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65-year-old African American woman who comes to your clinic for a follow-up visit. She was diagnosed with hypertension (HTN) 2 months ago and was given a prescription for a thiazide diuretic but stopped taking it 2 weeks ago because “it made me dizzy and I kept getting up during the night to empty my bladder.” During today’s clinic visit, she expresses fear because her mother died of a cerebrovascular accident (CVA, stroke) at M.P.’s age, and M.P. is afraid she will suffer the same fate. She states, “I’ve never smoked, and I don’t drink, but I am so afraid of this high blood pressure.” You review the data from her past clinic visits.

 

Family History 

Mother, died at age 65 years of CVA Father, died at age 67 years of myocardial infarction (MI) Sister, alive and well, age 62 years Brother, alive, age 70 years, has coronary artery disease (CAD), HTN, type II diabetes mellitus (DM) 

 

Patient Past History 

Married for 45 years, two children, alive and well, six grandchildren Cholecystectomy, age 42 years Hysterectomy, age 48 years

PATIENT DATA:

Medical record#: 8348526

Date of birth: June 29

Age: 71

Sex: Female

Admitting provider: Norma Halieb, MD

 

Blood Pressure Assessments 

January 2: 150/92 

January 31: 156/94 

February 28: 140/90

 

Medications:

Hydrochlorothiazide 25 mg PO every morning [HCTZ]

 

Objectives

Based on the client information

Provide an individualized patient-centered  interview.
Conducting a focused  Interview assessment: Functional Inquiry (or Review of Systems (ROS)  
Providing individualized patient teaching 
SCIENCE
HEALTH SCIENCE
NURSING
PHYS 3000

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