A Brief Note On The American Female Born On September 24

Mrs Gale is a 70 year old widow and retired unskilled worker. The patient lives alone and relies on her son to provide basic care,

She has a large ulceration of the mucosa at the bite margin on the left. She has some scattered ulcerations on her hard and soft palate. She has difficulty opening her mouth because of pain. Tonsils not enlarged. No visible exudate.

A is an 87 year old women, with a long history of health troubles including chronic kidney disease, congestive heart failure, coronary artery disease, a pacemaker insertion for her atrial fibrillation, type 2 diabetes, dyslipidemia, colon cancer, breast cancer, mild cognitive impairment and most recently paranoid psychosis.

Per grandmother, the client’s pregnancy, and delivery were normal. The grandmother recalls that Keisha’s developmental milestones were reached appropriately, including basic motor skills such as crawling, walking and fine motor skills such as writing. According to the client, she experienced an accident when she was nine years old. The accident affected her brain causing her to experience a coma for more than a month. It took her several months of rehabilitation to be able to return back to school. Keisha reports fatigue and/or loss of energy very often. Even after sleeping for more than twelve hours per day she feels tired every morning. She has been feeling this way for more than three years. Furthermore, the client reports that she has poor appetite, eating one or two meals per day. Due to her decrease in appetite the client reports that she lost about ten pounds since last year. Keisha mentions that her appetite has decreased since she started high school. Per client, her father abused drugs when he was younger, which included heroin and crack. She is unaware if father continues abusing drugs. Per client, her mother did not abuse any drugs while she was alive. The client reports no allergies, traumas or chronic diseases affecting her

To begin with, the specifics will include encouragement from our parents as well as myself to help her make healthier choices with meals. Further, as a team, we will purchase the different variety of fruits and vegetables so she has alternative options, and we will all partake with her in eating healthier as well. Provided that, a measurable intake will play the main role for this, I researched the average daily intake of servings of fruit and vegetables for her age. Next, I will get my parents to agree upon helping me motivate her in wanting to eat a better balance of foods. For this purpose, of encouraging her in eating good nutrition to better her lifestyle, is indeed a realistic goal to be met. Lastly, the time bound for this project will be for 30 days starting February 1st through March 1st and I will conduct weekly evaluations to keep track of her progress. As a final point, my team will develop action strategies, in which we will use as our project management approach because the ability to conceptualize, organize and outline projects is a critical skill for organizational

A medical factor that can affect a child’s diet is diabetes which is when your body causes blood glucose levels to rise quite high however there are two types and they are type 1 and type 2 . Type 1 is when the body does not produce any insulin and type 2 is when the body does not use insulin properly, Insulin is a hormone that helps the pancreas to use and store glucose which will be later converted into energy and used for exercise or everyday activities. Many children are more likely to be diagnosed with type 1 than type 2 but having type 1, insulin injections, blood sugar tests and a specialised diet plan will all be given out. Children will still be able to have food that everyone else has but according to Diabetes (2017) ‘It is

However the individual hardly ever ate breakfast which isn’t good for her as she will feel tiered throughout the day. In order to avoid that I gave her a breakfast that are high in fiber along with foods that she likes. The tables are both shown below:

General Health State (present weight – gain or loss, reason for gain or loss, amount of time for gain or loss; fatigue, malaise, weakness, sweats, night sweats, chills ): She currently weighs 110lbs. No weight loss. She is well developed and nourished. No distress. States she has always been healthy, other than occasional constipation.

Is her HDL cholesterol level at a healthy range? (2 pts) If not, what dietary patterns and/or lifestyle changes can be incorporated to improve this level. (2 pts per appropriate dietary category)

She was admitted to the hospital last week, diagnosed with bronchitis. She is needing a dentist locally.

Due to the death of her grandfather, she has been noticed a change in her appetite, loss ten pounds, suffering from jaw pain due to grinding her teeth at night, poor sleep habits, and a decline in her grades.

Y.Y. states she has previously had gallstones and an umbilical hernia. She believes her past and present general state of health is “within an acceptable range”. She denies having any childhood diseases. She repots she received the measles, mumps, rubella, hepatitis A&B, and polio vaccines. She does not get an annual flu shot and can not remember if she ever received a tetanus-diphtheria or varicella vaccine. Y.Y. states that she got an appendectomy

She does not have any known food allergies. For 24 hours’ food recall, day 1 Friday morning TN ate a bowl of cheerio with 1 glass of milk before went to school. Lunch at school ate 4 piece of chicken nugget, mash potatoes, an orange, and 1 carton of milk. TN states she doesn’t like food in school, it has same kind over and over again. Dinner at grandma house, she ate a bowel of Pho beef noodle soup. This was her favorite foods. She can eat every day if they let her have it. Drank 1 can of mountain dew. Before went to bed drank a glass of milk 1%. 2nd day Saturday ate corn flake with a glass of milk and a banana. The parents said they don’t kept junk food in their house because both of them didn’t eat it, so their kids can eat healthy of fresh

* Prior to performing A.’s physical assessment, I gathered information over her diagnosis tonsillectomy, adenoidectomy, and vitiligo and any passed medical problems to be aware of. I then introduced myself to A. and her family and asked her if she wanted her grandparents to stay in the room during her physical assessment. I then explained the process of starting at her head and working downward to her feet by providing privacy throughout the whole assessment. First I started, by observing her appearance and behavior and how well A. communicated with me, A.’s behavior was calm, cooperative and appropriate for her age. I assessed PERRLA in both eyes, her pupils were a 3, equal, round, reactive to light and accommodated. I assessed her mucus membranes which were pink and moist along with assessing her throat by looking at the back of throat and checking for bleeding , whitish area, and odor. I then asked her if she had any frequent swallowing and trickling of blood in her throat. A. stated she did not have any frequent swallowing or blood in her throat just some soreness and discomfort in her throat. A.’s throat had white areas on both sides where the tonsils were removed with no bleeding. I auscultated her heart and lungs, and heard S1S2 and her