Sunday, May 24, 2020

Focused History And Physical Of Pulmonary And Abdominal...

Focused History and Physical of Pulmonary and Abdominal Systems Performed on November 15, 2014 Informant/Biographic Data Patient presents for a focused assessment on the pulmonary and abdomen systems. He is presently 52 years old, and his date of birth is September 30, 1962. He is a white male, second generation American, who presents alone wearing bilateral hearing aids (receiver in the canal). The patient is in no acute distress, who seems reliable is calm and attentive. Speaking in his native language, English, he is cooperative, eager answer questions and follows commands without difficulty. The patient states that he does a lot of home maintenance and repairs on his single family dwelling and enjoys woodworking as a hobby. He shares that he enjoys bike riding for exercise one to three times per week. He works in a sedentary capacity as a senior information technology services, senior architect for 50 to 60 hours per week and claims to enjoy his current work situation. The patient states that he is a happily married man and father of three young adults: two girls, 19 and 20 years old and one boy 18 years old. The patient’s self-perception is the he is â€Å"healthy and happy†. Upon inquiry, he reports his spiritual belief is rooted in Christianity. He bases his choices in his faith but is â€Å"not one to go to church or wear it on his sleeve† (Dameron, C., 2005). He denies having or desiring a spiritual advisor at this time. He denies any spiritual needs at this time.Show MoreRelatedFocus assessment884 Words   |  4 Pages Focus Assessment The purpose of this paper is to document a focused history, physical exam, nursing diagnoses, and nursing process of a case study about a 22-year-old woman that reports as chief complaint : feeling â€Å"sick with the flu† for the past 8 days. 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