Posted: August 6th, 2022

Specific socioeconomic spiritual & lifestyle

DQ: Specific socioeconomic spiritual & lifestyle
DQ: Specific socioeconomic spiritual & lifestyle
DQ: Specific socioeconomic spiritual & lifestyle

“I came for my annual physical exam, but do not want to be a burden to my daughter.”

History of Present Illness (HPI)

At-risk 86-year-old Asian male – who is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs

PMH

Hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency and chronic prostatitis

PSH

S/P cholecystectomy

Drug Hx

Current Meds: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and Cipro 100mg daily.

General

+ weight loss of 25 lbs over the past year; no recent fatigue, fever, or chills.

Head, Eyes, Ears, Nose & Throat (HEENT)

No changes in vision or hearing, no difficulty chewing or swallowing.

Neck

No pain or injury

GU

no urinary hesitancy or change in urine stream

Integument

multiple bruises on his upper arms and back.

MS/Neuro

+ falls x 2 within the last 6 months; no syncopal episodes or dizziness

PE

B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8

HEENT

Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.

Lungs

CTA AP&L

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S1S2 without rub or gallop

Abd

benign, normoactive bowel sounds x 4

Ext

no cyanosis, clubbing or edema

Integument

multiple bruises in different stages of healing – on his upper arms and back.

Neuro

No obvious deformities, CN grossly intact II-XII

Once you received your case number, answer the following questions:DQ: Specific socioeconomic spiritual & lifestyle

Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.

Utilizing the five assessment domains, which ones would you utilize on your patients in conducting a comprehensive nutritional assessment.

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?

Submission Instructions:

Your instructor will assign you your case number and you will post on the case number you have been assigned.

You will reply to the other two case studies (One of each).

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.

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.)

All replies must be constructive and use literature where possible.

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.

You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

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