Top Case 1 S.P is a 68-year-old retired painter who is experiencing right leg calf pain. The pain began approximately tw
Posted: Mon Jul 11, 2022 2:26 pm
Top Case 1 S.P is a 68-year-old retired painter who is experiencing right leg calf pain. The pain began approximately two years ago but has worsened significantly in the past 4 months. The pain is precipitated by exercise and is relieved with rest. Two years ago, S.P. could walk two city blocks before having to stop because of leg pain. Today, he can barely walk across the yard. S.P. has smoked two to three packs of cigarettes per day (PPD) for the past 45 years. He has a history of coronary artery disease (CAD), hypertension (HTN), peripheral artery disease (PAD), and osteoarthritis. Surgical history includes a quadruple coronary artery bypass graft (CABGx4) 3 years ago. He has had no further symptoms of cardiopulmonary disease since that time, even though he has not been compliant with the exercise regimen his cardiologist prescribed. He continues eating anything he wants and smoking two to three PPD. Other surgical history includes open reduction internal fixation of a right femoral fracture 20 years ago. S.P is in the clinic today for a routine semiannual follow-up appointment with his primary care provider. As you take his vital signs, he tells you that in addition to the calf pain, he is experiencing right hip pain that worsens with exercise; the pain goes away promptly with rest. 1. Identify a minimum of three subjective cues (risk factors) that are clinically significant and provide a brief rationale for each cue. 2. Based on the clinically significant data, What health condition is the client experiencing 3. Using your words, describe the pathophysiology consistent with this condition. 4. What objective signs will you anticipate on inspection and palpation 5. Discuss one health promotion teaching topic 6. Based on the information, discuss one older adult's consideration..