Posted: February 28th, 2022

Edwardo is a 42-year-old man who is about to embark

Preventative Health and Assessing, Diagnosing, and Treating Special Populations
Number of sources: 4
Paper instructions:
Preventative Health and Assessing, Diagnosing, and Treating Special Populations
Certain groups of patients have concerns that may be specific to their particular population. Conditions related to men’s or women’s health, older adults, college students, LGBTQ individuals, athletes, those with particular cultural beliefs or concerns, or those undergoing palliative or end-of-life care would all fall under this category. Individuals may identify with more than one category.

For this Assignment, you practice assessing, diagnosing, and treating disorders seen in special population patients.

To Prepare:
Review this week’s Learning Resources. Consider preventative health and assessing, diagnosing, and treating special populations.
Review the case study provided by your Instructor. Based on the provided patient information, think about the health history you would need to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate in order to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
Consider each patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
Develop a preventative health treatment plan for the patient that includes health promotion and patient education strategies for special populations.
Complete:

Use the Focused SOAP Note Template to address the following:

Subjective: What details are provided regarding the patient’s personal and medical history?
Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any morbidities or psychosocial issues.
Assessment: Explain your differential diagnoses, providing a minimum of three. List them from highest priority to lowest priority and include their CPT and ICD-10 codes for the diagnosis. What would your primary diagnosis be and why?
Plan: Explain your plan for diagnostics and primary diagnosis. What would your plan be for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.
Reflection notes: Describe your “aha!” moments from analyzing this case.

Use this case for assignment

THIS WEEK YOU WILL REVIEW THE CASE STUDY INFORMATION BELOW.

Edwardo is a 42-year-old man who is about to embark on a rigorous exercise program to lose weight. He hopes to lose at least 30 pounds by working out at the gym. He goes to visit his personal trainer for the first session and is surprised to hear his trainer suggest that he go to his primary healthcare provider for a checkup first.

YOU ARE THE PRIMARY CARE PROVIDER SELECTED BY EDWARDO FOR THE CHECKUP SUGGESTED TO HIM BY HIS PERSONAL TRAINER. EDWARDO IS A TAX ACCOUNTANT WITH TAX SEASON APPROACHING. HE TELLS YOU HE WILL BE WORKING LONG HOURS FOR THE NEXT 4 MONTHS. HIS PLAN WAS TO ALLOW THE EXERCISE PLAN TO HELP HIM WITH PHYSICAL ACTIVITY TO PREVENT HIM FROM CONTINUED WEIGHT GAIN. HE TELLS YOU THAT HE HAS NOT BEEN FOR A PHYSICAL IN 10 YEARS, IS VERY HEALTHY EXCEPT FOR THE WEIGHT GAIN FROM TOO MUCH SITTING BEHIND HIS DESK. HE IS SINGLE, NEVER MARRIED, LIVES IN A CONDOMINIUM, TAKES RESPONSIBILITY FOR ALL HIS LIFE STYLE CHOICES AND ACTIVITIES INCLUDING GROCERY SHOPPING AND MEAL PREPARATION. HIS WORK SCHEDULE IS SO BUSY THAT HE HAS LITTLE TIME FOR MUCH EXCEPT WORK. HE ALSO VOLUNTEERS THAT BOTH PARENTS ARE LIVING AND WELL AND HE HAS ONE SISTER WHO ALSO IS LIVING AND WELL. AFTER HE TELLS YOU ALL THIS, HE STOPS SPEAKING FOR A MINUTE TO ASK IF YOU HAVE ANY QUESTIONS AND HOW LONG IT WILL TAKE TO HAVE THIS CHECKUP AS HE IS DUE IN THE OFFICE VERY SOON.

THIS ASSIGNMENT IS TO BE DEVOTED TO HEALTH PROMOTION, PREVENTIVE HEALTH, AND A DEFINITIVE PLAN THAT YOU THINK EDWARDO WILL ACCEPT. IT WOULD BE BEST FOR YOU TO FIND A WAY TO NEGOTIATE FOLLOW UP SESSIONS WITH YOU DURING THE TIME HE IS WORKING WITH HIS TRAINER. PLEASE DO NOT MAKE THIS DISEASE-FOCUSED AS IT IS FOR HEALTH PROMOTION, PREVENTIVE HEALTH, AND YOUR OPPORTUNITY TO WORK WITH A HIGH STRESS AND AUTONOMOUS PATIENT. SOCIAL DETERMINANTS OF HEALTH MUST BE CONSIDERED. YOU WILL NEED TO COLLABORATE AT SOME LEVEL WITH THE PHYSICAL TRAINER BEFORE AND DURING THE PLAN.

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Subjective:

Edwardo is a 42-year-old man who is about to embark on a rigorous exercise program to lose weight.
He hopes to lose at least 30 pounds by working out at the gym.
He went to visit his personal trainer for the first session and is surprised to hear his trainer suggest that he go to his primary healthcare provider for a checkup first.
Edwardo is a tax accountant with tax season approaching.
He tells you he will be working long hours for the next 4 months.
His plan was to allow the exercise plan to help him with physical activity to prevent him from continued weight gain.
He tells you that he has not been for a physical in 10 years, is very healthy except for the weight gain from too much sitting behind his desk.
He is single, never married, lives in a condominium, takes responsibility for all his lifestyle choices and activities including grocery shopping and meal preparation.
His work schedule is so busy that he has little time for much except work.
He also volunteers that both parents are living and well and he has one sister who also is living and well.

Objective:

Vital signs: BP 120/80, HR 72, RR 18, Temp 98.6 F
Weight: 200 lbs
Height: 5’10”
BMI: 30.4
Physical exam: unremarkable

Assessment:

Obesity
Sedentary lifestyle
Stress

Plan:

Discuss the risks of obesity with Edwardo, including increased risk of heart disease, stroke, diabetes, and cancer.
Encourage him to make lifestyle changes, such as eating a healthy diet and exercising regularly.
Refer him to a dietitian for help with meal planning.
Refer him to a personal trainer for help with an exercise program.
Discuss stress management techniques with Edwardo.
Schedule follow-up appointments to monitor his progress.

Reflection notes:

I was impressed with Edwardo’s willingness to make lifestyle changes.
I am confident that he will be successful in losing weight and improving his health.
I am grateful for the opportunity to help Edwardo improve his health.

Social determinants of health:

Edwardo’s work schedule is very busy, which leaves him little time for exercise or healthy eating.
He is also single and lives alone, which can make it difficult to maintain a healthy lifestyle.
These social determinants of health will need to be considered when developing a plan for Edwardo.

Collaboration with the personal trainer:

It will be important to collaborate with Edwardo’s personal trainer to ensure that his exercise program is safe and effective.
The trainer can also provide support and encouragement to Edwardo.

Follow-up:

It is important to schedule follow-up appointments with Edwardo to monitor his progress.
This will allow the provider to make adjustments to the plan as needed.

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