Question

Case Study #6

J.P. is a 75-year-old retired factory worker who is being seen in the home setting for a yearly health assessment provided by his insurance company.

Subjective Data

No complaints at this time

Enrolled in Silver Sneakers

Eats out much of the time

Widowed

Has one daughter who lives in another state

Retired automotive parts factory worker

Drives to and from activities

Objective Data

Vital signs: T=98.8 P= 80 R= 18 BP= 140/68

Weight: 200 lbs

HT: 5 feet, 6 inches

Questions (10 points total)

1. How should the nurse proceed with the interview portion of the assessment? (2 points)

2. What are the components necessary to complete the interview? (2 points)

3. Develop a problems list for subjective and objective findings. (2 points)

4. What teaching should the nurse consider from the problems list? (2 points)

5. What interventions might be included in the plan of care for this patient? (2 points)

Answer 1

0 The nurse should first intèoduce his/her self. Assessment include his health history, general checkup of heart and lungsounds. If he is faking any medication such as for B.P and diabetis. Ask him general question such as his eating habits, exercise pattern and frequency. His life style, family and what he does with his time © Components necessary to complete the interview is health history and if there are any beneditery diseases so they can be treated carly. if he has any reaction allergies to any medication. * Problems :- Subjective He is an widower with daughter living in other state thus he does not have any emotional support and he is eating habits' include take out. He is an factory worker so he should be checked thoroughly for any long diseases, or hearing /vision llossa Objective :- Nurse should see the weight to know he is overweight or obese along with B.P.

© Teaching plan:- - As he is eating food mostly from take out his! dieteay routine should be changed to healthy food. And also asks about the time he spends in silver sneakers (program for the activity of seniors) his exercise routine and should be given advice to prepare simple meals to reduce intake of take-out food. And encourage him to spend time I with his daughter and friends. Interventions He should be educated on understanding any symptoms of stroke and B.P. → He should be scheduled for another appoint. - ment to know his health. → He should be given information of other activities for his free time along with his diet chart and excercising. And giving advice on healthier food. ,