Get Answer: Patient Profile Year Question Guide
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to patient profile year and requires a structured academic response.
How to Approach This Question
Use appropriate theories and support your answer with clear reasoning.
Key Explanation
This topic involves patient profile year. A strong answer should include explanation, application, and examples.
Original Question
Patient Profile P.J. is a 74-year-old woman who has been seen multiple times in the past with a complex medical history. Most recently, she was discharged 1 month ago after a 14-day stay for gangrenous open cholecystectomy. The gangrene extended into the common bile duct, and she had a bile leak postoperatively. On this visit to the emergency department, she is reporting diminished vision in her left eye for the past seven days. She is currently taking the following medications: Valsartan 160 mg/25 mg PO daily Amitriptyline 25 mg PO daily Aspirin 81 mg PO daily Alprazolam 0.25 mg every 6 hours as needed for anxiety Subjective Data States her vision has become “fuzzy and distorted” in the left eye States, “I survived that horrid ordeal with my gallbladder, and now I have trouble with my vision.” Never married; has a good support system with friends and caretakers Objective Data Physical Examination Blood pressure 119/79, pulse 82, temperature 97.7°F, respirations 16 Alert and oriented to person, place, and time Diminished breath sounds bilateral lower lobes posteriorly Oxygen saturation 96% on room air Discussion Questions Name six potential causes of P.J.’s blurry vision. What additional health history information would you obtain from P.J.? What will you include in P.J.’s focused assessment? Case Study Progress A consult is sent to the on-call ophthalmologist. The initial examination results show a scar in the central area (macula), suggesting age-related macular degeneration (AMD). The ophthalmologist feels at this point that the treatment should be aimed at preventing further vision loss and schedules P.J. for photodynamic therapy. What are the early signs of AMD? What tests can be done to determine if P.J. has AMD? What risk factors are associated with AMD? What diet related teaching will you provide P.J.? Meniere’s Disease Patient Profile S.H. is a 25-year-old man who comes to the emergency department with a history of one day of severe vertigo and vomiting. Subjective Data Has had vertigo spells with right-sided tinnitus a few times this past month States he becomes nauseous when he attempts to sit up Vertigo is worse with head movement Has been crawling out of bed for fear of falling Currently reporting nausea Objective Data Physical Examination Blood pressure 139/72, pulse 90, temperature 97.7°F, respirations 22 Spontaneous nystagmus in the right eye Vomited two times in past 30 minutes Intermittent diaphoresis Diagnostic Studies Audiogram: severe sensorineural hearing loss at 35.0 dB, with a predominance of low frequency impairment in the right ear Tuning fork-Weber test: right sensorineural hearing loss Discussion Questions What is vertigo? How is it different from dizziness? Based on the assessment, what do you think S.H. has and why? What other diagnostic tests may be ordered for S.H.? The health care provider diagnoses S.H. with Meniere’s disease. What are the common causes of Meniere’s disease?
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