A 33-year-old male presents with a one-month history of episodes of…

Question Answered step-by-step A 33-year-old male presents with a one-month history of episodes of… A 33-year-old male presents with a one-month history of episodes of mid-epigastric pain, a “burning” sensation in his chest, an associated dry cough, and occasional regurgitation. The pain worsens after eating and when he is lying flat. The patient has increasing postprandial fullness and early satiety. He also states waking up from the pain and burning, with a sore throat and hoarse voice. The patient reports associated mid-thoracic, bilateral back pain that occurs during the episodes. The symptoms are partially relieved by adjusting from a lying to a sitting position and with the use of over-the-counter (OTC) medications Mylanta┬« and Zantac.The patient has been a marketing manager for a mid-size company for eight years. He does not smoke, use any medication or drugs other than an occasional OTC, and is a social drinker only. He exercises regularlyPhysical Examinations:Vital Signs: Temperature, 99.1┬░ F; Blood Pressure, 132/78; Respiratory Rate, 18; Pulse, 80; Weight, 190 lbs.Eyes: Pupils equally round and reactive to light.Ears: Tympanic membranes clear; canals clear bilaterally.Nares: Patent without nasal septal deviation; pharyngeal mucosa pink and moist.Throat: Oropharynx pink and moist; no erythema, tonsillar enlargement, lesions, lingual erosion of teeth, lymphadenopathy, or nodular; thyroid normal size.Cardiac: Regular rate and rhythm; no murmurs, rubs, or gallops.Lungs: Clear to auscultation bilaterally; no rales, rhonchi, or wheezing.Abdomen: Non-distended, soft, non-tender; normal active bowel sounds.Musculoskeletal: Muscle strength 5/5 upper and lower extremities, full range of motion, no tissue texture changes or asymmetry.Neuro: 2-12 intact; deep tendon reflexes intact bilaterally; sensation intact; 5/5 motor strength.Osteopathic Structural Examination:Test CBC: Hemoglobin and hematocrit within normal range; not showing microcytic indices.Upper Gastrointestinal Endoscopy: Mild inflammation at GE junction.Diagnostics:Diaphragmatic tightness was noted.Rib motion decreased.Rotation measured at 40 degrees bilaterally┬áINSTRUCTION:Make a individualized Nursing Care Plan to this patient. Include the diet, and health teaching Health Science Science Nursing NUR MISC Share QuestionEmailCopy link Comments (0)