[SOLUTION] A 39-Year-Old Homeless Man Presents to the Emergency Department for Cough And Fever – Homework Solution
A 39-year-old homeless man presents to the emergency department for cough and fever. He says that his illness has been worsening over the past 2 weeks. He originally had dyspnea on exertion and now is short of breath at rest. On questioning, he tells you that he lives in a homeless shelter when he can, but he frequently sleeps on the streets. He has used IV drugs (primarily heroin) “on and off†for many years. He denies medical history but the only time he gets medical attention is when he comes to the emergency department for an illness or injury. On review of systems, he complains of fatigue, weight loss, and diarrhea.
A 39-Year-Old Homeless Man – Homework Solution
On examination, he is a thin, disheveled man appearing much older than his stated age. His temperature is 100.5°F (38.0°C), his blood pressure is 100/50 mm Hg, his pulse is 105 beats/min, and his respiratory rate is 24 breaths/min. His initial oxygen saturation is 89% on room air, which comes up to 94% on 4 L of oxygen by nasal cannula. Significant findings on examination include dry mucous membranes, a tachycardic but regular cardiac rhythm, a benign abdomen, and generally wasted appearing extremities. His pulmonary examination is significant for tachypnea and fine crackles bilaterally, but no visible signs of cyanosis. His chest x-ray is read by the radiologist as having diffuse, bilateral,
interstitial infiltrates that look like “ground glass.â€
Answer the following questions
What is the most likely cause of this patient’s current pulmonary
complaints?
➤ What underlying illness does this patient most likely have?
➤ What testing and treatment should be started now?
MSN 5550 Health Promotion: Prevention of Disease Case Study Module 4
Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide a citation for your answers.
Deadline: Due by Saturday at 23:59 p.m.
CASE STUDY: Family Member with Alzheimer’s Disease: Mark and Jacqueline
Mark and Jacqueline have been married for 30 years. They have grown children who live in another state. Jacqueline’s mother has moved in with the couple because she has Alzheimer’s disease. Jacqueline is an only child and always promised her mother that she would care for her in her old age. Her mother is unaware of her surroundings and often calls out for her daughter Jackie when Jacqueline is in the room. Jacqueline reassures her mother that she is there to help, but to no avail.
A 39-Year-Old Homeless Man Presents to the Emergency Department for Cough And Fever – Homework Solution
Jacqueline is unable to visit her children on holidays because she must attend to her mother’s daily needs. She is reluctant to visit friends or even go out to a movie because of her mother’s care needs or because she is too tired. Even though she has eliminated most leisure activities with Mark, Jacqueline goes to bed at night with many of her caregiving tasks unfinished. She tries to visit with her mother during the day, but her mother rejects any contact with her daughter. Planning for the upcoming holidays seems impossible to Mark, because of his wife’s inability to focus on anything except her mother’s care.
A 39-Year-Old Homeless Man Presents to the Emergency Department for Cough And Fever
Jacqueline has difficulty sleeping at night and is unable to discuss plans even a few days in advance. She is unable to visit friends and is reluctant to have friends visit because of the unpredictable behavior of her mother and her need to attend to the daily care.
Order A 39-Year-Old Homeless Man Presents to the Emergency Department for Cough And Fever – Homework Solution – Homework Solution
Reflective Questions
- How do you think this situation reflects Jacqueline’s sense of role performance?
- How do you think that Jacqueline may be contributing to her own health?
A 39-Year-Old Homeless Man Presents to the Emergency Department for Cough And Fever – Homework Solution