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FNP 590 - Health Promotion, Education, and Disease Prevention Across the Life Span

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FNP 590 - Health Promotion, Education, and Disease Prevention Across the Life Span The Case Study of Mrs. Lopez - An Integrative Approach Nicole Scribner United States University FNP 590 - Health Promotion, Education, and Disease Prevention Across the Life Span Professor Shauna Chris...

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  • May 1, 2022
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THE CASE STUDY OF MRS. LOPEZ 1




FNP 590 - Health Promotion, Education, and Disease
Prevention Across the Life Span


The Case Study of Mrs. Lopez - An Integrative Approach



Nicole Scribner

United States University

FNP 590 - Health Promotion, Education, and Disease Prevention Across the Life

Span Professor Shauna Chriss

June 18, 2021




This study source was downloaded by 100000834306259 from CourseHero.com on 04-29-2022 13:08:50 GMT -05:00


https://www.coursehero.com/file/107538592/FNP-590-Signature-Assignment-Case-Studydocx/

, THE CASE STUDY OF MRS. LOPEZ 2


The Case Study of Mrs. Lopez - An Integrative Approach

Subjective: Mrs. Lopez is a 58-year-old Hispanic widow. She is unemployed and

currently lives with her son and daughter and law, and her three grandchildren. She in not

currently sexually active. She is catholic and very involved with her church and family. Her

insurance is Medicaid. She is independent and does not require assistance from her family. The

patient predominantly uses folk remedies to treat any illness and therefore has not seen a primary

care provider in several years. She comes to the clinic for a check-up and exam, and reports

some difficulty with breathing and history of asthma, but denies any other medical problems.

The patient has a surgical history of a tonsillectomy. She currently takes no prescription

medication, but does use herbal supplements. Patient reports that she once used and inhaler but

stopped using it because she could no longer afford it. The patient reports that she is a smoke and

smokes ½ a pack a day. She also drinks but she reports only socially, 3-4 times a month. She

reports that her mother died from a stroke and that her father had diabetes. The patient has

NKDA. Patient is currently unsure of her immunization and vaccination status.

Objective: physical exam includes, Vital signs: Ht. 62 inches, Wt. 165 lbs., BP: 156/94,

HR: 86, RR: 19, SaO2: 85% on RA. HEENT: denies headaches, or ear, nose, and throat pain,

mucous membranes pink, moist, and intact, tonsils have been removed, missing some teeth,

tongue pink, intact, and midline, no lymphadenopathy. Cardiovascular: Denies chest pain or

palpitations, S1 & S2, no murmur, rhythm is regular, no tachycardia. Respiratory: Report’s

shortness of breath and chronic non-productive cough, Inspiratory and expiratory wheezes heard

bilaterally. GI: Denies heartburn, nausea, vomiting, pain, diarrhea, or constipation, physical exam

WNL. GU: Denies, Musculoskeletal: Reports mild generalized joint pain, limited ROM in

bilateral knees and shoulders. Neurological: Denies, Psychiatric: Denies depression, anxiety,




This study source was downloaded by 100000834306259 from CourseHero.com on 04-29-2022 13:08:50 GMT -05:00


https://www.coursehero.com/file/107538592/FNP-590-Signature-Assignment-Case-Studydocx/

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