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Posted: June 22nd, 2022
DQ 15: Current evidence based practice guidelines
DQ 15: Current evidence based practice guidelines
A sixty-year-old baker presents to your clinic, complaining of accelerating shortness of breath and nonproductive cough during the last month. She looks like she will’t do as a lot exercise as she used to do with out changing into drained. She even has to sleep upright in her recliner at night time to have the ability to breathe comfortably. She denies any chest ache, nausea, or sweating. Her previous medical historical past is important for hypertension and coronary artery illness. She had a hysterectomy in her 40s for heavy vaginal bleeding. She is married and is retiring from the native bakery quickly. She denies any tobacco, alcohol, or drug use. Her mom died of a stroke, and her father died from prostate most cancers. She denies any current higher respiratory sickness, and he or she has had no different signs. On examination, she is in no acute misery. She is married and can quickly stop her job on the native bakery. She says she has by no means used tobacco, alcohol, or medication. Her mom had a stroke and died, and her father had prostate most cancers and died of that. She says she hasn’t had a chilly or flu not too long ago, and he or she hasn’t had every other signs. From what I can inform, she isn’t in a number of ache. Her pulse is 100 and her blood strain is 160/100. She does not have a fever, and her respiration price is 16. If you take heed to her chest, you may hear air sounds within the distance and late inspiratory crackles in each of her decrease lobes. Her blood strain is 160/100, and her pulse is 100. She is afebrile, and her respiratory price is 16. With auscultation, she has distant air sounds and he or she has late inspiratory crackles in each decrease lobes. On cardiac examination, the S1 and S2 are distant and an S3 is heard over the apex.
What’s the chief grievance?
Based on the subjective and goal info offered what are your Three prime differential prognosis itemizing the presumptive ultimate prognosis first?
What remedy plan would you contemplate using present evidence based practice guidelines?
Should be in APA format with articles no later than 5 years. Three-5 paragraphs solely
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