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Step 1: Convert information needs into an answerable question. Specific

I’m confused on the format of this week’s assignment and what exactly my Prof. wants from us. Exam Content This week you focused on cardiovascular health, we need to obtain patient information using POLDCARTS and apply the information we have gathered, leading to a diagnosis. We must apply our knowledge of pathophysiology of the conditions to educate patients on their diagnosis. Then we are asked to apply our knowledge by completing a case study on metabolic syndrome. Case Study Patient Diagnosis Case Study: Metabolic Syndrome Complete the case study by answering the questions associated with the scenario. Scenario You have a patient that presents to your office with the following for initial visit: 42-year-old Caucasian female, BMI 45, BP: 152/86, Pulse: 91, O2: 97% Past Medical Hx: Hypertension, Pre-Diabetes, Osteoarthritis, Chronic Migraine Past Surgical Hx: none Social: Occasional Smoker, Occasional alcohol use (1-2 per week), no drug use Most recent labs (that you had access to): Total Cholesterol: 172, Triglycerides- 253, HDL- 19, LDL- 130 Thyroid function tests: WNL Fasting glucose: 119 A1C: 6.4 Patient reports that she has been prescribed Metformin in the past but does not take it every day. She reports failing several diets that were recommended by her previous provider. She states, ‘I don’t have time for exercise’ and ‘I can’t afford a gym membership.’ She thinks there may have been a blood pressure pill prescribed in the past but she’s not sure. Based on the scenario provided, fully inform your patient and explain their diagnosis. Use UpToDate, Medscape, AACE, ADA, or AHA located in the University Library to search for and locate the most current evidence-based guidelines to answer the following questions. Interview Questions What are possible questions you would ask to further explore the choices they’ve made to manage their disease processes? Use the POLDCARTS method to help formulate your questions. What questions would you ask to ascertain their knowledge of metabolic syndrome? Overall Health and Pathophysiology What do you think is going on with the overall health of this patient? Describe in detail the pathophysiology as it relates to her current presentation and symptoms.

 
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