Amanda Smith Case Study #2

Amanda Smith Case Study #2 ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Amanda Smith Case Study #2 Case Study #2 Date: November 12, 2016, 2:00 pm Location: XYZ Family Practice You are an NP student in this practice. Your next patient is the following: “I had to come in today because I have been coughing for a long time” Amanda Smith (69 year old, black female) is a retired postal worker. During the visit, she is coughing continually. She states the cough started 5 days ago intermittently but 2 days ago it became constant. Her chart indicates that she has been a patient of the practice for 5 years, gets care regularly and her HTN has been controlled for 4 years. Amanda Smith Case Study #2 Social History Married – 2 adult children A & W Non-Smoker now. Smoke 1 pack a day for 15 years. Quit x5 years ago No alcohol or drug use Baptist, attends church regularly and is a member of the choir Family History Mother – Deceased at age 27 from traumatic accident Father – Deceased age 78 related to renal failure secondary to diabetes type II Siblings – one brother age 61 A & W Medical/Surgical/Health Maintenance Hx Measles, mumps and chicken pox as a child. Tetanus/Diptheria/Pertussis – Last dose 2 years ago Influenza – Last dose 9 months ago Pneumococcal vaccine at age 65 Zostivax at age 60 Chronic diagnoses – HTN x 5 years Takes HCTZ 25 mg daily ROS General Usual weight has been maintained Fever for 5 days up to 101 Skin Dry skin, uses emollient frequently HEENT Wears reading glasses Dentition fair. Partial upper denture Neck No swelling or stiffness Chest Substernal pain on cough Respiratory Began coughing 4 days ago. Started mild, intermittent and non-productive. Two days ago became constant and productive of frothy sputum. Keeps her awake at night. No relief with OTC cough syrup. She states she is short of breath today. CV No CP at rest or when not coughing PV Some swelling of feet and ankles at end of day, relieved by elevating feet GI Decreased appetite for one week No change in bowel habits GU No frequency, hesitancy, nocturia or change in bladder habits Genitalia No changes MS Stiffness in hands and legs on awakening. Relieved with activity Psych No depression, anxiety, or memory change Neurologic No numbness, weakness, headache, change in mentation, or paralysis Hematologic No past anemia Endocrine No change in weight, thirst, heat/cold intolerance. Your physical exam reveals: Temp 101.4, Resp 30 labored, no retractions, BP 135/92, HR 110, Pulse Ox 90 Wt 130 lbs General appearance – Alert in all spheres, in mild respiratory distress, able to answer questions with short sentences, tripod breathing HEENT – Eyes ,ear, nose, head wnl Mouth -mucosa dry Pharynx – tonsils present not enlarged, normal pink color Lymph – no enlargement Skin – Dry and scaly legs and arms. Tenting of skin noted Heart- regular rhythm at 110 bpm, no murmurs or extra sounds Lungs – normal breath sound without crackles, bronchophony or egophony Abdomen – no mass, tenderness, rigidity Extremities – Hands – no swelling, Feet/legs – +1 edema feet to ankle level Pedal pulses – wnl Differential diagnoses: CAP Acute bronchitis Congestive heart failure Influenza Plan – transfer to acute care setting for further work-up Assignment Details: The “Elevator Consult” In this activity, you will practice giving a synopsis of your patient to your preceptor. In practice, you may often give this type of report if you are sending a patient for a consultation and your phone the specialist to discuss the patient. This report should be concise and clear. The receiver should, within one minute (slightly less for simple cases, slightly more for complex cases) have a picture of the patient in his/her head. You will report on ONLY items pertaining to the acute problem in this case. Do not include extraneous material or material not directly impacting the decision-making regarding this problem. Remember, this is a FOCUSED visit and assessment to evaluate a focused concern. The history and physical exam applies techniques relevant to the specific complaint for the patient at that visit. Your report should be similarly focused, providing only information that relates specifically to the presenting problem. Presentation was concise, orderly by systems and included HPI, pertinent finding on exam, suggested plan of care. No extraneous information was included. Text, title page and references page follow APA guidelines. No grammar, word usage or punctuation errors. Overall style is consistent with professional work. Amanda Smith Case Study #2 Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

Struggling to find relevant content? Order a custom essay on
Amanda Smith Case Study #2
Let our experts save you the hassle
Order Now
Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
Sign up, place your order, and leave the rest to our professional paper writers in less than 2 minutes.
step 1
Upload assignment instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
s
Get personalized services with GPA Fix
One writer for all your papers
You can select one writer for all your papers. This option enhances the consistency in the quality of your assignments. Select your preferred writer from the list of writers who have handledf your previous assignments
Same paper from different writers
Are you ordering the same assignment for a friend? You can get the same paper from different writers. The goal is to produce 100% unique and original papers
Copy of sources used
Our homework writers will provide you with copies of sources used on your request. Just add the option when plaing your order
What our partners say about us
We appreciate every review and are always looking for ways to grow. See what other students think about our do my paper service.
IT, Web
A great job on my paper!! I really appreciate this!!
Customer 452885, January 30th, 2023
Other
Great
Customer 452813, January 21st, 2024
Nursing
Great work. Will definitely recommend
Customer 452523, May 15th, 2021
History
Thanks for your help and support as always!
Customer 452909, May 18th, 2024
Nursing
Excellent work!! Thanks again!
Customer 452707, October 14th, 2022
Other
AWESOME
Customer 452813, June 20th, 2022
IT, Web
Excellent job on the paper.
Customer 452885, January 25th, 2023
Criminal Justice
always great!
Customer 452465, February 23rd, 2021
IT, Web
Did an excellent job with the body of the paper and staying on the topic.
Customer 452885, October 27th, 2022
Criminal Justice
Great work! Followed directions to the latter.
Customer 452485, September 1st, 2021
Nursing
Perfectly done!
Customer 452707, July 18th, 2022
Literature
Excellent
Customer 452813, July 5th, 2023
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat

Good News ! We now help with PROCTORED EXAM. Chat with a support agent for more information