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Discussion post should at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources. No AI please. Incorporate a minimum of 2 current (published within the five years) scholarly journal articles. Journal articles should be referenced according to the current APA style. Attached below you will find the instructions.
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Subjective Data
Chief Complaint—“I came for my annual physical exam, but do not want to be a burden to my
daughter.”
History of present illness–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.
Past Medical History–Hypertension (HTN), gastroesophageal reflux disease (GERD), b12
deficiency and chronic prostatitis
Past Surgical History–S/P cholecystectomy
Drug History–Current Meds: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections
monthly, and Cipro 100mg daily.
Allergies—no known allergies
Family history—none
General–+ weight loss of 25 lbs over the past year; no recent fatigue, fever, or chills.
Head, Ears, Eyes, Nose, Throat–No changes in vision or hearing, no difficulty chewing or
swallowing.
Neck–No pain or injury
Respiratory
Cardiovascular
Gastrointestinal
Geniturinary–no urinary hesitancy or change in urine stream
Integument–multiple bruises on his upper arms and back.
Neurology–+ falls x 2 within the last 6 months; no syncopal episodes or dizziness
Objective Data
Physical exam–B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8
Head, Ears, Eyes, Nose, Throat–Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus
bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.
Lungs–CTA AP&L
Cardiovascular–S1S2 without rub or gallop
Abdomen–benign, normoactive bowel sounds x 4
Extremities–no cyanosis, clubbing or edema
Integument –multiple bruises in different stages of healing – on his upper arms and back
Neurology–No obvious deformities, CN grossly intact II-XII
1. Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors
related to the health of the patient you selected.
2. Utilizing the five assessment domains, which ones would you utilize on your
patient in conducting a comprehensive nutritional assessment?
3. 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?
Discussion post should at least 500 words, formatted, and cited in current APA
style with support from at least 2 academic sources. No AI please. Incorporate a
minimum of 2 current (published within the five years) scholarly journal
articles. Journal articles should be referenced according to the current APA
style.
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