[Solved] NUR 504 Discussion #1

Assignment Prompt & Instructions

– ## NUR504DIscussion1.docx

**## NUR504DIscussion1.docx**

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases.

| | |
| — | — |
| | **Case 1** |
| **Chief Complaint**<br>**(CC)** | “I came for my annual physical exam, but do not want to be a burden to my daughter.” |
| **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 father’s health needs. |
| **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. |
| **Allergies** | |
| **Family Hx** | |
| **General** | + weight loss of 25 lbs over the past year; no recent 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 |
| **Respiratory** | |
| **CV** | |
| **GI** | |
| **GU** | no urinary hesitancy or change in urine stream |
| **Integument** | multiple bruises on his upper arms and back. |
| **MS/Neuro** | + falls x 2 within the last 6 months; no syncopal episodes or dizziness |
| **PE** | B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8 |
| **General** | |
| **HEENT** | Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous. |
| **Lungs** | CTA AP&L |
| **Card** | S1S2 without rub or gallop |
| **Abd** | benign, normoactive bowel sounds x 4 |
| **GU** | |
| **Ext** | no cyanosis, clubbing or edema |
| **Integument** | multiple bruises in different stages of healing – on his upper arms and back. |
| **MS** | |
| **Neuro** | No obvious deformities, CN grossly intact II-XII |

**Answer the following questions:**

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 patients 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?**

**Submission Instructions:**

· Your initial post must be at least 500 words, formatted, and cited in current APA style with support from at least two academic sources.

· Quotes “……” cannot be used at a higher learning level for your assignments, so sentences need to be paraphrased and referenced.

· Acceptable references include scholarly journal articles or primary legal sources (statutes, court opinions), journal articles, and books published in the last five years-no websites to be referenced without prior approval.

**## NUR504DIscussion1.docx**

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases.

| | |
| — | — |
| | **Case 1** |
| **Chief Complaint**<br>**(CC)** | “I came for my annual physical exam, but do not want to be a burden to my daughter.” |
| **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 father’s health needs. |
| **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. |
| **Allergies** | |
| **Family Hx** | |
| **General** | + weight loss of 25 lbs over the past year; no recent 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 |
| **Respiratory** | |
| **CV** | |
| **GI** | |
| **GU** | no urinary hesitancy or change in urine stream |
| **Integument** | multiple bruises on his upper arms and back. |
| **MS/Neuro** | + falls x 2 within the last 6 months; no syncopal episodes or dizziness |
| **PE** | B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8 |
| **General** | |
| **HEENT** | Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous. |
| **Lungs** | CTA AP&L |
| **Card** | S1S2 without rub or gallop |
| **Abd** | benign, normoactive bowel sounds x 4 |
| **GU** | |
| **Ext** | no cyanosis, clubbing or edema |
| **Integument** | multiple bruises in different stages of healing – on his upper arms and back. |
| **MS** | |
| **Neuro** | No obvious deformities, CN grossly intact II-XII |

**Answer the following questions:**

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 patients 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?**

**Submission Instructions:**

· Your initial post must be at least 500 words, formatted, and cited in current APA style with support from at least two academic sources.

· Quotes “……” cannot be used at a higher learning level for your assignments, so sentences need to be paraphrased and referenced.

· Acceptable references include scholarly journal articles or primary legal sources (statutes, court opinions), journal articles, and books published in the last five years-no websites to be referenced without prior approval.