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DISCUSSION POST

Date Posted: 17/10/2020
Category: Health Care
Due Date: 18/10/2020
Instruction
A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting, the chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time. The patient’s medical history includes anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not smoke or use other tobacco or nicotine products. The patient cares for his wife, who has multiple sclerosis and requires 24-hour care. His daughter and grandson also live with the patient. His daughter assists with the care of his wife, and his job is the major source of income for the family. The initial vital signs are: blood pressure 158/78, heart rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up, an ECG, lipid levels, cardiac enzymes, and C-reactive protein (CRP) are ordered. The patient reports that he does not have time to “be sick” and says that he needs to take care of everything during this visit so he can return to work and care for his wife. Case Questions What additional information should you obtain about the pain the patient is experiencing? What additional physical assessments need to be completed for this patient? What considerations are important to remember if the CRP level is elevated for the patient? What differential diagnoses should be considered for the patient? What patient teaching will be incorporated into the visit to modify the patient’s risk factors? How will you respond to the patient’s statement that he doesn’t have time to “be sick” and needs to take care of everything during this visit? Instructions: Initial Post must have two references not more than 5 years old. One reference should be from the course reference books and the other is from a peer reviewed journal or guidelines. Two substantive responses to your classmates' initial post using an evidence-based reference (peer reviewed journal or guidelines) when the Blackboard Discussion opens.
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    masheti | Oct 17, 2020, 21:00 PM
  • kindly choose me to help you in this assignment
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  • go ahead friend. also, after you complete the discussion itself i will upload TWO classmate discussions and i will just need one short feedback to each with reference. thank you
    User_9770 | Oct 17, 2020, 21:25 PM
  • okay no problem thanks
    queen | Oct 17, 2020, 21:28 PM
  • Hello, please find uploaded completed assignment. Please do not forget to release the funds and in case you need any clarification or changes please let me know. Regards.
    queen | Oct 18, 2020, 18:24 PM
  • hello. i also am going to upload two classmate discussion posts and i need to give feedback to each post.
    User_9770 | Oct 24, 2020, 01:57 AM
  • i mentioned it on the bottom of the instructions
    User_9770 | Oct 24, 2020, 01:57 AM
  • woow okay
    queen | Oct 24, 2020, 09:19 AM
  • Kindly upload them
    queen | Oct 24, 2020, 20:10 PM
  • still waiting
    queen | Oct 25, 2020, 05:31 AM
  • Kindly release the funds!!
    queen | Oct 28, 2020, 05:02 AM
  • HELLO SORRY. I UPLOADED A DOCUMENT WITH TWO CLASSMATE POSTS. WRITE FEEDBACK FOR EACH PLEASE
    User_9770 | Oct 28, 2020, 08:48 AM
  • okay no problem
    queen | Oct 28, 2020, 09:14 AM
  • Have been waiting
    queen | Oct 28, 2020, 09:14 AM
  • Done, please check the uploaded responses.
    queen | Oct 28, 2020, 13:41 PM
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