28 Sep Hispanic / Nondocumented Patient with Acute Illness
NU664B Primary Care of Family I
Week 3 Discussion
Hispanic / Nondocumented Patient with Acute Illness
Imagine that you are a primary care provider in the middle of your busy Thursday and your 2:00 p.m. appointment is as follows:
HPI: A 75-year-old patient of Hispanic descent arrives in an immigrant healthcare clinic with fever, chills, a sore throat, and a nonproductive cough. She speaks some English. The patient appears very ill, with dry mucous membranes, dark circles under the eyes, and pale skin. The patient appears anxious and is reluctant to make eye contact or speak. The health history reveals that the patient lives with extended family in a home setting, including infants and elderly. All of the family members are undocumented residents of the United States.
Past Medical History: Hypertension, Asthma.
Family History: Father (Deceased 81 / Stroke); Mother (Alive 95 / HTN, COPD, Diabetes)
Complete the following:
Initial Post by Wednesday (Day 3) at 11:59 p.m.
List 10–20 questions of subjective information that your patient will need to provide to help you formulate your differential diagnoses and plan. Include two scholarly references for the questions that you ask of your patient. See the Grading Rubric for more detail.
Initial Response Post by Friday (Day 5) 11:59 p.m. Choose a classmate’s questions to answer:
Every peer post should only have one response post. Please do not reply to a peer if a response is already posted.
You are answering as the patient. Make it case appropriate but imaginative. Be creative and answer thoroughly. No references are needed.
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