Darrell Johnson iHuman Case Study Guide, Exercises of Nursing

Darrell Johnson iHuman Case Study Guide

Typology: Exercises

2025/2026

Available from 03/05/2026

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Darrell Johnson iHuman Case Study Guide
Patient: 64-year-old male
Chief Complaint: Worsening Parkinson's disease
Patient Dashboard / Electronic Health Record (EHR)
| Element | Detail |
| :--- | :--- |
| Name | Darrell Johnson |
| Age/Sex | 64/Male |
| Admitting Diagnosis (Dx) | Worsening Parkinson's disease |
| Attending Physician | Dr. Porter |
| Code Status | Full |
| Allergies | No known allergies |
| Weight | 165 lbs |
| Activity Level | Low (High Fall Risk) |
| Diet | Regular |
| Fall Risk Level | High |
| Precautions | Fall precautions, monitor orthostatic BP |
History of Present Illness and Past Medical History
- History of Present Illness: The patient presents with a worsening of his previously diagnosed
Parkinson's disease .
- Past Medical History: Parkinson's disease (diagnosed two years ago) .
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Darrell Johnson iHuman Case Study Guide

Patient: 64-year-old male Chief Complaint: Worsening Parkinson's disease Patient Dashboard / Electronic Health Record (EHR)

ElementDetail NameDarrell Johnson Age/Sex64/Male Admitting Diagnosis (Dx)Worsening Parkinson's disease Attending PhysicianDr. Porter Code StatusFull AllergiesNo known allergies Weight165 lbs Activity LevelLow (High Fall Risk) DietRegular Fall Risk LevelHigh PrecautionsFall precautions, monitor orthostatic BP

History of Present Illness and Past Medical History

  • History of Present Illness: The patient presents with a worsening of his previously diagnosed Parkinson's disease.
  • Past Medical History: Parkinson's disease (diagnosed two years ago).
  • Psychosocial History: Patient denies changes in concentration, anxiety, panic, depression, irritability, insomnia, suicidal ideations, history of violence/abuse, or eating concerns. Review of Systems (ROS) and Physical Exam Findings Positive Findings (Symptoms & Signs) :
  • General/Neurological:
    • Tremors
    • Cogwheel rigidity
    • Bradykinesia (slowness of movement)
    • Soft, slurred speech
    • Mask-like facial expression
    • Orthostatic hypotension (drop in blood pressure upon standing) Vital Signs :
  • Temperature: 98.6°F (afebrile)
  • Heart Rate (HR) : 64 bpm
  • Respiratory Rate (RR) : 26 breaths/min
  • Blood Pressure (BP) : 124/76 mmHg (initial); 128/72 mmHg (second reading)
  • O2 Saturation: 99% on room air Patient Care Priorities & Interventions | Priority/Intervention | Rationale/Details | | :--- | :--- | | Fall Precautions | Patient is at High Fall Risk due to Parkinson's symptoms (bradykinesia, rigidity, orthostatic hypotension). Implement all necessary fall prevention protocols. |
  • Cardiovascular: Assess for orthostatic hypotension by checking lying, sitting, and standing blood pressures. Discharge Plan Considerations Based on the case information, the discharge plan should focus on ensuring the patient's safety at home. This will likely involve coordination with the consults ordered :
  • Physical Therapy (PT) : To provide exercises for mobility and strength, and recommend assistive devices (e.g., walker).
  • Occupational Therapy (OT) : To assess the home environment for safety and recommend adaptive equipment for daily tasks.
  • Social Services: To arrange for any needed home health aide support or meal services.