History of present illness (hpi): at-risk 86-year-old asian male - who is physically and financially dependent on his daughter, a single mother who has little time or money for her father's health needs. pmh: hypertension (htn), gastroesophageal reflux disease (gerd), b12 deficiency and chronic prostatitispsh: s/p cholecystectomydrug hx: current meds: lisinopril 10mg daily, prilosec 20mg daily, b12 injections monthly, and cipro 100mg daily. review of systems (ros)general: + weight loss of 25 lbs over the past year; no recent fatigue, fever or chills. head, eyes, ears, nose & throat (heent): no changes in vision or hearing, no difficulty chewing or swallowing. neck: no pain or injuryrespiratory: cv: gi: gu: no urinary hesitancy or change in urine streamintegument: multiple bruises on his upper arms and back. ms/neuro: + falls x 2 within the last 6 months; no syncopal episodes or dizzinesspsych: objective datape: b/p 188/96; pulse 89; rr 16; temp 99.0; ht 5,6; wt 110; bmi 17.8heent: atraumatic, normocephalic, perrla, eomi, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, ornasopharynx clear, edentulous. lungs: cta ap& lcor: s1s2 without rub or gallopabd: benign, normoactive bowel sounds x 4ext: no cyanosis, clubbing or edemaintegument: multiple bruises in different stages of healing - on his upper arms and back. neuro: no obvious deformities, cn grossly intact ii-xiito prepare: reflect on your experiences as a nurse and on the information provided in this week’s learning resources on diversity issues in health assessments. select one of the three case studies. reflect on the provided patient information.
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