Reference no: EM133653429

Assignment:

Questions 1-3 pertain to the following scenario:

You are working in an ambulatory care clinic and are checking in/assessing Tara, a 22-year-old female patient for the complaint of headache. While obtaining the vital signs and speaking to the patient, you quickly note the following observations:

• The patient is closing her eyes and holding her hand to her head
• She states she tends to get these prior to her menstrual cycle
• Vital signs are: Pulse 88, RR 20, Temp 98.0F (oral), SpO2 99% (room air), BP 160/90, Pain 6/10

1. Please list 5 questions you would like to ask Tara to further advance your knowledge of either the acute problem or past medical history.

2. Describe how you would perform the neurological assessment. Only use techniques discussed in lecture- you do not need to include additional neurological assessments or tests from your book.

3. You are concerned that Tara may be having migraines. Describe 3 subjective and 3 objective findings that would be associated with migraines.

Questions 4-5 pertain to the following scenario:

Jane is a 70-year-old Caucasian female who is admitted to the hospital with compression fractures of L1 and L2. She presented to the emergency department with severe pain in her back that she rated an 8/10. During her admission, she is diagnosed with osteoporosis. Her past medical/surgical history is mostly unremarkable other than rheumatoid arthritis and a total hysterectomy at age 62. Her height is 64 inches and weight is 124 lbs. She states that she was in aerobics class exercising when she felt a sudden sharp pain in her back. She is married and has 3 grown children and seven grandchildren who all live within 30 minutes of her. Her husband is at her bedside.

4. Please list 4 questions you would like to ask Jane to further advance your knowledge of either the acute problem or past medical history.

5. Jane asks you what she can do to strengthen her bones and prevent future fractures. Explain at least two things that you would teach the patient to do to promote bone health and fracture prevention. Describe how you would teach these concepts to the patient.