Mr. G is a 66-year-old Hispanic gentleman who presents to the clinic with a chief complaint of bilateral lower leg pain. He first noticed the pain earlier this week while he was cleaning out his garage. Mr. G. describes the pain as, “persistent over the last few days at a 5 or a 6 when getting up in the morning”, based on a 1-10 scale. He feels less pain when walking (at a 4 or a 5) and feels even less pain when he is seated with his legs propped up, but he prefers to be active. A review of his medical record reveals a history of hyperlipidemia, hypertension, “diet-controlled” type II diabetes and former smoker (quit more than 10 years ago). His current daily medications are Atorvastatin 20 mg, benazepril 40 mg, metoprolol 25 mg, and a “baby aspirin.” Current vital signs are BP 154/94, HR 92, RR 20, o2 stats 96% on RA. Based on an exam, bilateral lower extremity findings are as follows: slightly bluish color, visible varicosities, +1 edema ending just above ankles, capillary refill brisk, skin temperature warm, and peripheral pulses strong.
After reviewing the above scenario, address the following elements:
Summarize the client’s history of present illness, identifying subjective and objective findings.
Plan a focused assessment, including the steps that you would take to assess the client’s peripheral vascular system.
Interpret the data to determine multiple differential diagnoses to consider. Be sure to include a description of the health risk or healthy behaviors that you identified during your assessment.
Develop a potential care plan for one of the possible differential diagnoses that includes collaboration with other necessary healthcare disciplines.
Research a health promotion tool (such as brochure, poster, pamphlet, handout, website, etc.) for the client. Be sure to identify at least two goals or objectives for your proposed tool based on the assessment you conducted.
Explain the health literacy best practices you would implement to ensure your health promotion tool is appropriate for a diverse population. Support your explanation with specific examples.
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