George Mayfield, 68 years old
Homelessness
Community Health Reasoning
George Mayfield, 68 years old
Primary Concept
Health Promotion
Interrelated Concepts (In order of emphasis)
• Collaboration
• Patient Education
• Communication
, George Mayfield, 68 years old
George Mayfield is a 68-year-old African American male with a past history of hypertension, but has not taken his meds
the past year because it was too much bother and he felt fine. He is seen at a clinic that serves the homeless in a large
metropolitan community.
George came to the clinic because of a headache that has been persistent the past week and blurred vision. His
clothing is dirty and he has a strong body odor as well as smelly feet. His shoes are shabby and he has lots of callouses
on his feet. George is missing many teeth and those that remain are yellow and brown with dental decay. When the
nurse reviewed the health screening questions, George admitted that he has had a productive cough with occasional
blood- tinged yellow mucus the past couple weeks. His initial BP is 188/96.
Personal/Social History:
George is veteran who served in Vietnam. He has struggled with alcohol abuse in the past but denies ETOH use in
the past year. He has been homeless since he lost his job as a mechanic ten years ago and currently lives in his car, a
1980 Cadillac, with Milo, his white poodle.
He has never married and has no close friends or relatives with whom he stays in contact. He smokes one pack
of cigarettes a day.
What data from the histories are RELEVANT and must be interpreted as clinically significant by the nurse?
RELEVANT Data from Present Problem: Clinical Significance:
History of hypertension Patient has not taken his meds the past year because it was too much
bother and he felt fine.
Headache with blurred vision Patient came to clinic with a headache that has been persistent the past
week and blurred vision.
Productive Cough Patient admitted that the cough occasionally produces blood-tinged
yellow mucus the past couple of weeks.
BP Initial BP is a little on the high side. Patient has history of hypertension.
Smokes One pack per day.
Clothing and shoes are dirty and shabby. Patient has body odor as well
Poor hygiene
as smelly feet. He has lots of callouses on his feet. Patient is missing
many teeth and remaining teeth are yellow and brown with dental
decay.
RELEVANT Data from Social History: Clinical Significance:
Homelessness
Community Health Reasoning
George Mayfield, 68 years old
Primary Concept
Health Promotion
Interrelated Concepts (In order of emphasis)
• Collaboration
• Patient Education
• Communication
, George Mayfield, 68 years old
George Mayfield is a 68-year-old African American male with a past history of hypertension, but has not taken his meds
the past year because it was too much bother and he felt fine. He is seen at a clinic that serves the homeless in a large
metropolitan community.
George came to the clinic because of a headache that has been persistent the past week and blurred vision. His
clothing is dirty and he has a strong body odor as well as smelly feet. His shoes are shabby and he has lots of callouses
on his feet. George is missing many teeth and those that remain are yellow and brown with dental decay. When the
nurse reviewed the health screening questions, George admitted that he has had a productive cough with occasional
blood- tinged yellow mucus the past couple weeks. His initial BP is 188/96.
Personal/Social History:
George is veteran who served in Vietnam. He has struggled with alcohol abuse in the past but denies ETOH use in
the past year. He has been homeless since he lost his job as a mechanic ten years ago and currently lives in his car, a
1980 Cadillac, with Milo, his white poodle.
He has never married and has no close friends or relatives with whom he stays in contact. He smokes one pack
of cigarettes a day.
What data from the histories are RELEVANT and must be interpreted as clinically significant by the nurse?
RELEVANT Data from Present Problem: Clinical Significance:
History of hypertension Patient has not taken his meds the past year because it was too much
bother and he felt fine.
Headache with blurred vision Patient came to clinic with a headache that has been persistent the past
week and blurred vision.
Productive Cough Patient admitted that the cough occasionally produces blood-tinged
yellow mucus the past couple of weeks.
BP Initial BP is a little on the high side. Patient has history of hypertension.
Smokes One pack per day.
Clothing and shoes are dirty and shabby. Patient has body odor as well
Poor hygiene
as smelly feet. He has lots of callouses on his feet. Patient is missing
many teeth and remaining teeth are yellow and brown with dental
decay.
RELEVANT Data from Social History: Clinical Significance:
