Patient reports feeling short of breath and tired

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Reference no: EM133831485

Question

Create an objective data for this. Date of Clinical Shift: January 21st 2025 Client Initials: M.B. Age: 88 Sex: Female Date of Submission: January 10th, 2025 Part 1: Health Assessment Documentation Subjective Data The patient reports feeling short of breath and tired most of the time, with a productive cough and yellow sputum over the past week, worsening shortness of breath, and occasional palpitations. Fatigue has increased recently, and the patient is on medications for hypertension, hypothyroidism, and type 2 diabetes, likely including a beta-blocker, levothyroxine, and metformin. Her mother died with strock at age of 70. She feels stress of loosing her dependency. She lives alone, quit smoking 20 years ago, and follows a controlled carbohydrate diet. Due to osteoarthritis and general fatigue, she needs assistance with shopping and housekeeping. Objective Data • Vital Signs: BP: • General Appearance: • Cardiovascular: • Respiratory: • Abdomen: • Skin:

Reference no: EM133831485

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