Mr. Smith is a 48 year old African American male who presents for…
Question Answered step-by-step Mr. Smith is a 48 year old African American male who presents for… Mr. Smith is a 48 year old African American male who presents for follow up on his elevated HA1C last visit. He states he has been feeling good but has noticed an increase in drinking water. He has not been diagnosed with diabetes before, but it does run in his family. Allergies: SulfaCurrent medications: Benicar 20mg daily, Simvastatin 40mg daily, HCTZ 12.5mg daily, MultivitaminPMH: Hypertension, Hyperlipidemia PSH: Tonsillectomy, Wisdom teeth extraction Social: Tobacco: 1 PPD smoker, Alcohol: 6-12 beers on weekends, denies illegal drug use. He is married and lives with his wife and children, ages 10 and 12. He works as a principal at a local high school. He follows a regular diet and exercises 4 days a week . Immunizations: flu: 2019Family: Father: alive, +DM, CAD, Hyperlipidemia, Mother: alive, +DM, CKDROS: Constitutional: Denies, does report stressful jobHEENT: Denies any headache, nasal congestion, ear painCardiovascular: Denies chest painRespiratory: Denies any SOB or DOE GI: Denies any issues, last BM 1 day ago. GU: Denies any painful urination, urgency, hesitancyMusculoskeletal: denies. Neurological: DeniesPsychiatric: Denies suicidal ideations, depression. Does report difficulty falling asleepEndocrine: Denies any weight changes, intolerance to heat/coldHematologic/ Lymphatic: Denies any bruisingOBJECTIVE:Vital signs: Ht: 72, Wt: 205, BP 130/78, HR 76, Resp: 16, SaO2: 98% HA1C: 7.2% last visit, glucose in office: 135Constitutional: Well developedCardiovascular: RRR, No murmurs or rubs noted. Respiratory: Clear all fieldsGI: Abdomen round, soft, with bowel sounds noted in all four quadrants. GU: DeferredMusculoskeletal: Crepitus noted bilateral knees, fluid wave noted to Rt kneeIntegumentary: Skin warm and dry, No rashes notedNeuro: Follows commands without difficultyWorking with your group, utilize the above case study a, develop a Voice Over PowerPoint presentation for your patient covering the problems identified in the case study. Include the following: Screening [Immunizations are to be addressed explicitly-ie. up to date- and define, or not up to date- management]Health EducationNutrition Counseling for Health PromotionExerciseStress ManagementComplementary and Alternative Strategies. Health Science Science Nursing NURS 225 Share QuestionEmailCopy link Comments (0)
