This Assignment will assess your ability to evaluate subjective and objective information in order to arrive at an appropriate diagnosis and treatment plan for the patient. Hypertension Case Study C.D

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This Assignment will assess your ability to evaluate subjective and objective information in order to arrive at an appropriate diagnosis and treatment plan for the patient.


Hypertension Case Study

C.D is a 55-year-old African American male who presents to his primary care provider with a 2-day history of a headache and chest pressure.


PMH

Allergic Rhinitis

Depression

Hypothyroidism


Family History

Father died at age 49 from AMI: had HTN

Mother has DM and HTN

Brother died at age 20 from complications of CF

Two younger sisters are A&W


Social History

The patient has been married for 25 years and lives with his wife and two children. The patient is an air traffic controller at the local airport. He has smoked a pack of cigarettes a day for the past 15 years. He drinks several beers every evening after work to relax. He does not pay particular attention to sodium, fat, or carbohydrates in the foods he eats. He admits to “salting almost everything he eats, sometimes even before tasting it.” He denies ever having dieted or exercised.


Medications

Zyrtec 10 mg daily


Allergies

Penicillin


ROS

States that his overall health has been fair to good during the past year.

Weight has increased by approximately 30 pounds in the last 12 months.

States he has been having some occasional chest pressure and headaches for the past 2 days. Shortness of breath at rest, headaches, nocturia, nosebleeds, and hemoptysis.

Reports some shortness of breath with activity, especially when climbing stairs and that breathing difficulties are getting worse.

Denies any nausea, vomiting, diarrhea, or blood in stool.

Self treats for occasional right knee pain with OTC Ibuprofen.

Denies any genitourinary symptoms.


Vital Signs

B/P 190/120, HR 73, RR 18, T. 98.8 F., Ht 6’1”, Wt 240 lbs.


HEENT

TMs intact and clear throughout

No nasal drainage

No exudates or erythema in oropharynx

PERRLA

Funduscopy reveals mild arteriolar narrowing without nicking, hemorrhages, exudates, or papilledema


Neck

Supple without masses or bruits

Thyroid normal

No lymphadenopathy


Lungs

Mild basilar crackles bilaterally

No wheezes


Heart

RRR

No murmurs or rubs


Abdomen

Soft and non-distended

No masses, bruits, or organomegaly

Normal bowel sounds


Ext

Moves all extremities well


Neuro

No sensory or motor abnormalities

CN’s II-XII intact

DTR’s = 2+

Muscle tone=5/5 throughout


What you should do:

  • Develop an evidence-based management plan.
  • Include any pertinent diagnostics.
  • Describe the patient education plan.
  • Include cultural and lifespan considerations.
  • Provide information on health promotion or health care maintenance needs.
  • Describe the follow-up and referral for this patient.
  • Prepare a 3–5-page paper (not including the title page or reference page).

Your writing Assignment should:

  • follow the conventions of

    Standard English

    (correct grammar, punctuation, etc.);
  • be

    well ordered

    ,

    logical

    , and

    unified

    , as well as

    original and insightful

    ;
  • display

    superior content, organization, style,

    and

    mechanics

    ; and
  • use

    APA 6th Edition

    format as outlined in the APA Progression Ladder.

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This Assignment will assess your ability to evaluate subjective and objective information in order to arrive at an appropriate diagnosis and treatment plan for the patient. Hypertension Case Study C.D
Forum Assignment for the Week: 500 Words minimum Textbooks: Stojkovic, Kalinich, & Klofas. (2015). Criminal justice organizations: Administration and management – Custom (6th ed.). Florence, KY: Wadsworth  Overview Organizations have formal and informal structures. All organizations must have a mission, policies, procedures, and practices. The formal organizational structure creates the official roles and relationships, divides labor, allocates responsibility and promotes rules and the hierarchy of authority to coordinate activities. For this week’s Forum, respond to all of the following:    Topic: Chapter 1 Case Study – The Department of Homeland Security How does the creation of the Department of Homeland Security affect resources traditionally designated for local criminal justice organizations? Are there too few resources to fight both terrorists and traditional criminals? Who should pay the burden for investigating, apprehending, prosecuting, convicting, sentencing, and incarcerating terrorists? Should Osama Bin Laden have been taken alive? What are the due process protection questions in light of the creation of the Department of Homeland Security? Should these due process protections matter in the fight against terrorism? Sources & citations required (APA) Specifics:  All assertions in your thread and replies must be supported by Reading & Study materials, good examples, thoughtful analysis, and additional research needed to substantively address the assigned topic. There must also be an appropriate incorporation of Judeo-Christian worldview/analysis and biblical principles. All sources must be cited in current APA format. Biblical integration must be included in a thoughtful manner as articulated in the required reading and presentations. Citations from the required reading and presentation must be included in answering the assigned questions. General Instructions Applicable to All Forums:  To receive 100% as a grade (the exemplary level) for the weekly forums, you should ensure that your responses meet the following criterion: Critical Analysis – Discussion postings display an excellent understanding of the required readings and underlying concepts including correct use of terminology. Postings are made in time for others to read and respond as well as deliver information that is full of thought, insight, and analysis. The information presented makes connection to previous or current content or to real-life situations, and must contain rich and fully developed new ideas, connections, or applications. (It is important that you integrate the weekly readings in your response. One way to do that is to make position statements, then discuss supporting evidence (i.e. research and/or personal experience).  Professional Communication and Etiquette – Written interactions in the Forum show respect and sensitivity to peers’ background and beliefs (Regardless of the position you are taking, please ensure that your participation comments are respectful to your peers’ background and beliefs). Writing Skills – Written responses are free of grammatical, spelling or punctuation errors.  The style of writing facilitates communication. (Make sure your work is free of errors.  If there are any errors as outlined above, you will not receive 100% for the forum).  2

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