Garrett, B., & Hough, G. (2022). Brain and behavior: An
Post an explanation of your evaluation plan for the patient in the case study provided, and explain which type of assessment tool you might use for the patient. Explain whether the assessment tool was validated for use with this patient’s specific patient population and whether this poses issues. Include additional factors that might present issues when performing assessments, such as language, education, prosthetics, etc. Also explain the immunization requirements related to health promotion and disease prevention for the patient. Mr. Sanchez, a 78-year-old retired postal worker, is in the office today for his annual physical exam. He is generally in good health, and has a 10-year history of osteoarthritis. He is also requesting his annual influenza vaccination and inquires about any other “shots” he may need. Watching him walk down the hall to the exam room you have noticed that he is using a cane in his left hand. When asked about this he states that the pain in his left knee has gotten considerably worse over the past 6 months. VS: BP 132/60 Pulse 68 Resp 18 Temp 98.4 F O2SAT 98% on Room Air PMH: Osteoarthritis, GERD Allergies: NKDA Medications: • Omeprazole 20mg po daily • Tylenol 500mg 2 tabs po TID PRN • Voltaren gel to left knee BID PRN • Multivitamin 1 po daily Social History: Retired postal worker, worked for 25 years as a postal carrier then 15 years in the post office serving customers at the desk. He is married with 2 adult children who live out of state. He drinks occasional alcohol, usually on weekends while watching sports. No smoking history, no illicit drug use. ROS: Normal, except for increasing pain in the left knee PE: Normal exam, except for multiple seborrheic keratosis on his hands and face, his left knee is slightly swollen, crepitation with passive ROM left knee. Diagnostics/Assessments done: Left knee x-ray showed loss of cartilage. multiple seborrheic keratosis on his hands and face,
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