History and Physical

HISTORY AND PHYSICAL Date: January 26, 2011 Time of visit 8:20 am Demographics: Name: J.R Gender: Male suppurate: 88 Ethnicity: White- Hispanic Birth amaze: Cuba Chief burster: Patient is un sufficient to care for himself; He is seeking helper in daily living including medication, safety, and shelter. He doesnt cognise why he is here. HPI: J. R. is an 88 year old, white Hispanic male, with a past medical examination exa instantation explanation of HTN, Left CVA, CHF, Hyperlipidemia, hematuria and Gerd. We were informed by ALF staff that in the year 2001, he was watching TV with his wife seats on the assign when he had a tremendous irritation described as a stabbing knife similar pain on the back of the head; one government agency or a nonher he collapsed on the floor. According to his medical records, it occurred only(prenominal) one time, and has not happen again. Mr. R was then taken to Jackson Memorial Hospital, but unfortunately, he was n ot able to care for himself, and he was transferred to a living preparedness where he is currently, resides since August 11 , 2007. He is now seen by our medical team in the assisted living facility. Mr. R denies both symptoms; he denies anything ever happening to him.

He denies headaches, shortness of breath, spit up or any chest pain, stroke condition, denies his hemiplegic and tries to force reveal his right arm as much as usable (the affected side), denies weight changes, febricitys, chills, or night sweat, nausea, vomiting, polyuria or polydipsia. Overall, he denied everything, he only states how good he feels and that nothing is rail at with his health. Past Medical chronicle: Medications * Furosemide 20! mg every new(prenominal) solar day * Lisinopril 5mg Qd * Multi-Vitamin Qd * Omeprazole 20mg Qd * Vitamin C 500 mg Qd * simvastatin 20mg Qd * Med Pass * Acetaminophen 325 mg (tab) as indispensable for fever * Nitroglycerin .4 mg 1 tablet sublingual every 5/min x 3 as needed Medical History: * LCVA- 1999 * HTN- unknown info * GERD- unknown data *...If you want to get a generous essay, order it on our website: OrderEssay.net

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