20 May Cultural, Spiritual, Nutritional, & Mental Health Disorders
Cultural, Spiritual, Nutritional, & Mental Health Disorders
You will take on the role of a clinician who is building a health history for the following case. Post should be 500 words, in current APA style with at least 2 current academic sources.
Answer the following questions based off case study: ***Attached is the case study***
1. Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.
2. Utilizing the five assessment domains, which ones would you utilize on your patients in conducting a comprehensive nutritional assessment.
3. Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions?
Course Textbook:
Rhoads, J., & Petersen, S. W. (2021). Advanced health assessment and diagnostic reasoning (4th ed.). Jones & Bartlett Learning. ISBN-13: 978-1284170313 ISBN-10: 1284170314
Case Study 1
Chief Complaint
(CC) “I came for my annual physical exam, but do not want to be a burden to my daughter.”
History of Present Illness (HPI) At-risk 86-year-old Asian male – who is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs.
PMH Hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency and chronic prostatitis
PSH S/P cholecystectomy
Drug Hx Current Meds: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and Cipro 100mg daily.
Allergies:
Family Hx:
General+ weight loss of 25 lbs over the past year; no recent fatigue, fever, or chills.
Head, Eyes, Ears, Nose & Throat (HEENT)No changes in vision or hearing, no difficulty chewing or swallowing.
Neck No pain or injury
Respiratory
CV
GI
GUno urinary hesitancy or change in urine stream
Integumentmultiple bruises on his upper arms and back.
MS/Neuro+ falls x 2 within the last 6 months; no syncopal episodes or dizziness
PE B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8
General
HEENTAtraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.
Lungs CTA AP&L
Cardio S1S2 without rub or gallop
Abdomen benign, normoactive bowel sounds x 4
GU
Extremities no cyanosis, clubbing or edema
Integumentary multiple bruises in different stages of healing – on his upper arms and back.
MS
Neuro No obvious deformities, CN grossly intact II-XII
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