Lesson 4, Activity 1: What's the Problem?

The animation opens outside of County Hospital. The camera takes viewers toward the hospital front doors and then down a hallway toward a nurse's station desk. At the desk, a nurse holds a file folder marked with the name "Joe M." The folder opens, showing the patient’s information, medical history, family medical history, and behavioral history. The "Reference Manual" window appears, showing basic information about heart disease and risk factors for heart disease.

Patient Information

Patient: Joe M.
Sex: Male
Age: 42
Marital Status: Married
Children: Son, age 12; Daughter, age 14
Occupation: Small business owner (six employees); does bookkeeping and taxes for small and medium-size businesses.

Admitted to County Hospital on Monday. Patient presented with chest pains and shortness of breath. Diagnosed with early stage heart disease.

Medical History

Height: 6 feet
Weight: 205 pounds (slightly overweight for build)
Last physical examination: Two years ago
History of previous heart disease: No
Blood pressure: Higher than normal
Blood cholesterol level: Higher than normal
Blood sugar: Normal
Blood CRP level: Increased over normal
Prescription medications: None
Non-prescription medications: Multivitamin tablet daily

Family Medical History

Relative Alive? Age (or age at death) Major health problems Cause of death, if deceased?
Father Yes 66 None Not applicable
Mother Yes 65 Heart disease Not applicable
Brother Yes 38 High blood pressure Not applicable
Sister Yes 35 High blood pressure Not applicable
Mother’s Father No 72 Not applicable Heart failure
Mother’s Mother No 77 Not applicable Pneumonia
Father’s Father No 68 Not applicable Lung cancer
Father’s Mother Yes 86 Type 2 diabetes Not applicable

Behavioral History

Smoked cigarettes from age 13 to age 30; quit until recently; has 1 or 2 cigarettes per day.

Physical activity: golf every Saturday morning; used to play basketball and hike regularly; hikes now, but only on summer vacations.

Patient lives 1.5 miles from work; drives to work; arrives at 7:00 a.m., leaves at 6:00 p.m.

Work environment: desk job; office on 3rd floor of 10-story building; takes elevator to office; building has exercise room on 5th floor.

Has gained an average of 3 pounds per year for last 5 years.

Wife describes patient as hard-working and his job as stressful.

Patient’s eating habits have changed during last year; he eats fast food for lunch at least three times per week; fruit and vegetable intake is below government recommendations.

Reference Manual

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