Case #1: Kevin Wade is a 58-year-old

Case #1: Kevin Wade is a 58-year-old African American man who has recently moved to Kansas City , Kansas to become branch chief at the Department of Motor Vehicles As a part of his move, he sought out family health professional He calls your doctor’s office to schedule appointments for his family. He has two boys , both High School football players , and a grade-school -age daughter who plays soccer all of whom needed yearly physical evaluations to play sports You recommend that he and his wife a nurse at a hospital in KC) should also have a checkup , especially since their insurance covers the whole cost . When he enters your office younotice that he is tall (6’4and moderately obese . You check his height and weight and find that he is 6’4 ” ( 193cm ) and weighs 265lbs ( 120Kg , BMI 32 )His vital signs are recorded as below Name : Kevin Wade Age: 58 Race: African American Place of Birth: Louisiana Height Weight 6’4 ( ) Blood Pressure : 140/110 Blood Lab Results : Alcohol usealcohol use does not exceed three drinks in any given night , “even at dinner parties Tobacco Use : Heavy smoker (1+ packs per day) History of Heart Disease : None , but family history History of Pulmonary Disease : None Diet: Fairly Balanced , eats 2/3 meals at home , lunch is often fast food bacon and eggs most mornings dinner varies Exercise : Minimal , enjoys walking around the neighborhood (-20 min, 1-2x week ) Sleep : Hasn’t been sleeping well for the last year or so, contributes it to stress at work Other health conditions : Evaluated for pre-diabetes ( Type II) what health advice would you, as Kevin’s new family practitioner, offer to Kevin? SCIENCE HEALTH SCIENCE NURSING NURSING 1 545

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