Essays on Hypercholesterolemia

Patient initials: MK Age: 60 Sex: M

Care Plan Subjective MK, the patient presents with a chief complaint of decreased urinary flow but has also had troublesome nocturia for the last two weeks as well as significant terminal dysuria. History of present illness: Patients states that in the past day he has had significant difficulties especially in starting his urine flow and this has affected his ability to enrage in normal daily activities. Patient denies radiating pain. Patient history: Patient has had a history of hypertension, hypercholesterolemia, costochondritis, as well as suspected angina characterized by chest wall syndrome which was however treated.

Significant family history: There is also a probable positive family history for cardiovascular or heart diseases

Objective: Patient is a ...

Care Plan

Subjective The patient presents at the clinic complaining of nocturia, decreased urinary flow, decreased flow as well as terminal dysuria. TG states that the symptoms have been persistent for the last two years but the last two weeks have seen a significant increase in intensity of the symptoms. TG denies any case or instance of radiated pain within the period of two weeks,

Objective:

60 year old, Hispanic male

Vital signs: BP at 140/92;

Pulse rate: 80; Temperature: 99.0 Weight = 200 pounds; height = 71”, BMI = 27.9

Patient Hx for hypercholesterolemia, hypertension, costochondritis, suspected angina, possible family history of heart disease in the family

Patient denies any use of alcohol, tobacco, or drug abuse Current medication list: Cardizem 240mg QD and Zocor 20mg ...

PHYSICAL EXAM:

You will be expected to write up your response as follows: List of Differential Diagnoses [rank ordered] A. Congestive Heart Failure B. Angina C. Hypercholesterolemia D. Myocardial Infarction

E. Diabetes Mellitus

F. with Grade II diastolic heart failure.

G. Hypertriglyceridemia

H. GERD I.

J. Hypertension

Leading hypothesis : Congestive Heart Failure Active Alternative hypotheses Must not miss diagnoses [critical rule outs] Congestive Heart Failure Angina Hypertriglyceridemia Hypercholesterolemia Most common diagnoses [reasonable alternatives] GERD Hypertension Diabetes Mellitus Presumptive Diagnosis [assumption] Congestive Heart Failure

Treatment Plan

Non-pharmacologic / lifestyle interventions (provide rationale) • Modify Diet. - Advance to a low-sodium, low-cholesterol, low-fat, solid diet as tolerated R: to minimize metabolic demands ...

[Institution Title]

Care Plan Template

Patient Initials: Not Applicable Age: 60 y/o Sex: Male Subjective Data: HPI (History of Present Illness): Patient said that the abdominal pain started the day before. Although patient admitted to experiencing similar discomfort in the past, patient did not experience this kind of pain which he rated as 10 from last night. In the past, the pain would only last for a couple of hours unlike this time which has not been relieved despite 24 hours had already passed. Patient also admits to experiencing nausea but has not vomited despite feeling nauseous. For the past ...

Nutrition is an indispensable component of care. It is from food intake that the body obtains the micro and macro nutrients needed to maintain and improve health. Diet is also an area of regulation for the management of chronic diseases such as diabetes. Care plans focused on nutrition necessarily must be individualized to take into account unique needs arising from specific medical conditions, the client’s developmental stage, and cultural preferences. Developing a care plan entails evaluating for nutritional risk, defining the goals of nutrition therapy, identifying interventions and expected outcomes, implementing the interventions, providing education, and promoting safety.

Evaluation of Nutritional Risk

The ...