Question

CASE STUDY I with his wife of 35 years, and has 2 grown children. He has smoked rt failure. He is compliant with his he has not been successful quitting Mr. B. is a 58-year cigarettes since the age of 23, and currently smokes 1 ppd. He drinks watching sports on TV. His past health history includes arthritis and mild chronic medications and sees his primary care physician regularly for follow up. However smoking. He has tried to quit on his own and has never attended any smoking old black man. He is married, lives beer on the weekends, usually 1 -2 cans when hea job is becoming increasingly stressful as he tries to compete with Mr. 8. has experienced increased indigestion He is employed as a car salesman and reports that his coworkers who are "younger more energetic". Over the past 2-3 months, Mr stomach pain. He has taken OTC antacids with little relief. Two days ago he to see his primary care provider and led to his admission to the hospital for evaluation. began to pass black stools, which caused Admission Diagnoses: GI bleed Hx of Heart failure Arthritis Meds on admission: . enalapril 5 mg b.i.d . naproxen 500 mg b.i.d. Admission labs Hgb-10.3g/dL (12-18 g/du) Platelets- 162-109/L (150-450-109/L) INR-1.1 (0.8-1.2) LFTs-all WN

Answer 1

ANSWER :

CLIENT EDUCATION ON MEDICATIONS :

* Educate client to take Tab. Omeprazole 20 mg orally, daily early in the morning before breakfast. Omeprazole acts as a antacid.

* Educate client don't exceed the dosage of Naproxen, as it acts to relieve pain in the body.

* Educate to take plenty of oral fluids after taking of medications

* Educate client about colonoscopic preparation before coming to hospital

HEALTH PROMOTION TOPICS :

1. Educate about regular exercises and weight control measures

2. Educate to take Iron rich diet to prevent anemia

3. Educate to avoid spicy and salty food items in the diet.