Based on your assessment data and the chart above, identify as many problems as possible(at least...
Based on your assessment data and the chart above, identify as many problems as possible(at least 10) for example, Pain, Anxiety, Infection:
Neurologic - A&O x 4. Pupils equal, round, reactive to light and accommodation. Patient has some level of slurred speech. Pain 0/10.
Cardiovascular - Normal S1 S2 heart sounds. History of primary HTN, anemia, and ischemic stroke. Capillary refill <2 seconds. Heplock on right hand.
Respiratory - Lung sounds clear on auscultation bilaterally. Smoker for over 50 years.
Gastrointestinal - Hyperactive bowel sounds on all four quadrants. History of constipation, type 2 DM (glucose level: 169 mg/dL), and GERD. Patient currently on 1500 calorie diet. Continent of bowel.
Urinary - No known GI issues. Continent of bladder.
Musculoskeletal - Ataxic gait. Fall risk.
Integumentary - Skin dry and intact. Normal color for ethnicity.
Reproductive - No biological children. Client has long-term girlfriend of over 20 years and one stepson. No known reproductive issues.
Spiritual - Christian (Catholic) faith. Prayer is a large part of the clients life and he enjoys reading “ Our Daily Bread” devotional.
Psychosocial - Client was born and raised in Washington, DC. He has a long-term girlfriend of over 20 years. He is a retired baggage handler at a local airport. Client also has a history of depression.
Development - Ego Integrity vs. Despair. Client displays ego integrity, “I’ve had a good life. Makes no sense to complain, because what can I really do? I’m just grateful to wake up.”
Homework Answers
- Dysarthria
- Dehydration
- Anemia
- Fall risk
- Hypertension
- Depression
- Ataxic gait
- Hyperglycemia
- Constipation
- Peripheral perfusion
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Based on your assessment data and the chart above, identify as
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