An 82 year man presents to the clinic with his wife. She re…
An 82 year man presents to the clinic with his wife. She reports that he has been complaining of constipation, mild abdominal pain, and has shown a change in his mental status and increased lethargy. He is anorexic and has barely eaten in the past 4 days. Denies any bloody stool, no nausea or vomiting, fever, and no recent travel. Denies any chest pain, respiratory complaints or GU symptoms. PMHX: HTN; Inguinal herniorraphy; Cholycystectomy. Meds: Lisinopril 20mg QD. Allergies NKDA. Social: Nonsmoker, nondrinker. Had routine colonoscopy 2 years ago that was within normal limits. PE: Temp 97.9 F, HR 100, BP 140/90. EKG WNL. Bowel sounds are hypoactive. The NP would:
Read DetailsA 34 year old female presents to the clinic with a 10 day hi…
A 34 year old female presents to the clinic with a 10 day history of nasal congestion, facial pressure, purulent nasal discharge, and a worsening headache. She reports that her symptoms initially started as a mild cold but have progressively worsened over the past few days. She has no known drug allergies and is otherwise healthy. Which of the following is the most appropriate first-line antibiotic treatment for this patient?
Read DetailsA healthcare professional responds by giving David a detaile…
A healthcare professional responds by giving David a detailed pamphlet about cardiovascular disease and assumes this will be enough to change his behavior. What is the major limitation of this intervention based on Eriksson et al.?
Read DetailsSokha is a 61-year-old patient with type II diabetes. He tak…
Sokha is a 61-year-old patient with type II diabetes. He takes medication prescribed by his primary-care provider but also drinks an herbal preparation recommended by relatives in his community. His daughter helps prepare traditional foods and reminds him to take both his prescribed medication and the herbal preparation. During an appointment, the nurse asks only about prescription medications. Sokha does not mention the herbal preparation because he does not think the nurse is interested in traditional healing practices. He tells his daughter, “The medicine from the clinic and the things our family uses can both be part of taking care of me.” Sokha’s daughter’s influence on his health behavior is primarily an example of which Social Ecological Model level?
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