Case 1 MB is a 57-year-old male client who is in the primary care…

Question Answered step-by-step Case 1 MB is a 57-year-old male client who is in the primary care… Case 1MB is a 57-year-old male client who is in the primary care clinic for a well physical exam. He has not had a physical for 5 years. MB has a family history of diabetes and hypertension in his father and breast cancer in his sister. He has been married for 26 years and has two daughters who are 23 and 20. His daughters have no chronic health problems. He works as an insurance agent and is sedentary. He states he hasn’t been to the clinic for a physical because he’s “very healthy” and is only here because his insurance now gives him a discount for a yearly exam. He has no current health complaints. He takes no medications or supplements on a regular basis and can’t remember when he last had any vaccines. He drinks a “few beers” each weekend and occasionally smokes cigars when with friends. His vital signs are: height 5’10”, weight 218 pounds, BP 155/92, Pulse 88, O2 sat 98%, blood sugar 158. Identify a primary, secondary, and tertiary preventative intervention that would relate to this patient. Case 2A health department in a city of 150,000 has noted increases in chlamydia, gonorrhea, syphilis, and HIV cases over the last three years. The cases have primarily occurred in those aged 16 to 40. However, there have been approximately 10 congenital cases of syphilis and gonorrhea, and 15 cases in patients over the age of 40. In addition, four cases of neurosyphilis have been diagnosed. Identify a primary, secondary, and tertiary preventative intervention that would relate to the community as a whole or individual patients affected. Case 3CS is a 4-year-old female client who is in the primary care clinic for a well physical exam. She had a physical exam last year. Her mother has hypothyroidism and gets frequent bronchitis. Her father has no medical problems. She has a 6-year-old brother with asthma. Her mother states that CS is a picky eater, is constipated at times, and is short of breath at times when she runs outside. Otherwise, she has no complaints and has been meeting developmental milestones. Her mother does smoke about 5 cigarettes per day but tries to smoke outside. The home the family lives in was built in the 1940s and has a small yard. The family has an indoor dog. She last had routine vaccinations at age 2. She weighs 30 pounds and is 39 inches tall today. Identify a primary, secondary, and tertiary preventative intervention that would relate to this patient or her family. Case 4The employee health services department of large company that manufactures truck engines has noted an increase in work related injuries in the past 6 months. One employee was hospitalized after having a large piece of equipment fall on his leg, but was released to home after one day. Several employees have reported back injuries due to handling heavy equipment. A smaller amount of employees have slipped and fallen on concrete floors. Identify a primary, secondary, and tertiary preventative intervention that would relate to this population of patients. Case 5The KDHE has noted an increase in influenza B incidence in January that is much higher than a typical flu season. The severity of the infection has also been noted to be worse, with increased hospitalizations and death rates due to influenza B. The flu vaccine available for the year appears to match the virus well, but state immunization rates are noted to be low compared to the last two years. Identify a primary, secondary, and tertiary preventative intervention for the populations affected in this case.        Health Science Science Nursing Share QuestionEmailCopy link Comments (0)