NURSING MISC HTN Case Study Clinical.

FUNDAMENTAL Reasoning: STUDENT History of Present Problem: Mike Kelly is a 51-year-old Caucasian male who is 6 feet tall and weighs 275 pounds (BMI 37.3) with an abnormal distribution of weight around his abdomen. He does not regularly exercise, does not like to cook, and eats fast food three to five times during the week. He has smoked one pack per day since the age of 20 (31 pack years). He has a history of hyperlipidemia, but is unable to afford his medication (atorvastatin), and has not taken since he was diagnosed 5 years ago. He has no current diagnosed medical problems. He became concerned and came to the emergency department because he is more easily fatigued and has had a headache the past three days that has not improved. Personal/Social History: Mike is self-employed and owns his own auto mechanic business. He has no health insurance. His father had hypertension and died of a myocardial infarction (MI) at the age of 50. Angelina, his wife, came with him to urgent care. She shares that he is usually stoic about health problems, so this must really bother him or he is afraid. He took Excedrin and Motrin for pain and it didn’t help. What data from the histories are RELEVANT and have clinical significance for the nurse? RELEVANT Data from Present Problem: Clinical Significance: • Hyperlipidemia • Does not exercise • Obesity • Abnormal weight around abdomen. • Easily fatigued, with a headache for 3 days. • Smokes a pack a day for about 31 years • He eats fast food 3 – 5 times a week. • Abnormal amount of weight around his abdominal section may be due to hyperlipidemia, not exercising &eating fast food 3-5 times per week.. • Body Mass Index, (BMI) of 37.3% • Not exercising, can hyperlipidemia • Smoking may worsen hyperlipidemia. • RELEVANT Data from Social History: Clinical Significance: • No health insurance because he is selfemployed (auto mechanic business). • Father had hypertension; died at age 50 from MI (increasing Mr. Kelly’s risk of developing a MI). • Stoic about health problems. • Has no health insurance; unable to afford medication, less likely to seek medical attention. • Family history of MI will increase his chances of having one especially since he smokes, eats fast foods frequently, does not work out and has hyperlipidemia. • Took Motrin and Excedrin for pain, NSAIDS may raise blood pressure. Developing Nurse Thinking by Identifying Significance of Clinical Data Patient Care Begins: Current VS: P-Q-R-S-T Pain Assessment (5th VS): T: 98.9 F/37.2 C (oral) Provoking/Palliative: Nothing/Nothing P: 88 (regular) Quality: Ache R: 20 Region/Radiatio