No Plegarism please, assignment will be checked with Turnitin.Will need minimum of 3 full content pages, plus title, and reference page APA Style, double spaced, times new romans, font 12, and and 3 references with intext citations. References within 5 years (2014-2018).Hypertension Case StudyC.D is a 55-year-old African American male who presents to his primary care provider with a 2-day history of a headache and chest pressure.PMHAllergic RhinitisDepressionHypothyroidismFamily HistoryFather died at age 49 from AMI: had HTNMother has DM and HTNBrother died at age 20 from complications of CFTwo younger sisters are A&WSocial HistoryThe patient has been married for 25 years and lives with his wife and two children. The patient is an air traffic controller at the local airport. He has smoked a pack of cigarettes a day for the past 15 years. He drinks several beers every evening after work to relax. He does not pay particular attention to sodium, fat, or carbohydrates in the foods he eats. He admits to “salting almost everything he eats, sometimes even before tasting it.” He denies ever having dieted or exercised.MedicationsZyrtec 10 mg dailyAllergiesPenicillinROSStates that his overall health has been fair to good during the past year.Weight has increased by approximately 30 pounds in the last 12 months.States he has been having some occasional chest pressure and headaches for the past 2 days. Shortness of breath at rest, headaches, nocturia, nosebleeds, and hemoptysis.Reports some shortness of breath with activity, especially when climbing stairs and that breathing difficulties are getting worse.Denies any nausea, vomiting, diarrhea, or blood in stool.Self treats for occasional right knee pain with OTC Ibuprofen.Denies any genitourinary symptoms.Vital SignsB/P 190/120, HR 73, RR 18, T. 98.8 F., Ht 6’1”, Wt 240 lbs.HEENTTMs intact and clear throughoutNo nasal drainageNo exudates or erythema in oropharynxPERRLAFunduscopy reveals mild arteriolar narrowing without nicking, hemorrhages, exudates, or papilledemaNeckSupple without masses or bruitsThyroid normalNo lymphadenopathyLungsMild basilar crackles bilaterallyNo wheezesHeartRRRNo murmurs or rubsAbdomenSoft and non-distendedNo masses, bruits, or organomegalyNormal bowel soundsExtMoves all extremities wellNeuroNo sensory or motor abnormalitiesCN’s II-XII intactDTR’s = 2+Muscle tone=5/5 throughoutWhat you should do:Develop an evidence-based management plan.Include any pertinent diagnostics. (Screening Chest Xray/EKG, LABS, referrals to cardiologist to eval cardiovascular disease, smoking cessation education, nutritional consult)Describe the patient education plan. (lifestyle changes, weight management, AHA/DASH diet)Include cultural and lifespan considerations. ( Common in African American )Provide information on health promotion or health care maintenance needs.Describe the follow-up and referral for this patient.Prepare a 3 page paper (not including the title page or reference page).

Discussion: Legal and Ethical Considerations for Group and Family versus Individual Therapies

DirectionsPlease read all directions carefully before you begin.Click to download thePatient Teaching Plan Form (Links to an external site.)Links to an external site..Type your answers directly into this Word document and submit. The use of correct terminology, grammar, and spelling is important! Any references and citations used should be written in APA format. Please utilize in-text citations when appropriate, and list all references in the space provided at the end of the worksheet.You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal athttp://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.Health Topic: Decide WHAT you would like to teach. Describe in detail why this is an important topic for patient education. Use evidence from the textbook, lesson or an outside scholarly source to support your rationale.Select from the following health topics to complete your Patient Teaching Project:Stress and Time ManagementSelf-Care (can choose a specific self-care activity)Prevention of Hazards at WorkBicycle SafetyErgonomics (related to work, posture)Skin Cancer PreventionHealthy EatingExercise/Physical ActivitySuicideHuman TraffickingEating DisordersSubstance Abuse (Opioid, Alcohol, Nicotine)DepressionPalliative Care/Hospice CarePopulation and Setting: Once you have selected a topic, you must decide WHO you will be teaching and WHERE the education will take place. (i.e., teaching a classroom of middle school students; teaching community members at a local health fair)Learning Barriers: Refer to the assigned article: Educating patients: Understanding barriers, learning styles, and teaching techniques for information related to learning barriers and other teaching considerations. Barriers might be cultural, physical, educational, or environmental. You may also want to consider the developmental stages of your selected population.Example:The population in this community is known to have a low-literacy level, therefore clear pictures and graphics will be utilized to assist with understanding.Learning Objectives: Write three specific learning objectives your Visual Teaching Tool will address. Begin each objective with “At the end of this education, the learner will …” Use an action verb to finish the sentence (i.e., list, demonstrate, describe, define, identify).Example:At the end of this education, the learner will be able to demonstrate the proper way to wear a bike helmet.At the end of this education, the learner will be able to describe how to perform a breast self-exam.At the end of this education, the learner will be able to list three benefits of regular physical activity.Evaluation: Write a paragraph describing how you could evaluate whether your visual teaching tool was successful and met the learning objectives. Consider the population’s abilities and the setting.**Academic Integrity Reminder**Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on this page.Please see the grading criteria and rubrics on this page.NOTE: Please use your browser’s File setting to save or print this page.

Case Study, Chapter 11, Health Care of the Older Adult1. The nurse working at the senior center notices Mrs. Jones, a 78-year-old, crying. The nurse approaches Mrs. Jones and asks if she needs help. Mrs. Jones states “I am so embarrassed. I had another accident and my pants are all wet. It’s like I’m a baby. I never should have come to the senior center.”What factors may be contributing to the urinary incontinence?How should the nurse respond to Mrs. Jones?2. The nurse is completing the admission assessment for a patient scheduled for cataract surgery in the outpatient center. Because the patient is over the age of 70 and has several chronic conditions, including hypertension and congestive heart failure, the nurse focuses on completing a thorough medication history.What questions should the nurse include in the medication history?The patient states that she stopped taking one of her medications due to cost, since her health insurance would not reimburse for the medication. What are other reasons that older adults may be noncompliant with ordered medications?How does aging affect drug absorption, metabolism, distribution, and excretion?

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