WK4Assign1Allen,J.docx - NURS 6512 Advanced Health Assessment Slide#2 Patient Initials EK Age 75 Gender Female SUBJECTIVE DATA Chief Complaint Multiple

WK4Assign1Allen,J.docx - NURS 6512 Advanced Health...

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NURS 6512- Advanced Health AssessmentSlide #2Patient Initials: EK Age: 75 Gender: FemaleSUBJECTIVE DATA:Chief Complaint:Multiple raised red bumps on back and abdomenHistory of Present Illness: EK is a 75-year-old Caucasian female that presents with the complaint of a multiple, raised red bumps on her back and abdomen. She reports the onset to be gradual, noticing about ten new bumps showing up over the past year. She denies any itching, pain, or fever. She has tried changing lotion and laundry detergent, butit did not make them go awayMedications:Levothyroxine 25 mcg PO daily, Garden of Eden Multi-vitamin 1 tablet PO daily, Omeprazole 20 mg PO daily Allergies:Cats, PenicillinPast Medical History: Hypothyroidism- controlled, GERDPast Surgical History:1. Total right knee replacement at age 65 in 2009 (Dr. A.E. Joiner)2. Total hysterectomy at age 45 in 1989 (Dr. M. Robbins, Florence, AL)Sexual/Reproductive History:Heterosexual, non-menstruating, not presently sexually activeSocial History:Denies smoking, denies use of drugs and ETOHImmunization History:Pneumococcal and influenza vaccine September 2019 (Dr. D. Martin, Florence, AL) Current on other immunizations.Family History:Mother died of Alzheimer’s at age 88; father died in work- related accident at age 52; one younger female sibling age 72, HTN, GERD; daughter is 53, no medical conditions. Lifestyle: She is retired from nursing in the hospital. She is a widow x3 years. She has one daughterand three grandchildren who live in Tennessee. She has a sister who lives near. She is active daily gardening, volunteering as a cuddler in NICU, church, and dinner twice a week with her sister. She reports eating a well- balanced nutritious diet. She is financially
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