Case Study. Please use Case Number 3
Description
Having Trouble Meeting Your Deadline?
Get your assignment on Case Study. Please use Case Number 3 completed on time. avoid delay and – ORDER NOW
Cultural, Spiritual, Nutritional, & Mental Health Disorders
For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.
| Case 1 | Case 2 | Case 3 ?? here: | |
| Subjective Data | |||
|---|---|---|---|
| Chief Complaint (CC) |
I came for my annual physical exam, but do not want to be a burden to my daughter. | I am here for my annual physical exam and have been having vaginal discharge. | Annual physical exam |
| History of Present Illness (HPI) | 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 fathers health needs. | 32-year-old pregnant lesbian her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. | 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking pot and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. |
| PMH | Hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency and chronic prostatitis | ||
| PSH | S/P cholecystectomy | ||
| Drug Hx | Current Meds: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and Cipro 100mg daily. | Current Meds: prenatal vitamins and takes Tylenol over the counter for aches and pains on occasion | Current Meds: denied |
| Allergies | No allergies to food or medications. | ||
| Family Hx | She has a strong family history of diabetes. Gravida 1; Para 0; Abortions 0. | He has a family history of diabetes, hypertension, and alcoholism. | |
| Review of Systems (ROS) | |||
| General | + weight loss of 25 lbs over the past year; no recent fatigue, fever, or chills. | No fatigue, fever, or chills. | No recent weight gains of losses, fatigue, fever, or chills. |
| Head, Eyes, Ears, Nose & Throat (HEENT) | No changes in vision or hearing, no difficulty chewing or swallowing. | ||
| Neck | No pain or injury | No pain or injury | |
| Respiratory | |||
| CV | no chest discomfort or palpitations | ||
| GI | |||
| GU | no urinary hesitancy or change in urine stream | ||
| Integument | multiple bruises on his upper arms and back. | multiple piercings, and tattoos. Old scars related to cutting | history of eczema not active |
| MS/Neuro | + falls x 2 within the last 6 months; no syncopal episodes or dizziness | no syncopal episodes or dizziness, no change in memory or thinking patterns; no twitches or abnormal movements. | no syncopal episodes or dizziness, no change in memory or thinking patterns; no twitches or abnormal movements |
| Objective Data | |||
| PE | B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8 | B/P 128/76; Pulse 83; RR 16; Temp 99.0; Ht 5,6; wt 128; BMI 20.98 | B/P 158/90; Pulse 88; RR 18; Temp 99.2; Ht 5,7; wt 208; BMI 32.6 |
| General | 23-year-old male appears well developed and well-nourished. He is anxious pacing in the room and fidgeting, but in no acute distress. | ||
| HEENT | Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous. | Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip. | Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition multiple carries. |
| Lungs | CTA AP&L | CTA AP&L | CTA AP&L |
| Card | S1S2 without rub or gallop | S1S2 without rub or gallop | S1S2, +II/VI holosystolic murmur; without rub or gallop |
| Abd | benign, normoactive bowel sounds x 4 | benign, normoactive bowel sounds x 4 | benign, normoactive bowel sounds x 4; Hepatomegaly 2cm below the costal margin. |
| GU | external genitalia intact, no lesions or masses. White copious discharge with an amine odor; no cervical motion tenderness; adnexa intact. | ||
| Ext | no cyanosis, clubbing or edema | no cyanosis, clubbing or edema | no cyanosis, clubbing or edema |
| Integument | multiple bruises in different stages of healing on his upper arms and back. | intact without lesions masses or rashes. | intact without lesions masses or rashes. |
| MS | |||
| Neuro | No obvious deformities, CN grossly intact II-XII | No obvious deficits and CN grossly intact II-XII | No obvious deficits and CN grossly intact II-XII |
Answer the following questions about your specific case number assigned:
- Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.
- Utilizing the five assessment domains, which ones would you utilize on your patient in conducting a comprehensive nutritional assessment?
- 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?
Submission Instructions:
- You have been assigned your case number (See Announcement), and you will post about the case number you have been assigned.
- You will reply to your peers who have posted on the other two case studies (One of each).
- Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources other than your textbook. Your initial post is worth 8 points.
- You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Use at least 1 academic source for each response to your peers other than your textbook. Your reply posts are worth 2 points (1 point per response).
- All replies must be constructive and literature must be used accordingly. Your replies must be at least 150 words each.
- Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
- You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.