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Essay / Research Paper Abstract
A 7 page overview of the steps that might be taken when evaluating an elderly patient complaining of chest pain and who has a history of chronic obstructive pulmonary disease (COPD), hypertension, high cholesterol (hypercholesterolemia), gastrointestinal reflux disease
(GERD), smoking and pneumonia. The author emphasizes the importance of a thorough evaluation and provides eight questions to help determine the reason for the pain. Bibliography lists 6 sources.
Page Count:
7 pages (~225 words per page)
File: AM2_PPmedEvl.rtf
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Unformatted sample text from the term paper:
Medical diagnoses are often predicated on
patient history. Unfortunately, many conditions can mask others. As we age this problem becomes even more complex. Obesity, Fitness & Wellness Week (2005) reports that half of
patients over the age of sixty-five have three or more chronic diseases. Of the more common coexisting conditions that can complicate medical diagnosis are chronic obstructive pulmonary disease (COPD),
hypertension, high cholesterol (hypercholesterolemia), and gastrointestinal reflux disease (GERD). Consider, for example, a sixty-five year old male with all of these conditions as well as a past history of
smoking who is presently hospitalized for COPD exacerbation and right lower-lobe pneumonia. If that patient were to experience left-side chest pain and shortness of breath it obviously could be
the reflection of any one of these conditions. Giving the potential seriousness of such symptoms, however, it is necessary to determine precisely what is causing them.
To most thoroughly investigate the pain being experienced in the hypothetical case outlined above the medical professional must carefully evaluate this patient using all
that is known about each of these conditions. Pain such as that being described, of course, can be traced to any one of the patients coexisting conditions. To
further confuse the issue, popular belief would hold that the elderly experience less pain sensitivity than a younger age class (Larsen, 2000). Indeed some observations would tend to support
the thought that elderly experience pain differently. Elderly patients experiencing heart attacks for example tend to bear out the pain for a longer period of time than do younger
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