Partial preview of the text
Download Florence blackman ihuman 49 year old female presents with intermittent squeezing chest pai and more Exams Nursing in PDF only on Docsity!
NURS 522 FLORENCE BLACKMAN iHUMAN 49-YEAR-OLD FEMALE PRESENTS WITH “INTERMITTENT SQUEEZING CHEST PAIN”. Patient Name: Florence Blackman Patient Age: 49-year-old Subjective Chief_complaint: Florence Blackman is a 49-year-old female with a past medical history significant for hypertension and hypercholesterolemia who presents today for complaints of “intermittent squeezing chest pain”. HOPI: The patient is a 49-year-old female who presents to the clinic with complaints of intermittent midsternal chest pain that started two weeks ago. She describes it as a moderate 6/10 “squeezing” pain which radiates to the left arm and is worse with exertion. The patient also reports dyspnea associated with the episodes of chest pain and worsening pain in the cold weather. The pain and shortness of breath has a sudden onset and is only alleviated by rest which sometimes interferes with her ability to do cross-country skiing in the winter. Patient denies any fatigue, fever, chills, nausea, vomiting, sleeplessness, or abdominal discomfort. She denies any allergies or use of over-the-counter prescription medications or herbal supplements to help with symptoms. She reports a past medical history of hypertension for which she is taking 12.5 mg of hydrochlorothiazide daily and hypercholesterolemia which she is attempting to manage with diet changes. The family includes stroke and coronary artery disease. The physical examination is normal, except for a BMI of 25.5. History: Medical: ¢ Hypertension diagnosed 2 years ago * Hypercholesterolemia diagnosed 1 year ago, currently uncontrolled Surgical/Hospitalizations: * No past surgeries, trauma/injuries, or hospitalizations Family Hx: * Biological father (deceased): stroke at age 65 * Biological mother (deceased): heart disease at age 54 * Biological sister (living): Recent open-heart surgery at age 58 Social Hx Diet: * Frequently eating fast food and restaurant meals Exercise: * High-intensity aerobics class three times per week Occupation: