I have to complete my first and last Case Study before I end this semester, but i've got the biggest writers block. Can someone lend me a hand?
this is the only part of it i'm having difficulty with out of the other three sections.
Scenario: First Home Health Care Visit- 73 yr African-American male living w| Spouse. 185 lbs. 6' 3''. He's lost 10 lbs in 6 weeks. Has a CVP (Central venous port) implanted for previous Chemo for Colon Cancer, but no longer in use.
Apical HR is 110 BPM, irregular and thready, with BP 110/60. His respirations are 25/Min. (usual for him he says). He denies Dyspnea but uses 3pillows under his head to sleep. Chart confirms COPD and CVA w Right-Hemiparesis.
Meds: Theodur 450mg BID PO, Furosemide 40mg BID PO, Proventil 4 Puffs Q4H INH, Lanoxin 0.25mg QD PO, Surfak 240mg QD PO.
What questions do you have? (for the patient to find out more or where the problem is coming from due to his slightly elevated apical pulse and weight loss)