Writing Homework Help

Chief Complaint
(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

PMHHypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency and chronic prostatitis

PSHS/P cholecystectomy

Drug HxCurrent Meds: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and Cipro 100mg daily.

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.

NeckNo pain or injury

GUno urinary hesitancy or change in urine stream

Integumentmultiple bruises on his upper arms and back.

MS/Neuro+ falls x 2 within the last 6 months; no syncopal episodes or dizziness

PEB/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8

HEENTAtraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.

LungsCTA AP&L

CardS1S2 without rub or gallop

Abdbenign, normoactive bowel sounds x 4

Extno cyanosis, clubbing or edema

Integumentmultiple bruises in different stages of healing – on his upper arms and back.

NeuroNo obvious deformities, CN grossly intact II-XII

Once you received your case number, 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?