S. is a 66-year-old African American woman who presents to your practice for a well-adult physical checkup. She is widowed and works part-time as a mental health technician to support herself. Family history includes father deceased from a stroke at age 50 years, mother living with hypertension and type 2 diabetes mellitus, a half-sister deceased with breast cancer, and a brother with pancreatic cancer and coronary artery disease and end-stage renal disease secondary to type 2 diabetes mellitus. S. has not seen a health-care provider for several years because she had no health insurance. Now she has Medicare, so she is coming in for care. She is a former smoker who quit 5 years ago after smoking 1 pack per day since age 20 years. She has four grown children, all of whom live nearby, and she has eight grandchildren. Vital signs are blood pressure (BP) 150/92, heart rate (HR) 76 (reg), respiratory rate 18 breaths per minute (bpm) (afebrile), and body mass index (BMI) 32.1. What would you use for primary, secondary, and tertiary prevention for the patient? Give and explain an example of each prevention method.

S. is a 66-year-old African American woman who presents to your practice for a well-adult physical checkup. She is widowed and works part-time as a mental health technician to support herself. Family...

S. is a 66-year-old African American woman who presents to your practice for a well-adult physical checkup. She is widowed and works part-time as a mental health technician to support herself. Family history includes father deceased from a stroke at age 50 years, mother living with hypertension and type 2 diabetes mellitus, a half-sister deceased with breast cancer, and a brother with pancreatic cancer and coronary artery disease and end-stage renal disease secondary to type 2 diabetes mellitus.

S. has not seen a health-care provider for several years because she had no health insurance. Now she has Medicare, so she is coming in for care. She is a former smoker who quit 5 years ago after smoking 1 pack per day since age 20 years. She has four grown children, all of whom live nearby, and she has eight grandchildren. Vital signs are blood pressure (BP) 150/92, heart rate (HR) 76 (reg), respiratory rate 18 breaths per minute (bpm) (afebrile), and body mass index (BMI) 32.1.

What would you use for primary, secondary, and tertiary prevention for the patient?

Jun 06, 2022