After completing this week’s Practicum Experience, reflect on a patient with a known history disorder Soap Notes Discussions Writing Help
Case 1:
After completing this week’s Practicum Experience, reflect on a patient with a known history of a renal disorder. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. If you did not evaluate a patient with this background during the last 8 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.
Patient is 55 -year old African American male reported to office this morning for Blood sugar of 380. Patient stated “I have been checking my blood sugar 3 time a day and at night as ordered by the doctor and I have been taking my insulin as ordered too. I donk know why is so high”. Patient is on Humalog 5 units before each meal, Lantus 20 units nightly. Patient stated increased thirst, frequent urination, fatigue, and blurred vision since yesterday.
Past medical history BPH, high blood pressure.
Medication: Flomax 0.4 mg capsule, Take 1 capsule with meal daily
Humalog 5 units before each meal and 0300AM. Lantus 20 units nightly,
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Case 2:
After completing this week’s Practicum Experience, reflect on a patient with a known history of a musculoskeletal disorder. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. If you did not evaluate a patient with this background during the last 9 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.
Patient is 53 years old male patient came to the office today for f/u appointment following right hip replacement and medication refill after D/C from the hospital. Patient stated falling from ladder while painting a house.
Past medical HX: erectile dysfunction, chronic back and right hip pain
Medications
• Ibuprofen 800 MG Oral Tablet Sig: Take 1 tab PO q12 prn
• Cialis 10mg 4 times per week
• Oxycodone HCl 30 MG Oral Tablet. Take 1 tab PO Q8 hrs PRN daily
Case 3:
After completing this week’s Practicum Experience, reflect on a patient with a known history of strokes. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. If you did not evaluate a patient with this background during the last 10 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.
Patient is 36-year-old female African American brought to the office today by spouse. Spouse stated noticing the wife confusion, slurred speech, and very anxious but conscious and sitting in a chair in her living room watching TV. Spouse stated this started almost 30 minutes ago.
Past medical Hx: headache, uncontrolled hypertension, and high cholesterol. Medication:
Amlodipine 10mg 1tab bid, hydrochlorothiazide 20mg 1tab daily. Lisinopril 40mg 1 tab daily, Aspirin 81 MG Oral Tab Chewable
Atorvastatin Calcium 10 MG Oral Tab nightly
cholecalciferol (Vitamin D3) 50,000 intl units oral capsule daily
Vital sign: BP196/94, Pulse 88, Respirations 16, Skin warm/dry/pink, pupils equal & reactive, Temperature Normal, Lung Sounds Clear/equal Bi-lateral, Capillary refill 2 sec, Level of Consciousness A&O x3