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Denver College of Nursing
NUR 335 Practicum Assignment 5.1
Demographics
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Initials: ___L.A_____________
Age:___40________________
Sex: ___male________________
Primary Language Spoken: _Chinese______________
Cultural Background:__chinese__________________
______________________________________
General Health
How would you rate your general health?
The patient reports to the clinic for an evaluation, he reports that he believes that he has a fair general health.
Have you had a wellness checkup with a healthcare provider in the past year?
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The patient states that for a long time now since the outbreak of the Covid 19, he had not had any meeting with his doctor physically he however states having virtual meetings on several occasions
Have you ever been told by a health care provider that you have a chronic disease such as hypertension, diabetes, heart disease, stroke, arthritis or kidney disease?
This patient states that he has a history of hypertension and pre-diabetes. L.A has been having this for the past five years but has been able to manage the conditions well.
In the past month, have you had pain on more than three days that impacted your ability to perform your normal daily activities?
If yes:
· Where was the pain located?
· What have you tried to relieve the pain?
The patient states that he has not had Pain or major changes in his daily activities that might lead to irregularities for the last three days. This is mostly because he has been able to manage these two conditions well.
How would you rate the quality of your sleep?
· How many hours do you regularly sleep in a night?
· Do you ever wake up before you wanted to?
· Do you have problems falling asleep?
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L.A states that he has been experiencing sleeping and wake up in the middle of the night. the patient states that he finds himself sleeping at an average of six hours per night and sometimes wake up in the middle of the night and find it difficult getting back to sleep.
Medications
Are you currently taking medicine for any chronic condition?
· Do you know what the medication is used to treat?
· Have you missed doses of your medication in the last week?
The patient is currently taking hypertension Acebutolol medications in order to address his irregular heart beat problem. L.A states that he is very keen and ensure that he take his medications as indicated by the doctor. He has never missed to take medications since he has set a reminder on his phone.
Women Only:
Are you pregnant or planning on becoming pregnant in the next year?
N/A
A mammogram is an x-ray of each breast to look for breast cancer. Have you ever had a mammogram?
· If yes, when was your last mammogram?
N/A
A Pap test is a test for cancer of the cervix. Have you ever had a Pap test?
· If yes, when was your last Pap test?
N/A
Men Only:
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A PSA test is a test for cancer of the prostate. Have you ever had a PSA test?
· If yes, when was your last PSA test?
He states that he had his last PSA test the last time he visited his doctor three years ago. He had a free PSA reading of 0.12. He did not report pain and no any symptoms and thus
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