Common chronic diseases

Common chronic diseases

Common chronic diseases

A sixty-year-old baker presents to your clinic, complaining of increasing shortness of breath

A sixty-year-old baker presents to your clinic, complaining of increasing shortness of breath

This week’s content addressed common chronic diseases. Please review the case study below and answer the following questions:

A sixty-year-old baker presents to your clinic, complaining of increasing shortness of breath and nonproductive cough over the last month. She feels like she can’t do as much activity as she used to do without becoming tired. She even has to sleep upright in her recliner at night to be able to breathe comfortably. She denies any chest pain, nausea, or sweating. Her past medical history is significant for high blood pressure and coronary artery disease. She had a hysterectomy in her 40s for heavy vaginal bleeding. She is married and is retiring from the local bakery soon. She denies any tobacco, alcohol, or drug use. Her mother died of a stroke, and her father died from prostate cancer. She denies any recent upper respiratory illness, and she has had no other symptoms. On examination, she is in no acute distress. Her blood pressure is 160/100, and her pulse is 100. She is afebrile, and her respiratory rate is 16. With auscultation, she has distant air sounds and she has late inspiratory crackles in both lower lobes. On cardiac examination, the S1 and S2 are distant and an S3 is heard over the apex.
What is the chief complaint?
Based on the subjective and objective information provided what are your 3 top differential diagnosis listing the presumptive final diagnosis first?
What treatment plan would you consider utilizing current evidence based practice guidelines?
Submission Details:
Post your response to the Discussion Area by the due date assigned. Respond to atleast two posts by the end of the week. A sixty-year-old baker presents to your clinic, complaining of increasing shortness of breath.
NSG 6440 Week 4 Project 2 SOAP Note
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Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the

A sixty-year-old baker presents to your clinic, complaining of increasing shortness of breath
A sixty-year-old baker presents to your clinic, complaining of increasing shortness of breath

right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using this template . The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Submission Area. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:
By the end of the week, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.
Name your SOAP note document SU_NSG6440_W4_SOAPLastName_FirstInitial.doc.
Include the reference number from eMedley in your document.
Submit your document to the Submissions Area by the due date assigned.
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