NRNP 6550: Advanced Care of Adults in Acute Settings II (i-Human Alvin Stafford) Week 4

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Week #4: Assignment: Assessing, Diagnosing, and Treating Conditions of the Cardiovascular System 2 (NRNP 6550: Advanced Care of Adults in Acute Settings II) i-Human 198142 Alvin Stafford V6 PC Ad... vanced Practice Care of Adults in Acute Care Settings II Note from 3 months ago (Provided by i-Human module) HPH: Yearly physical Mr. Stafford is a 63-year-old male with an 94 pack-year history of smoking and medical history of COPD here for his yearly physical. No new complaints noted. PHH: • COPD x 20+ years • None • Minimal exercise • American diet • Colonoscopy at age 55 • Yearly flu vaccine at local pharmacy Family Hx: • Father died at 53 from MI • Mother died at 65 from pancreatic cancer • Brother had partial pneumonectomy, possible lung cancer Social Hx: • Began smoking age 16; smokes 2 packs (filtered) per day; has never considered quitting • Former heavy alcohol use; now 1 to 2 beers daily, CAGE negative • No recreational drugs • Lives alone, wife died 4 years ago, no children • No pets • Worked a desk job all of his life, retired • College-educated • Uses seat belts Observations: warm and sweaty (Provided by i-Human module) NOTES FROM i-HUMAN ASSESSMENT: 1) How can I help you today? I get out of breath really easily 2) When did your fatigue/tiredness start? I don’t have that problem. 3) When did you first notice feeling short of breath? I started feeling more and more out of breath 2 days ago [Show More]

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