Case Study
Mr. Joseph is a 68-year-old male hospitalized for shortness of breath and chest pain. He was referred to the hospital by his primary care physician with complaints of shortness of breath climbing the stairs in his home and chest pain and fatigue after walking 2 blocks. Mr. Joseph also reports syncopal episodes after exertion.
Mr. Joseph is married and has two grown children. He enjoys walking his dog, gardening, and woodworking in his home woodshop. He enjoys gardening and reports he eats most of the vegetables he grows and is learning make “healthy” smoothies for his breakfast with kale and other greens. Mr. Joseph is a retired carpenter and volunteers his time making ramps for hospice patient’s homes. He lives in a private home with one flight of stairs to the bedrooms.
Mr. Joseph is a non-smoker and enjoys a cold beer after gardening twice a week.
Height: 5’10”
Weight #210 LBS
Blood Pressure 150/68
Pulse 64 irregular
Respirations 16
Temperature 98.6 F
Past Medical History: Hyperlipidemia
Home medications – Lipitor (Atorvastatin) 40 mg daily at bedtime
Ibuprofen 600 mg PRN pain
Colace (Docusate) 100 mg PRN constipation
Diagnosis: Aortic Stenosis
Treatment Plan: Mr. Joseph had a surgical consult and an elective surgery for aortic valve repair is scheduled in 4 weeks.
Discharge Medications
Digoxin (Lanoxin) 0.125 mg PO daily
Diltiazem (Cardizem) 30 mg PO two times per day
Amiodarone HcL (Cardarone) 200 mg PO daily
Warfarin sodium 5 mg po daily
The case study essay is a 500-700 word teaching plan for Mr. Joseph. (See case study provided)
Select two new discharge medications for teaching. Your focus on teaching in the medication not his new diagnosis.
Be sure to include considerations for nutrition, age, and activity level.
You are required to include one reference with matching citation.
You must include a title page and a reference page.
