigh blood pressure and type 2 diabetes. Both brothers were diagnosedwith these disorders intheir early forties.
Both parentsare deceased; father from heart disease,and motherfrom breastcancer.
PHYSICALEXAMINTAION
Vital Signs: BP: 160/92 left are sitting; P:60 ; R: 16;T: 98;Wt: 220#;Ht:– 70” HEENT:WNL
Lymph Nodes:None
Lungs:Decreased breathsounds throughout, no adventitioussounds
Heart:RRRwithout murmur
Carotids:Rightbruit
Abdomen: Android obesity, WC = 44 inches
Rectum: Notexamined
Genital/Pelvic: NA
Extremities, Including Pulses:
Decreased pedal pulses BL with lower leg edema from ankle to mid calf. Neurologic: Not examined
EKG: No change from baseline
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