NR 601 Week 6 Case Study Discussions Health Promotion, Health Protection, Disease Prevention, and Treatment Considerations in Long-Term Care (Part-2)

Discussion Part Two (graded)

 

 

 

Physical Exam:

 

 

Discussion Part Two (graded)

 

Vital signs: blood pressure 145/90, heart rate 100, respirations 20

height 5’1”; weight 210 pounds

 

Labwork:

 

CBC: normal

 

UA: 2+ glucose; 1+ protein; negative for ketones

 

CMP: BUN/Creat. elevated; Glucose is 300 mg/dL

 

Hemoglobin A1c: 12%

 

Thyroid panel: normal

 

LFTs: normal

 

Cholesterol: total cholesterol (206), LDL elevated; HDL is low

EKG: normal

 

General: obese female in not acute distress

HEENT: unremarkable

 

CV: S1 and S2 RRR without murmurs or rubs

 

Lungs: Clear to auscultation

 

Abdomen– soft, round, nontender with positive bowel sounds present; no organomegaly; no abdominal bruits

 

 

Discussion Questions Part Two

 

 

 

For the primary diagnosis, what non-pharmacological and pharmacological strategies would be appropriate?

 

Include the following: lab work and screenings to be completed.

Describe patient education strategies.

 

Describe follow-up and any referrals that may be necessary.

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