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Teaching plan for Mr. Joseph

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.

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