1) This is an instruction sheet and should not be used to write the below paper. Open a new Word document to construct paper. 2) Must be APA formatting throughout. 3) Must have a title page. 4) Must have a reference page. 5) The body of your paper must be at least pages not including the title page and reference (those are separate pages). 6) All seven questions must be answered in its entirety. 7) Must cite at least references in the body of your paper to support your work. You inherit a new patient F. L. who has a history of “recent stroke.” He was recently (approximately 3 months ago) hospitalized, but you don’t have his records at the moment. The patient’s wife wanted him “checked out,” and states that his “cat scan” showed a stroke. She claims, “They did a bunch of other tests but didn’t find anything.” She does not think he has hypertension but adds, “He does not like to go to doctors.” The past medical history is unknown. He does report taking aspirin 81mg daily and does not have any known drug allergies. Patient F. L. smoked one pack a day but quit five years ago, however he does drink socially. As for his family history, his mother died at the age of 79 from a stroke and his father died at the age of 64 from a myocardial infarction; he is the only child. He is 57 years old, married to his wife for 29 years and has three children. He works Monday through Friday as an accountant. Aspirin 81mg daily Subtle left hemiparesis; increased tone and hyperactive reflexes; very mild neglect of his left side. Vitals: height = 72″, weight = 225, body mass index = 30.5, blood pressure = 150/99 mm Hg; heart rate = 93 beats per minute at rest.

The patient in question, F. L., presents with a history of a recent stroke. This stroke was confirmed by a “cat scan” that was performed approximately three months ago. However, the patient’s records are currently unavailable. F. L.’s wife expressed concern and requested a medical evaluation, stating that the other tests conducted during the hospitalization did not reveal any other abnormalities. She does not believe that F. L. has hypertension but mentioned that he has a dislike for doctors. Unfortunately, the patient’s past medical history is unknown at this time. F. L. does report taking a daily dose of aspirin (81mg) and has no known drug allergies. Regarding his personal habits, F. L. used to smoke a pack of cigarettes per day for several years but has been quit for five years. He does drink alcohol socially. In terms of family history, F. L.’s mother passed away at the age of 79 due to a stroke, and his father died at 64 due to a myocardial infarction. F. L., married for 29 years, is 57 years old, and has three children. He works as an accountant from Monday to Friday.

Upon examination, it was noted that F. L. presents with subtle left hemiparesis, increased tone, hyperactive reflexes, and mild neglect of his left side. Moreover, his vitals were recorded as follows: height = 72″, weight = 225 lbs, body mass index (BMI) = 30.5, blood pressure = 150/99 mm Hg, and resting heart rate = 93 beats per minute.

Based on the available information, there are several important considerations regarding F. L.’s case. Firstly, the presence of a recent stroke indicates the need for further assessment and management. Stroke, or cerebrovascular accident (CVA), is a significant medical event that can lead to long-term disability and mortality. It occurs when blood flow to the brain is interrupted, either due to a blockage (ischemic stroke) or bleeding (hemorrhagic stroke). Prompt evaluation is necessary to determine the type of stroke and guide appropriate treatment strategies.

Secondly, F. L.’s medical history is unknown, which poses challenges in understanding potential underlying risk factors or pre-existing conditions that may have contributed to the stroke. Obtaining a comprehensive medical history is crucial in assessing the patient’s overall health and identifying any systemic conditions that may increase the risk of stroke or affect the management plan.

Thirdly, the familial incidence of stroke and myocardial infarction should be considered. Family history plays a role in determining an individual’s predisposition to certain conditions, including cardiovascular diseases. F. L.’s father’s cause of death from a myocardial infarction suggests the presence of cardiovascular risk factors within the family.

Furthermore, F. L.’s lifestyle habits, such as his former smoking habit and social alcohol consumption, are important factors to consider. Both smoking and excessive alcohol intake can significantly increase the risk of stroke and other cardiovascular diseases. The patient’s smoking history, although he has quit for five years, may have contributed to the development of the stroke.

In terms of the patient’s vital signs, his blood pressure of 150/99 mm Hg is considered elevated and warrants attention. Hypertension, or high blood pressure, is a major risk factor for stroke and should be carefully managed to prevent further complications. The patient’s heart rate of 93 beats per minute at rest is slightly elevated, indicating the need for monitoring and further evaluation to rule out any underlying cardiac issues.

In conclusion, F. L.’s case presents significant concerns related to his recent stroke, unclear medical history, family history of stroke and myocardial infarction, lifestyle habits, and abnormal vital signs. Further evaluation, including obtaining a detailed medical history, conducting additional tests to assess the extent and cause of the stroke, and implementing appropriate management strategies, is crucial to ensure optimal care for F. L. and reduce the risk of further complications.