Question

Case: Mr. Edwards is a 73-year-old man that you are seeing for the first time at...

Case: Mr. Edwards is a 73-year-old man that you are seeing for the first time at the clinic because his previous primary care provider has recently retired. He is feeling well and presents to the office today for a routine initial visit. He has a history of hypertension, but denies chest pain, shortness of breath, palpitations, and dyspnea on exertion, fatigue or any other symptoms.
Physical Examination

Height: 69 inches; Weight: 190 lbs.; BMI 28.1
Pulse: 68 regular RR: 18
BP: 140/95
Gen: healthy, well-nourished male, appearing younger than stated age with somewhat poorly controlled hypertension.

Social History

Mr. Edwards is married and lives in his own home with his third wife of 2 years. He has two grown children, both married. He is retired and living off his pension, investment income and social security income.

Dietary and Other Lifestyle Habits:

He would prefer not to change his medications.
He’s a “meat and potatoes” man with less than 3 small servings of vegetables per week and approximately one serving of fruit (as OJ) per day.
He denies smoking cigarettes but admits to smoking a cigar approximately 2-3x/mo.
He drinks 3-4 glasses of scotch and soda a day.

He enjoys walking 2-3 miles per day for exercise.
Questions for Discussion:

What dietary or other lifestyle modifications would you suggest Mr. Edwards make to help control his hypertension?
How would you modify these recommendations if he was obese?
Would you prefer to counsel him yourself or refer him to a dietitian?

Homework Answers

Answer #1

Mr.Edward 73 years old man should strictly adhere to the following to lead a quality healthy life

Diet:

Eating Meat and Potatoes has an effect of increasing the blood pressure.So the intake of this food has to be restricted,but he enjoys eating it so restrict than to stop eating. Increasing the quantity of vegetables will help him.

Lifestyle:

Walking is good for him

Smoking has to be seized because it causes ill-effects on heart directly

Drinking Scotch and soda also has the same effect.

Considering his BMI 28.1 , which is over weight.

He is not obese.

A dietitian is the best person to modify his dietary requirements and do meal plan. Counseling this client and then sending him to dietitian will help him to come out of the problem.

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
Mr. Edwards is a 43-year-old man with a history of peripheral vascular disease and hypertension. He...
Mr. Edwards is a 43-year-old man with a history of peripheral vascular disease and hypertension. He smokes two packs of cigarettes per day. He reports calf pain during minimal exercise that decreases with rest. 1. Highlight the one (1) priority nursing diagnosis related to Mr. Edward’s symptoms, and write a client outcome for it. a. Ineffective Peripheral Tissue Perfusion related to compromised circulation b. Fatigue related to pain on exertion c. Impaired Physical Mobility related to pain and muscle spasms...
Case Study, Chapter 9, Chronic Illness and Disability 1. Mr. Edwards is 20-year-old male patient who...
Case Study, Chapter 9, Chronic Illness and Disability 1. Mr. Edwards is 20-year-old male patient who is admitted for treatment of recurring pyelonephritis (kidney infection) and surgical treatment of a urinary stricture, which has decreased the urinary stream. Mr. Edwards has paraplegia; he is paralyzed from the waist down secondary to an automobile accident when he was 16. He came by ambulance to the hospital, leaving his wheelchair and wheelchair pressure-relieving cushion at home. According to the nursing history, the...
Case study A 78-year-old 84.1 kg white man presents to the emergeney department with weakness in...
Case study A 78-year-old 84.1 kg white man presents to the emergeney department with weakness in his left arm and leg and difficulty speaking. His symptoms began approximately 2 hours ago, prompting his wife to call the paramedies. His past medical history is significant for hypertension, dyslipidemia, and a previoas stroke 2 years ago. He experienced a transient ischemic attack I week ago, but did not seek medical care. Social history is significant for moderate alcohol use and cigarette smoking...
Mr. D Mr. D is a 90-year-old man who was admitted to the hospital with complaints...
Mr. D Mr. D is a 90-year-old man who was admitted to the hospital with complaints of nausea, vomiting, left arm pain, and chest pain. An electrocardiogram (ECG) is performed, and he is diagnosed as having a myocardial infarction. Mr. D has a long history of comorbidities including hypertension, diabetes, and congestive heart failure (CHF). With this in mind, the physician asks Mr. D if he wants life-sustaining measures taken (e.g., CPR, mechanical ventilation, etc.) should he experience cardiopulmonary arrest....
Mr. Ali, the 56-year-old man admitted with a stroke, has many abnormal findings. He has a...
Mr. Ali, the 56-year-old man admitted with a stroke, has many abnormal findings. He has a history of hypertension, smoking, and mild baseline dementia. He appears fearful and agitated, asking for cigarettes, oriented to name only. His speech is comprehensible but slurred. Mr Ali is drowsy with periods of confusions impaired short-term memory—remembers zero of three objects after 1 minute. He appears to have left visual field loss. He has right lower facial weakness left tongue deviation. His muscle bulk...
Mr. Samson, a 43-year-old patient, was recently diagnosed with essential hypertension. What should you discuss with...
Mr. Samson, a 43-year-old patient, was recently diagnosed with essential hypertension. What should you discuss with Mr. Samson to emphasize the dangers of his disease and to teach him about possible lifestyle modifications that he must make to improve his health? Which community resources available that might help Mr. Samson and his family effectively manage his disease?
Mr. A is a 46 y/o Hispanic male presenting for the first time to your practice....
Mr. A is a 46 y/o Hispanic male presenting for the first time to your practice. He denies any medical history but states he was once told by a doctor that if he did not control his risk factors he would be a diabetic. He presents with complaining of excessive thirst, hunger and complains of “urinating a lot”. Upon assessment, Mr. A presents with a sedentary lifestyle, central obesity and a history of tobacco use. His VS are as follow:...
Mr. james, the 56-year-old man admitted with a stroke, has many abnormal findings. He has a...
Mr. james, the 56-year-old man admitted with a stroke, has many abnormal findings. He has a history of hypertension, smoking, and mild baseline dementia. He appears fearful and agitated, asking for cigarettes, oriented to name only. His speech is comprehensible but slurred. Mr Ali is drowsy with periods of confusion. He has impaired short-term memory—remembers zero of three objects after 1 minute. He appears to have left visual field loss. He has right lower facial weakness left tongue deviation. His...
Mr. Ali, the 56-year-old man admitted with a stroke, has many abnormal findings. He has a...
Mr. Ali, the 56-year-old man admitted with a stroke, has many abnormal findings. He has a history of hypertension, smoking, and mild baseline dementia. He appears fearful and agitated, asking for cigarettes, oriented to name only. His speech is comprehensible but slurred. Mr Ali is drowsy with periods of confusion. He has impaired short-term memory—remembers zero of three objects after 1 minute. He appears to have left visual field loss. He has right lower facial weakness left tongue deviation. His...
Mr. Ali, the 56-year-old man admitted with a stroke, has many abnormal findings. He has a...
Mr. Ali, the 56-year-old man admitted with a stroke, has many abnormal findings. He has a history of hypertension, smoking, and mild baseline dementia. He appears fearful and agitated, asking for cigarettes, oriented to name only. His speech is comprehensible but slurred. Mr Ali is drowsy with periods of confusion. He has impaired short-term memory—remembers zero of three objects after 1 minute. He appears to have left visual field loss. He has right lower facial weakness left tongue deviation. His...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT