Patient to use 67 years black male with High blood pressure, Diabetes Type 2 on insulin. Live alone and has home health<\/p>\n
Weight 258 Height 5\u20194
\nDiagnosis :
\nType 2 diabetes mellitus with diabetic polyneuropathy
\nHypertensive heart disease with heart failure<\/p>\n
Chronic diastolic (congestive) heart failure<\/p>\n
Bilateral primary osteoarthritis of knee<\/p>\n
Type 2 diabetes mellitus with hyperglycemia<\/p>\n
Type 2 diabetes mellitus with other specified complication<\/p>\n
Other hyperlipidemia<\/p>\n
Morbid (severe) obesity due to excess calories<\/p>\n
Body mass index [BMI] 45.0-49.9, adult<\/p>\n
Long term (current) use of insulin<\/p>\n
Long term (current) use of aspirin<\/p>\n
Medications
\nTresiba FlexTouch Subcutaneous 100 UNIT\/ML 40u Tresiba FlexTouch Subcutaneous 100 UNIT\/ML 40 units
\ndaily. Take AM subcutaneous(SQ)if > 200mg\/dl consistently,
\nIf you have a piece of Chess Pie with a meal give patient 15 units of Novolog (C)
\nNovoLOG FlexPen Subcutaneous 100 UNIT\/ML 15 units Decrease Novolog (orange pen) to 15 units before
\nmeals…If you are having a small meal take only 10 units daily. (C)
\nMeloxicam Oral 7.5 MG 1 Tab(s) Daily\/By mouth
\nFarxiga Oral 10 MG 1 Tab(s) Daily\/By mouth
\nOzempic (0.25 or 0.5 MG\/DOSE) Subcutaneous 2 MG\/1.5ML 2 once weekly till sample pen completed then
\nstart ozempic 1mg sub q weekly
\nCholecalciferol Oral 1.25 MG (50000 UT) 1 Tab(s) Daily\/By mouth
\namLODIPine Besylate Oral 10 MG 1 Tab(s) Daily By mouth
\nAspirin Oral 81 MG 1 Tab(s) Daily By mouth
\nCarvedilol Oral 12.5 MG 1 Tab(s) Twice daily. By mouth
\nFurosemide Oral 40 MG 1 Tab(s) Twice daily. By mouth
\nLosartan Potassium-HCTZ Oral 100-25 MG 1 Tab(s) Daily By mouth
\nPotassium 20MG\/By mouth\/1(tab) Twice daily
\nCelecoxib Oral 200 MG 1 Cap(s) Daily By mouth<\/p>\n
To prepare:<\/p>\n
Review this week\u2019s Learning Resources, including the Focused SOAP Note Template.
\nSelect a patient who you saw at your practicum site during the last 3 weeks. With this patient in mind, consider the following:
\nSubjective: What details did the patient provide regarding his or her personal and medical history?
\nObjective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any morbidities and psychosocial issues. Choose a patient you saw at your practicum site in the last three weeks. Consider the following with this patient in mind:
\nSubjective: What information about the patient’s personal and medical history did he or she provide?
\nWhat observations did you make during the physical examination? Include any relevant positive and negative physical examination findings. Describe whether the patient had any morbidities or psychosocial problems.
\nAssessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority and include their ICD-10 code for the diagnosis. What was your primary diagnosis and why?
\nPlan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
\nReflection notes: What was your \u201caha\u201d moment? What would you do differently in a similar patient Assessment?<\/p>\n","protected":false},"excerpt":{"rendered":"
Patient to use 67 years black male with High blood pressure, Diabetes Type 2 on insulin. Live alone and has home health Weight 258 Height 5\u20194 Diagnosis : Type 2 diabetes mellitus with diabetic polyneuropathy Hypertensive heart disease with heart failure Chronic diastolic (congestive) heart failure Bilateral primary osteoarthritis of knee Type 2 diabetes mellitus […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9518,994],"tags":[],"class_list":["post-116235","post","type-post","status-publish","format-standard","hentry","category-do-my-homework-paper","category-nursing-case-study-help"],"_links":{"self":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/posts\/116235","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/comments?post=116235"}],"version-history":[{"count":0,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/posts\/116235\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/media?parent=116235"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/categories?post=116235"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/tags?post=116235"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}