A Study On The Patients Physical Examination, Social...

Case Study 1 Based on the patients physical exam, social activities, family history, recent laboratory results and imaging; from a nurse practitioner stand point I am concerned that the patient has coronary artery disease, new onset of congestive heart failure, as well as concerns that the patient may be suffering from depression. Mr. E. W. is an obese African-American male and has uncontrolled hypertension. Given Mr. E. W’s ethnicity, obesity and uncontrolled hypertension he is a likely candidate for coronary artery disease. The patient also presents with an ejection fraction of 46% and a prominent S3 sound upon auscultation. These findings are indicative of congestive heart failure. I am also concerned about the patient’s psychological well-being. The patient openly admits to drinking â€Å"several beers every evening to relax,† and is said to be a widower who lives alone. The patient also admitted to not speaking to his daughter for the past 4 years after she moved out wit h her aunt. These are signs and symptoms of depression coupled with poor coping strategies from tragic life events (CDEM Curriculum). Although there is a multitude of pre-existing as well as new medical conditions that are concerning, my focus during this annual check-up is the laboratory findings that are indicative of coronary artery disease (CAD). This is concerning because the patient has extensive nonmodifiable and modifiable risk factors for CAD. Nonmodifiable risk factors include that he is a male,Show MoreRelatedhkjhjh1374 Words   |  6 Pagesconnections to the religious and philosophical beliefs of each culture. For example, a medicine man would apply herbs and say prayers for healing, or an ancient philosopher and physician would apply bloodletting according to the theories of humorism. In recent centuries, since the advent of science, most medicine has become a combination of art and science (both basic and applied, under the umbrella of medical science). Thus, while th e perfect stitching technique for suturing an artery is still an art thatRead MoreSymptoms And Diagnosis Of Alzheimer s Disease3618 Words   |  15 Pagesparticular, rather than other conditions such as vascular dementia or fronto-temporal dementia for example. Earl symptoms may include problems generating people’s names or the correct names of objects, observable difficulty cognitively functioning in social situations, short term memory retention difficulty, continuously misplacing important objects, poor executive functioning, and a shift in mood such as depressive and irritable swings (Holsinger, Deveau, Bustani, Williams, 2007; Llewellyn, 2010). TheRead MoreThe Management Of Middle Aged Adult By An Adult Geriatric Nurse Practitioner2310 Words   |  10 Pages(Phoenix, Das, Joshi, 2012). If cellulitis is untreated, it may develop into a severe form of soft tissue or bone infection and result in high morbidity. Cellulitis is a common infection which tends to recur in a significant portion of affected patients after an initial episode, especially if the predisposing condition is chronic lymphedema (Chlebicki Oh, 2014). All patients present with cellulitis should be carefully evaluated to establish the risk of recurrence and reduce economical burden to healthcareRead MoreChild Abuse3642 Words   |  15 Pagesï » ¿ Child Abuse Abstract Thousands of children are abused every year and most of the time by members of their own families. A recent study carried out by the WHO estimated 1,273,000 children in America had been victims of some form of abuse in the year 1984. This report was based on projected or actual figures which were supplied by the official state liaisons for child abuse and neglect. It suggested a noticeable increase in the number of cases, up from an estimated 1,007,000 in 1981. The figuresRead MorePagbabago Ng Klima8154 Words   |  33 PagesVigan, City A TERM PAPER Facts About Alzheimers Disease (AD) Presented to: In partial fulfillment of the Course requirement of the subject SOCIAL SCIENCE (General Psychology) Presented by: TABLE OF CONTENTS TITLE PAGE i ACKNOWLEDEGMENT ii DEDICATION III I.INTRODUCTION A. Statement of the Problem B. Importance of the Study C. Scope and Limitations D. Definition of Terms E. Methodology II. PRESENTATION AND ANALYSIS A. B. C. D. E. F. III. SUMMARY IV. CONCLUSIONRead More‚Äà ºa Contemporary View on Health Care System in Bangladesh.‚Äà ¹14806 Words   |  60 PagesCHAPTER - 1 Introduction 1.0 origin and background of the report The report ‘‘A Contemporary view on Health Care System in Bangladesh’’ is the outcome of Internship Program which is a precondition for acquiring MBA Degree. Only curriculum activities are not enough for handling the real business environment, so it is necessary to get the better knowledge about the real scenario. The report is a requirement of the internship program for my MBA Degree. Conduction of Internship/ Dissertation startedRead MorePsychology Ncert Book 1 Chapter Notes11190 Words   |  45 Pagesdisciplines, and professions, and appreciate the value of psychology in daily life to help you understand yourself and others better. Contents Introduction What is Psychology? Psychology as a Discipline Psychology as a Natural Science Psychology as a Social Science Understanding Mind and Behaviour Popular Notions about the Discipline of Psychology Evolution of Psychology Some Interesting Landmarks in the Evolution of Modern Psychology (Box 1.1) Development of Psychology in India Branches of PsychologyRead MoreCase Study on Hypokalemia8797 Words   |  36 PagesIn Partial Fulfillment of the Requirements in NCM 105 A Case Study on Systemic Lupus Erythematosus December 2010 Table of Contents Acknowledgement†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 3 Objective†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 4 Scope and Limitations............................. 5 Introduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 6 Review of Related Literature†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 7-8 Case Analysis†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 9 Health History†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 10 Family Genogram†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 11 Anatomy and Physiology†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 12-13 Pathophysiology†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 14-17 Nursing Assessment Tool†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Read MoreDescription Of An Example Of A Presentation8050 Words   |  33 Pagesdevelopmental disability that typically appears during the first three years of life. The result of neurological disorder that affects the functioning of the brain, autism and its associated behaviors have been estimated to occur in as many as 1 in 500 individuals (Centers for Disease Control and Prevention 1997). Autism is four times more prevalent in boys than girls and knows no racial, ethnic, or social boundaries. Family income, lifestyle, and educational levels do not affect the chance of autism’s occurrenceRead MoreCommunity Acquired Pneumonia18251 Words   |  74 Pagesabuse are all risk factors for having CAP. (Schmitt, 2011) Several tests can be performed to identify the cause of an individual s CAP.  X-rays  of the chest, examination of the  blood  and  sputum  for infectious  microorganisms, and  blood tests  are commonly used to diagnose individuals with suspected CAP based upon symptoms and physical examination. (Smeltzer, 2004) Most cases of pneumonia generally run an uncomplicated course. Complications may include the following: pleurisy, pleural effusion, atelectasis