Symptoms And Treatment Of Cardiac Disease Essay

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.

Patient is a high school counselor. He participates in physical activities by running 2 to 3 times a week, playing golf, and volunteering at a nursing home. The patient is married with one daughter and one son. He does not use tobacco and periodically drinks at

Pt is a 84 year old Cascasion female living with her husband in their home. Husband reported the Pts Alzhemers has be pergresing for the last 8-9 years. Pt had open heart surgery in 2012, which contributed to the memory loss decline and increasing level of Alzhemer symtoms, husband verbalized. Husband reports they have been married for 19 years. Pt has a sister living Florda, two daughters living in Texas and Wyoming and one son in New York. The children stay in contact with them every other day. Pt reports she worked as a RN at the VA Hospital in New Mexico. Pt is not independent in the home without the husbands assistance. Pt does ambulate well in the home, but does have a walker in needed. Husband assists the Pt all her ADL's in the home and drives her to the store and for MD appointments. Husband currently suffers from Hemochromatosis (too much iron in one's body). Husband reports he manages well with his illness while taking care of Pt at the sametime. Husband reports the Pt's Alzehmers level appears to be stable at this time, but is quite forgetful at times and needs his assistance. Husband said they are managing

Mr. Howard, a 57-year-old man, had a 3-month history of progressive typical anginal chest pain. He reported that the symptoms first occurred with heavy exertion and involved what he described as“heaviness” in his chest. The symptoms were promptly relieved with rest. Over the past weeks, he had been experiencing increasingly frequent episodes of chest pain and diaphoresis. The episodes had become more prolonged, and he had experienced one episode of pain occurring at rest after a heavy meal. Mr. Howard was moderately obese and had a 20-year history of hypertension, which was being treated. Other risk factors in Mr. Howard’s history include hypercholesterolemia (350 mg/dL), which he was attempting to treat with dietary modifications, and a 30-year two-pack-a-day smoking history which continued up to the present time. Mr. Howard previously had surgery for a bilateral inguinal hernia repair, cholecystectomy, and arthroscopic surgery on his left knew. He also gave a history of problems with gastric reflux and was currently taking cimetidine (Tagamet).

Patient Y is a fifty nine year old widow, with a BMI of 29.0kg/m2 (severely overweight). Patient is currently unemployed and lives alone after the passing of her husband in 2008. Patient states that there is a strong family history of heart disease and confirms this by explaining that her father had died at the age of fifty after suffering from chronic heart failure for several years. Patient states that she drinks up to 24 units of alcohol a week and has prevalent past history of smoking.

The patient is married and lives with his wife in a suburban area. They have two children who are in good health who lives with their families. Patient is well established with family and friends as powerful support system; he experienced little stress. He has a master degree in engineer, and making decent money. He has no financial issues, and has great health insurance coverage. He does see his primary health care physician regularly. Patient lacks of knowledge on his health issues despite his high education in engineer. Patient does comply with his medication regimen and does not know the current resources available to him.

With medications, he is able to attend baseball games (grandkids), attend church weekly and walk the dogs. Without needed medications, he is bed bound and unable to perform functions.

John Doe, a 70 years old Caucasian male admitted to the acute rehab unit after Ischemic CVA of the right pareito-occipital region. He has left hemiparesis and newly diagnosed Type II Diabetes. He is a school teacher, and teaches Art and paintings. He is alert and oriented times four. His past medical history is Essential Hypertension, GERD, and Hyperlipidemia. He is non-compliant with his medications, he did not take his blood pressor medication properly. He is overweight and does not exercise. He lives with his wife, and have two sons and four grandchildren. His current medications include, Cozaar, Norvasc, Pepcid, Lipitor and he takes Aleve for pain. He has blood sugar checks before meals and at bedtime with a sliding scale coverage of Humalog insulin subcutaneously. His diet is Carbohydrate consistent, Fat Cholesterol modified, 2 gm Sodium.

Patient is a nineteen-year-old college student working as a CNA. Patient’s has multiple chronic conditions such as Celiac Disease, Spina Bifida, Sjogren, Malabsorptive Disorder, Gluten Intolerant, Anemia, MTHFR Gene Mutation, deafness on right side, and Protein S deficient. Patient also has PTSD which contributed to depression, anxiety, and binge eating. Patient also complained of tiredness and being lethargic for 4-5 years and was put on Zoloft for depression. Patient is allergic to nickel and aloe vera. Patient is also at risk for breast cancer due to family history. Patient’s medications are Sertraline, Oxybutynin, Magnesium, Vitamin D, Vitamin E, Iron, and Vitamin B.

He is a current every day smoker. His medical history includes, chronic renal failure, acute pulmonary edema and recent diagnosis of community acquired pneumonia. He also has been experiencing insomnia and nausea with vomiting. Family history is negative for any significant disease. Patient’s social history entails, recently retiring from the family-owned corner grocery store. His medical history does not list any allergies to medications.

This patient has a regular pattern of this disease and does not want to take medication because he has adapted to this lifestyle of highs and lows. Over time the patient cannot resist any help and will make a change to better their lives.

X is a 5’6 220 lbs, 74 yr. old Haitian male (naturalized citizen), widowed, who has lived in the United States for the past 11 years with his adult daughter, who is his medical power of attorney. He speaks mostly Creole, is able to write and understand English, however, he does have a small amount of limitations with the English language. He has a history of Type 2 Diabetes, Hypertension, Dyslipidemia, Myocardial infarction, and Osteoporosis. Prior to admission to the hospital, he had been taking his routine medications at home, which included oral hyperglycemic agent, calcium channel blockers, Celebrex, and a statin. He has no history of smoking or drinking alcohol and lives a sedentary lifestyle, since the death of his wife 11years

His condition has worsened over the last six weeks and the family state they can no longer look after his needs at home. He is an 84 year old gentleman and is a very pleasant man. He lives with his wife Mary and he has one son who lives nearby. John has had a hip replacement in 2007. He also has had a coronary artery bypass graft in 1994.He has had his left earlobe removed due to cancer in 2006 and is non insulin dependent diabetic. He is currently on the following medications.(Appendix 1).John is unable to give the author much information as his cognitive ability has decreased greatly over the last number of weeks. His wife and son gives the author most of the information. He has times of lucidness where he can give some information but when asked how he is he says ‘fine and what am I doing here, let me out the fire has to be put out’. When asked does he know where he is he states ‘I am at home’. When asked who his wife is he says ‘she is my mother’.

Adam Rudd is a 78-years-old retired mechanic who lives alone in a small village located 30 miles outside of town. He was married for 54 years and has been a widower for 3 years. Rudd has two sons Mathew and Douglas, who live in different states and come to visit him once a year. Rudd has a friend, Jennifer, who lives close by and visits him twice a week. Rudd has been diagnosed with hypertension 15 years ago and has been taking Tenormin, Norvasc, and aspirin daily. Rudd takes care of himself alone and lately he has been feeling very weak and tired. He was not able to refill his medication for the past month because he was feeling very weak and could not drive to the pharmacy. He does not like to depend on other`s for getting help and

Heart disease is the number 1 killer in the United States of America. It’s important to have a heart protection strategy, especially as you get older. It should include exercise and a healthy diet, plus supplements for heart health as needed. Know your cholesterol, blood pressure and ideal weight. Lower risk factors and prevent early disability, illness or even death from heart disease. And although you can't help heredity, you can certainly be aware of any risk factors that may have been passed down through your family tree. After following the steps in this assignments all of the supplements I would recommend along with the information I have given you here are proven to help in preventing heart health. Most can be safely taken in combination.