Question

** If there are any errors in the given answers please note it if you can thank you

Case B: You are a physician assistant taking care of a 65-year old retired man with a history of cardiovascular disease, including two heart attacks. A thorough history and physical exam reveal: height= 170 cm, weight= 80 kg, BP= 150/90, HR= 100 bpm, LDL= 200 mg/dl, TG= 250 mg/dl, HDL= 30 mg/dl, FPG=80 mg/dl and HbA1c= 3%. As a grandfather, your patient spends most of his days taking care of his grandchildren while the parents, who both work full-time, are at work.

Question 1. Consider the entire description of your patient above- do not imply any extra information. Provide a complete list of the patient's descriptions/risk factors, and state whether they are modifiable or non-modifiable. What conditions is your patient at risk for developing considering the descriptions you provided in your list? (3)

Answer:

Description/Risk Factors	Modifiable or Non-modifiable	Conditions patient is at risk for
History of CVD and 2 heart attacks	Non-modifiable	Risk for another heart attack
Age (65 years old)	Non-modifiable	Cardiovascular disease
Low mobility	Modifiable	Cardiovascular disease, high blood pressure
LDL extremely high	Modifiable	Atherosclerosis
Low HDL level	Modifiable	Cardiovascular disease, metabolic syndrome
High TG level	Modifiable	Arteriosclerosis
Elevated BP	Modifiable	Cardiac Remodeling

Question 2. Based on the conditions you provided in Question 1, what examples of primary, secondary and tertiary forms of prevention would be useful in this patient’s management (make sure to include whether the examples are primary, secondary or tertiary)? (5)

Answer:

Conditions patient is at risk for	Primary OR Secondary OR Tertiary	Intervention(s) recommended for patient
History of CVD with 2 MI’s	Not Applicable	None
Age at 65	Not Applicable	None
Low Mobility	Secondary	Physical Rehabilitation and Nutrition Therapy
Elevated LDL	Secondary	Pharmacological Therapy with Diet and Behavioral Modification
Elevated TG	Secondary	Diet and Behavioral Modification
Low HDL	Secondary	Diet and Behavioral Modification
Elevated BP	Secondary	Diet and Behavioral Modification

NEED ANSWER FOR 3

Question 3. Which form of prevention (primary, secondary or tertiary) would be the main form of prevention appropriate for this patient and EXPLAIN why?

Answer 1

Secondary prevention will be best for this patient as secondary prevention aim to reduce the onset of severe or other episode of already have disease. It tries to restore health by intervening to disease and symptom control , thus prevents future exacerbations.

in oresent scenario , person already had episode of heart attack and deranged blood test values so the aim of prevention is to reduce the risk of other heart attack.