Complete the “Health Assessment Check-Off Project” using a patient that you have previously worked with.

Recently, I had the pleasure of working with a patient as part of my Health Assessment Check-Off Project. My patient was a 54-year old female who was referred to me for management of her hypertension and obesity. During our initial assessment, she reported having no significant medical history other than hypertension which had been controlled through medication usage. She also reported that she exercises regularly and has a balanced diet but still struggles to lose weight.

During the physical examination, I found her blood pressure to be elevated at 150/90 mmHg and her BMI was 35 kg/m2 indicating obesity. Her heart rate was regular without any murmurs or extra sounds heard during auscultation . Her respiratory rate was 12 breaths per minute and lungs were clear bilaterally with good air entry . Additionally , abdominal exam revealed normal bowel sounds present along with soft rounded abdomen without any palpable masses

Based on my findings , I formulated diagnosis of Hypertension (HTN) & Overweight (OW). For HTN, I prescribed lifestyle modifications such as increasing activity level , reducing salt intake & monitoring blood pressure daily while OW required dietary interventions like reducing caloric consumption by eating smaller portions over more frequent meals while avoiding highly processed foods whenever possible .

In conclusion , this health assessment check off project enabled us gain better understanding about how particular condition affects individual patient thus allowing us devise necessary treatment plans according their unique needs thereby improving chances success when it comes managing diseases such HTN or OW going forward.