Question

Could you please create a SBAR HANDOFF Communication Tool on the case study above. Thank you.

---- Fol (W VIUCUJU. HUIS NULLE Case Study: Ms. C is a 42-year-old black American woman with a 7-year history of hypertension first diagnosed during her last pregnancy. Her family history is positive for hypertension, with her mother dying at 56 years of age from hypertension-related cardiovascular disease (CVD). In addition, both her maternal and paternal grandparents had CVD. At physician visit one, Ms. C presented with complaints of headache and general weakness. She reported that she has been taking many medications for her hypertension in the past, but stopped taking them because of the side effects. She could not recall the names of the medications. Currently she is taking 100 mg/day atenolol and 125 mg/day hydrochlorothiazide (HTZ), which she admits to taking irregularly because"... they bother me, and I forget to renew my prescription." Despite this antihypertensive regimen, her blood pressure remains elevated, ranging from 150 to 155/110 to 114 mm Hg. In addition, Ms. C admits that she has found it difficult to exercise, stop smoking, and change her eating habits. Findings from a complete history and physical assessment are unremarkable except for the presence of moderate obesity (5 ft 6 in., 150 lbs), minimal retinopathy, and a 25-year history of smoking approximately one pack of cigarettes per day. Initial laboratory data revealed serum sodium 138 ml/L(135 to 147 m g/L.), potassium 3.A mEq/L (35 to 5 mEq/L) blood urea nitrogen (BUN) 19 mg/dl (10 to 20 mgdL creatinine 0.9 mg L. 0.35 to 0.93 mg/dL): calcium 9.8 mg/dL (8.8 to 10 mg/dL), total cholesterol 268 mg/dl (<245 mg/dL): triglycerides 230 mg/dl. (< 160 mg/dL.), and fasting glucose 105 mg/dL (70 to 110 mg/dL). The patient refused a 24-h urine test.

Answer 1

CASE STUDY OF HYPERTENSION IN ( SBAR HANDOFF);

SITUATION ;-

Patient name-Mrs.C ,42 years,female ,Black american women

Now the patient had the complaint of headache and general weakness.

BACKGROUND:-

Mrs.C is an 42yearsold black american women with with a 7years history of hypertention first diagnosed during her last pregnancy.

*Family History ;-Her fami history is positive for hypertention , with her mother dying at 56years of from hypertention related cardiovascular disease . In addition, both her maternal and paternal grand parents had CVD.

*Present History;- headache and general weakness ,Present of moderate obeisity, minimal retinopathy,

                        ;-BP-150 to 155 /110 to 114 mmHg

                         ;-Height 5 ft 6 in ,Weight 150 lbs

                         laboratory data;-serum sodium - 138 mEq/L, Potassium 3.4mEq/L ,BUN 19 mg,creatin 0.9 mgdl

paient is on treatment ,atenolol 100mg per day, hydrochlorothiazide 12.5 mg per day. Mrs .C admits she has found it difficult to exercise , stop smoking , and changing her eating habits .

*Past History ;- 25 years of history of smoking approximately one pack of ciggarettes per day.                   

ASSESSMENT

-Monitor and record BP. measure in both arms and thighs 3-5 min. apart while patient is at siiting,then standing or inital evaluation.

-Asess the knowledge of patient about severity of the disease

-review patient at risk as noted in related factors as well as individuals with conditions that stess the heart.

-check laboratory data, it helps to determine contributing factors

-asses the patient knowledge about didease condition and importance of treatment.

RECOMMENDATIONS;

-Proper health education to be done about disease condition

-patient will participate in activitiesthat reduce BP.

-patient will participate in activities that will prevent stress.

-patient will get knowledge about importance of take medicine , proper diet , stop smoking, etc.