[DOCUMENT TITLE]
[Author name]
[COMPANY NAME] [Company address]
, [DOCUMENT TITLE]
Case #2: AG is a 54-year-old Caucasian male who was referred to your clinic to establish care after a
recent hospitalization after having a seizure related to alcohol withdrawal. He has hypertension and a
history of alcohol and cocaine abuse. He is homeless and is currently living at a local homeless shelter.
He reports that he is out of his amlodipine 10 mg which he takes for hypertension. He reports he is
abstaining from alcohol and cocaine but needs to smoke cigarettes to calm down since he is not
drinking anymore.
My case study presented with a homeless 54-year-old male who has been discharged
from the hospital after having a seizure related to alcohol withdrawal. Past medical history
includes cocaine and alcohol abuse, high blood pressure, and current tobacco use. This patient is
currently living at a homeless shelter and reports not taking his medications for hypertension
because he is out of them. He reports not using cocaine or drinking alcohol at this time but
started smoking to calm his nerves.
In this scenario, the patient might still be having mild withdrawal symptoms and is at
increased risk for cardiovascular complications related to current tobacco use and prior substance
abuse. Atherosclerotic cardiovascular disease (ASCVD) is a leading cause of death among
Americans in all ethnic groups, with an increased incidence after 45 years old (Lloyd-Jones et
al., 2017). Cocaine use increases the risk of having a cardiovascular event because of its
vasoconstriction on the vessels in the heart (Riley et al., 2020). Since both alcohol and cocaine
can be addictive, assessing the patient for cravings can reduce potential relapse.
Socioeconomic status
One important socioeconomic factor to consider is a history of substance abuse. The first
question I would ask is: Does anyone in your family have a history of alcohol or substance
abuse? By asking this question, I would determine the patient’s history and living environment
growing up. If there is a strong history of substance abuse, looking into long term treatment
programs can help the patient live a sober life. Lower socioeconomic status can be related to an
[Author name]
[COMPANY NAME] [Company address]
, [DOCUMENT TITLE]
Case #2: AG is a 54-year-old Caucasian male who was referred to your clinic to establish care after a
recent hospitalization after having a seizure related to alcohol withdrawal. He has hypertension and a
history of alcohol and cocaine abuse. He is homeless and is currently living at a local homeless shelter.
He reports that he is out of his amlodipine 10 mg which he takes for hypertension. He reports he is
abstaining from alcohol and cocaine but needs to smoke cigarettes to calm down since he is not
drinking anymore.
My case study presented with a homeless 54-year-old male who has been discharged
from the hospital after having a seizure related to alcohol withdrawal. Past medical history
includes cocaine and alcohol abuse, high blood pressure, and current tobacco use. This patient is
currently living at a homeless shelter and reports not taking his medications for hypertension
because he is out of them. He reports not using cocaine or drinking alcohol at this time but
started smoking to calm his nerves.
In this scenario, the patient might still be having mild withdrawal symptoms and is at
increased risk for cardiovascular complications related to current tobacco use and prior substance
abuse. Atherosclerotic cardiovascular disease (ASCVD) is a leading cause of death among
Americans in all ethnic groups, with an increased incidence after 45 years old (Lloyd-Jones et
al., 2017). Cocaine use increases the risk of having a cardiovascular event because of its
vasoconstriction on the vessels in the heart (Riley et al., 2020). Since both alcohol and cocaine
can be addictive, assessing the patient for cravings can reduce potential relapse.
Socioeconomic status
One important socioeconomic factor to consider is a history of substance abuse. The first
question I would ask is: Does anyone in your family have a history of alcohol or substance
abuse? By asking this question, I would determine the patient’s history and living environment
growing up. If there is a strong history of substance abuse, looking into long term treatment
programs can help the patient live a sober life. Lower socioeconomic status can be related to an
