htn and diabetes shadow health focused exam.

NURS 6620 Hello Mr Patel, my name is an FNP student and I will be taking care of you today Hey. what brings you in today? Greet 06/18/20 10:15 PM CDT Question 06/18/20 10:15 PM CDT I'm here to check up on some numbers that I have for my diabetes and my hypertension. Guess they're not looking too hot. i'm glad you followed up on the numbers, we can plan a better regimen to help improve the numbers Alright. I get it. Can you please tell your medical history? I've had hypertension and diabetes for some time now, but recently I've had some new stuff going on, or I guess it could be related. I've gained some weight over the past three months or so, and I've just been all around tired and uncomfortable. I've also had to pee pretty frequently, and I've been ridiculously thirsty. Educate 06/18/20 10:16 PM CDT Question 06/18/20 10:17 PM CDT I am sorry to hear that, that must have been challenf=ging Well, gee. Thanks. your symptoms are related to diabetes and hypertension I don't have any allergies that I know of. Any other symptom apart from the ones you mentioned? I've had hypertension and diabetes for some time now, but recently I've had some new stuff going on, or I guess it could be related. I've gained some weight over the past three months or so, and I've just been all around tired and uncomfortable. I've also had to pee pretty frequently, and I've been ridiculously thirsty. Do you have any pain? I'm not in any pain. [AUDIO COMING SOON] Empathize 06/18/20 10:19 PM CDT Question 06/18/20 10:20 PM CDT Question 06/18/20 10:22 PM CDT Question 06/18/20 10:22 PM CDT Any recent hospitalizations? I haven't ever been hospitalized in that sense of the word. But I have seen a doctor before, about my hypertension and diabetes numbers, and I'm here to check in about them. What medication are you taking? Hydrochlorothiazide for my hypertension, metformin for diabetes, and escitalopram for anxiety. Do you take any other non prescription medication? (Clarified to Are there other prescriptions you are taking that we haven't discussed?.) Nothing besides hydrochlorothiazide, metformin, and escitalopram. (Clarified to if I am taking other prescriptions.) How often do you take your medications I take all my meds every day . . . the metformin is three times a day, and the water one and the anxiety one are both once a day. Question 06/18/20 10:23 PM CDT Question 06/18/20 10:23 PM CDT Question 06/18/20 10:25 PM CDT Question 06/18/20 10:25 PM CDT Do you have any reaction from tis meds (No matching questions found.) Do you have any reaction from taking these medications I don't have any allergies to anything. when were you diagnosed with diabetes? I was diagnosed with type two diabetes about five years ago. That was a great day. When were you diagnosed with hypertension? I was diagnosed with high blood pressure a year ago. When was the last time you visited the doctor? Question 06/18/20 10:26 PM CDT Question 06/18/20 10:27 PM CDT Question 06/18/20 10:29 PM CDT Question 06/18/20 10:29 PM CDT Question 06/18/20 10:30 PM CDT My last checkup was about 6 months ago. I was supposed to come in sooner, but I've been so busy that I just forgot. A week ago I had some labs done to prepare for this visit. [AUDIO COMING SOON] Do you smoke? I don't use any tobacco. Do you use any illegal drugs? I smoked pot a little bit in undergrad, but it's been years. do you drink alcohol? I never drink. Tell me you your family past medical history? (Clarified to Can you tell me about your family medical history?.) Question 06/18/20 10:31 PM CDT Question 06/18/20 10:31 PM CDT Question 06/18/20 10:31 PM CDT Question 06/18/20 10:32 PM CDT My folks have some stuff going on, which is probably why I've got some stuff going on. My dad has hypertension like me, and my mom has diabetes like me. She has high cholesterol, too. (Clarified to to tell you about my family medical history.) That's good to know, we probably need to check your cholesterol levels to make sure it is within normal limit I hadn't thought of that. Do you live alone or with your family? Miranda and I just moved in together. Who is Miranda if I may Ask? My girlfriend! You'll meet her at some point, I'm sure. [AUDIO COMING SOON] I would love to meet her (No matching questions found.) Educate 06/18/20 10:33 PM CDT Question 06/18/20 10:33 PM CDT Question 06/18/20 10:34 PM CDT Question 06/18/20 10:35 PM CDT How is it going with your parents? (Clarified to How do you get along with your parents?.) My family relationships are a little strained right now because of my decision to go back to school, to study film. I had a good job as an engineer, and my parents thought that I should stick with that, instead of taking a risk. We disagree, but our relationship seems to be getting a little better lately. (Clarified to how I get along with my parents.) I'm sorry to hear that, I hope everything gets better soon I appreciate that. Do you feel overweight? I'm definitely not at a healthy weight. I don't know what a healthy weight is number-wise, but I'm not there yet. A healthy weight is a BMI less than 25, which takes into consideration your weight and your height Question 06/18/20 10:35 PM CDT Empathize 06/18/20 10:36 PM CDT Question 06/18/20 10:37 PM CDT Educate 06/18/20 10:38 PM CDT Yeah, youre probably right. What doses are your medications? Let's see . . . the water pill is a 50 milligram . . . the anxiety pill is a 20 milligram . . . and the metformin is an 850 milligram tablet. What does your diet look like? My diet could be better, to be honest. I eat a lot of carbs and fried foods, and I tend to go for pizza when I've had a really bad day. I don't feel like my diet is out of control exactly, but I've been thinking about cutting down. Its a good step when you acknowledge a need for a better diet Ok, got it. I can help you with some materials on how to count your carbs that can help with eating right Question 06/18/20 10:39 PM CDT Question 06/18/20 10:40 PM CDT Educate 06/18/20 10:41 PM CDT Educate 06/18/20 10:43 PM CDT Good to know. Do you do exercise? I don't exercise. I just don't have the time. Do you have a support system? My girlfriend gives me a lot of support, but I don't want to to stress her out with all my problems. It's hard going to anyone else, thoughI feel like my friends from the film program don't like to get too personal, and my family isn't always the best to go to. I am sorry you feel this way, would you like referral to a support group? Thank you. Do you work? Question 06/18/20 10:43 PM CDT Question 06/18/20 10:43 PM CDT Empathize 06/18/20 10:44 PM CDT Question 06/18/20 10:44 PM CDT