11 Sep Chief complaint -Annual physical exam
History of present illness HPI-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.
Past medical history PHH- none
PSH- none
Drug history – denies
Allergies -none
Family history-He has a family history of diabetes, hypertension, and alcoholism.
Review of symptoms
General-No recent weight gains of losses, fatigue, fever, or chills .
Head, ears, eyes, nose, throat – none
Neck-none
Respiratoru-none
Cardiovascular-no chest discomfort or palpitations
Gi-none
GU-none
Integument-history of eczema – not active
MS/neuro-no syncopal episodes or dizziness, no change in memory or thinking patterns; no twitches or abnormal movements
Objective data
Vital signs-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, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple carries.
Lungs-CTA AP&L
Cariac-S1S2, +II/VI holosystolic murmur; without rub or gallop
Abdominal-benign, normoactive bowel sounds x 4; Hepatomegaly 2cm below the costal margin.
GU-none
Extremities-no cyanosis, clubbing or edema
Integument-intact without lesions masses or rashes
MS-none
Neuero-No obvious deficits and CN grossly intact II-XII
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?
Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources
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 Ask A Question and we will direct you to our Order Page at WriteDemy. 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.