Analysis of Cardiology Case Study and Plan of Care Subjective Data The patient is a fifty-two-year-old male of Irish American descent with initials A.B. who presents to the clinic for a follow-up visit to discuss key risk factors following an admission to the hospital where he underwent cardiac catheterization and the placement of a stent. Chief Complaint (CC) A.B. presented to the emergency department (ED) complaining of severe substernal chest pain that lasted for four hours and that he described as “crushing”. He reported that the pain radiated to his neck and jaw. Additionally, the patient was experiencing shortness of breath (SOB). History of Present Illness (HPI) The symptoms of severe chest pain are consistent with angina pectoris, …show more content…
His father passed from heart disease while his mother passed from breast cancer; the age of death for both was not specified. He has two living older brothers with two comorbidities, hypertension and diabetes mellitus type 2, who are currently under treatment and medical supervision. He is married and lives with his disabled wife; although they have three grown-up children, they are not geographically close. Social History (SHx) The patient is a carpenter by trade with a high school education and lives with his wife who is disabled due to complications from T2DM. He and his wife live in an unsafe neighborhood where they share a one-bedroom apartment. His employment provides their only source of income and he experiences high levels of stress and anxiety as being sick jeopardizes his ability to make a living and care for his wife. He has poor exercise and dietary habits. His meals consist mainly of fast food for lunch and a large meal at the end of the work day, primarily meat and pasta. A.B. reports smoking a pack of cigarettes a day for the last thirty years. He denies drinking alcohol or using street drugs. While he has insurance through his union, it does not cover the entire cost of his medications and he states that he does not have a stable primary care
Anne is a seventy-four year old female with multiple comorbidities. The patient I interviewed is a sixty five year old male with a past medical history of hypothyroidism and no other reported medical conditions. Additionally, Anne requires assistance with completing her activities of daily living such as shopping, transportation and managing her finances. Also she rarely leaves her home, and is inactive due to chronic pain. The patient I interviewed is able to care for himself independently and is rather active. The patient I interviewed continues to work outside his home and routinely
A 61-year-old gentleman was admitted on 25/1/2016 to Letterkenny General Hospital with central chest pain after history of a fall. He also had drastic weight loss and loss of motor and sensory function. He walks with the aid of a walking stick as he has problems walking due to his lower limb weakness. The patient was a heavy smoker of 90 pack years (3 packs/day for 30 years) and stopped nine years ago. He stopped drinking seven years ago. He is married and lives at home with his wife. He works as a plasterer. He has a strong family history of ischaemic heart disease and type 2 diabetes mellitus. Two of his brothers had coronary bypasses and stents. His father died of a myocardial infarction. Two of his brothers are also type 2 diabetics. During
After review of the clinical information provided by North Central Bronx Hospital, the Medical Director has denied your admission to North Central Bronx Hospital. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 56 year old female with complaints of worsening pressure-like chest pain on the left sided that radiated to your left arm and neck. The symptoms began when you were at rest and woke you from your sleep. Based on the Interqual guideline (a decision based program to determine medical need) criteria to for acute coronary syndrome the clinical guidelines were not met because troponins were negative, there was no diagnostic testing such as a stress test, or documentation of ischemia in the clinical information that was submitted.
The human body is an amazing machine, we have cells, tissues, organs and organ system that come together to create the human race. Each system plays a key role in our bodies mechanism. Without each systems our bodies would not function properly, but what happens when one of these system fails? The Cardiovascular system components are blood, blood vessels and the heart. The hearts function is to pump blood to all the major organs and tissues (Circulatory). It’s also important to be aware of the derivation that our bodies may encounter, for example a stroke. In this passage I discuss different types of strokes, what are the signs and symptoms and after care for this disorder of the cardiovascular system.
This patient is very friendly and sociable. He was able to answer my questions without hesitation. He comes for weekly treatment of IVIG. He stated that he accepted his disease/illness and will do his best to live normal like everybody else. He stated his family especially his mother has always been there for him and see his mom sometimes tired. I was able to perform my head to toe assessment without any
October 9th, 2016, after being discharged just three days prior, a 44-year-old African American female presented in the emergency department with complaints of shortness of breath with minimal activity and chest pain that radiates to the back and shoulders. Vitals signs were taken and reveled a heart rate of 134, blood pressure of 219/147 and a respiratory rate 28. Observation of the patient showed that she was slightly diaphoretic and anxious. Lab work was ordered to be drawn as well as an ECG and the admission process began. Admitting diagnosis recorded was tachycardia, elevated troponin, acute exacerbation of congestive heart failure, acute chronic congestive heart failure, chest pain and pleuritic chest pain.
HPI: 45-year-old male with past medical history of hypercholesterolemia and hypertension who presented with chest pain. Patient had been moving furniture with his wife all morning. After some time he developed chest
Furthermore, the patient then reports about quitting smoking and has made progress to this goal, at which this writer commends the patient. This writer reviewed the patient records as the patient as the patient tested positive for on 05/14/2016 for opiates, benzo, and oxycodone. Denies using any opiates as the patient reports, she has tested positive for this in the past. Denies relasping to using illicit drugs and says it's her medication, especially her steroid cream for her skin infection as the patient develop hives for the past several months. The patient felt being accused of using illicit drugs by the clinic and this writer informed the patient, no one is accusing her of anything, it's just clarification about her UDS Result as she has tested positive for benzo and oxycodone, not opiates since she's been assigned to this writer as to why this writer questioned the patient of the positive result and whether or not, something has changed in her livelihood. The patient was able to calm down and accepted this writer comment.
Lee’s has been denied Tenncare and SSI, which he is needing to be seen by a doctor to get blood work on so he can find out what is killing him inside slowly. His history starting out when he was a 6 years old and his father passed died in a plane wreck, forcing him to not finish school and help around the house and find odd jobs to make sure that his mother was taken care of so they wouldn’t be homeless. Once she passed he married and had children, after 26 years of marriage his wife left him because he wasn’t able to work due to his illness that he has. If he was to be able to get Tenncare he would be accepted for SSI so that he could get his health diagnosis.
his father is dead while mother still alive. his mother had diabetes, hypertension and hyperlipidemia. he has three daughters and one son. All of his daughters and son does not complain of any chronic diseases. And also his brothers and sisters does not complain of any chronic diseases. one of his cousin is complain of heart attack and died after a couple of years.
A review of his medical record indicates that he has squamous cell carcinoma lungs with metastasis to the liver, kidney and bones. He is followed by Dr Iannotti for oncology and is receiving chemotherapy Navelbine Weekly. He previously has undergone radiation theraphy.
When the era has changed, people had turned to pay attention to more exercises, including cardio exercise in order to be able to protect themselves from the negative effect of this changing. For example, playing cardio helps people to make the body strong due to the weather that has the dust. The fact is from my experience and observation found that most people tend to neglect to take care of health. It appeared that poor health, so causes vision to develop this issue. What’s worse, when people want to investigate exercise to achieve the best for them; how they will know what kind of exercise is best. And what is the definition of workout that people who exercise tend to play regularly. The exertion and the movement of the body make the body
Ally's choose to stop taking his antihypertensive mediction the past year because he was feeling better has caused hypertension putting pressure on the aorta. Due to not taking his antihypertension medication for such a long period of time, has made Dr. Ally's heart work harder, which makes the heart muscles work harder and the heart muscles tend to become bigger and thicker. The condition has caused the heart muscles to perform its pumping function making the fluids to flow back to the lungs causing shortness of breath (WebMD, 2017) Dr. Ally tires easily because of inefficient blood supply to the body cells.
Sudden onset of chest pain can signify a life threatening cardiac condition. In John Smith's case he experienced a severe sub sternal squeezing pain that
According to Tom’s genogram, there are no serious indicators of familial physical or mental illness. The only possible indicator would be his paternal great grandmother who committed suicide, but there was not enough information to know the cause behind her suicide since it was a family secret until recently. Tom’s maternal grandfather and siblings were shown to all be formerly or currently smoking. Tom does not currently smoke but about a year ago he mentioned he would smoke socially. With both paternal grandfathers currently diagnosed with cancer, Tom shared some concern of that he may have a predisposition for cancer. Tom mentioned that he has never met his paternal family members due to distance. Tom is currently living