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Client Scenario for Transitional Care Models Assignment James Cooper is a 60-year-old African American male admitted to Blazer Hospital on 4/20/2024. The patient presented to the Emergency Department (ED) with shortness of breath with moderate exertion for the week prior that had gotten progressively worse. He reported falling three days prior to coming to the ED. He is 5 ft. 9 inches tall He weighs 225 lbs. Admission Vitals: Blood pressure: 156/90 Pulse: 68 Temp: 97.9 F O2 Sat: 93% Labs: Sodium: 130 mmol/L (normal) Potassium: 5.2 mmol/L (elevated) Chloride: 92 mEq/L (normal) Bicarbonate: 25 mmol/L (normal) Brain Natriuretic Peptide (BNP): 600 pg/ml (elevated) Past Medical History: Hypertension Medications: Diltiazem 240mg daily Social History: cigarette smoker, 1 pack per day for 35 years, no alcohol, no illicit drugs He also states he has been trying to lose weight for a few months, but has found it difficult. He lives alone in a two-story house. He reports that he has trouble climbing stairs due to shortness of breath, so he primarily lives downstairs. He retired a year ago. In the past, he walked about 2 miles, several times per week. Now, he can barely walk to the mailbox at the end of the driveway due to shortness of breath and feeling weak. Notable physical exam findings: Increased work of breathing, Lower extremity 2+ pitting edema bilaterally. Discussion Complete the Learning Activities in the module. Choose ONE of the Care Models from those presented in your module. Using the model as the framework, discuss what needs to happen next in planning for Mr. Cooper to successfully transition home. Address all aspects/goals/components of the model, not just the next step. State why you chose this particular model. Your response should follow the logical flow of the model you have chosen. Use the Bridge Model.
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