Client Complaints Diagnosis And Risk Factors Associated...

Client Complaints: The patient complained of crushing chest pain that radiated to his neck and jaw, short of breath (SOB) with exertion, and diaphoretic that had been going on for four hours that day. HPI (History of Present Illness): The patient major symptom of chest pain, accompanied by SOB and diaphoresis prompted him to seek help in the emergency room (ER). He had this similar symptoms that eased up with rest for the past six months. However, in the past four days the symptoms became severe and unbearable. The patient returns to the hospital for follow up visit regarding the stent placement and review of risk factors associated with angina. The patient is still apprehensive of experiencing another episode of angina. PMH (Past†¦show more content†¦Social/Personal History (occupation, lifestyle—diet, exercise, substance use): The patient is a licensed carpenter and is the sole provider for his household. He lives with his wife in a small apartment in an inner city. He admits that he does not get involved in physical activities due to unsafe neighborhood with high crime rate. He has no hobbies and prefer to read at home. He eats one large meal a day after work, misses breakfast majority of the times. He admits eating unhealthy meals for lunch, few serving of fruits and vegetables, and high- calorie food mostly pasta and meat at home. He does not engage in any street drugs or alcohol intake, however he admits smoking cigarette one pack per day for the past thirty years. Description of Client’s Support System: The patient lack strong support system. He live with wife who is currently disabled with uncontrolled type 2 diabetes. Their three grown-up children live in a different area. He lacks community socialization due to majority of the population living at the poverty level and barely have emotional or social support since there are no relatives living in their city. Behavioral or Nonverbal Messages: The patient is the sole bread winner in the family and experiences some nervousness going back to work due to finances. His self-efficacy is disrupted as he is not sure if he is capable of caring for himself and his