PATIENT INFORMATION Name: Mr. W.S. Age: 65-year-old Sex: Male Source: Patient Allergies: None Current Medications: Atorvastatin tab 20 mg, 1-tab PO at bedtime PMH: Hypercholesterolemia Immunizations: Influenza last 2018-year, tetanus, and hepatitis A and B 4 years ago. Surgical History: Appendectomy 47 years ago. Family History: Father- died 81 does not report information Mother-alive, 88 years old, Diabetes Mellitus, HTN Daughter-alive, 34 years old, healthy Social Hx: No smoking history or illicit drug use, occasional alcoholic beverage consumption on social celebrations. Retired, widow, he lives alone. SUBJECTIVE: Chief complain: “headaches” that started two weeks ago Symptom analysis/HPI: The patient is 65 years old male who complaining of episodes of headaches and on 3 different occasions blood pressure was measured, which was high (159/100, 158/98 and 160/100 respectively). Patient noticed the problem started two weeks ago and sometimes it is accompanied by dizziness. He states that he has been under stress in his workplace for the last month. Patient denies chest pain, palpitation, shortness of breath, nausea or vomiting. ROS: CONSTITUTIONAL: Denies fever or chills. Denies weakness or weight loss. NEUROLOGIC: Headache and dizzeness as describe above. Denies changes in LOC. Denies history of tremors or seizures. HEENT: HEAD: Denies any head injury, or change in LOC. Eyes: Denies any changes in vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain, hoarseness, difficulty swallowing. Respiratory: Patient denies shortness of breath, cough or hemoptysis. Cardiovascular: No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal dyspnea. Gastrointestinal: Denies abdominal pain or discomfort. Denies flatulence, nausea, vomiting or diarrhea. Genitourinary: Denies hematuria, dysuria or change in urinary frequency. Denies difficulty starting/stopping stream of urine or incontinence. MUSCULOSKELETAL: Denies falls or pain. Denies hearing a clicking or snapping sound. Skin: No change of coloration such as cyanosis or jaundice, no rashes or pruritus. Objective Data CONSTITUTIONAL: Vital signs: Temperature: 98.5 °F, Pulse: 87, BP: 159/92 mmhg, RR 20, PO2-98% on room air, Ht- 6’4”, Wt 200 lb, BMI 25. Report pain 0/10. General appearance: The patient is alert and oriented x 3. No acute distress noted. NEUROLOGIC: Alert, CNII-XII grossly intact, oriented to person, place, and time. Sensation intact to bilateral upper and lower extremities. Bilateral UE/LE strength 5/5. HEENT: Head: Normocephalic, atraumatic, symmetric, non-tender. Maxillary sinuses no tenderness. Eyes: No conjunctival injection, no icterus, visual acuity and extraocular eye movements intact. No nystagmus noted. Ears: Bilateral canals patent without erythema, edema, or exudate. Bilateral tympanic membrane ...

1. PATIENT INFORMATION
Name: Mr. W.S.
Age: 65-year-old
Sex: Male
Source: Patient
Allergies: None
Current Medications: Atorvastatin tab 20 mg, 1-tab PO at
bedtime
PMH: Hypercholesterolemia
Immunizations: Influenza last 2018-year, tetanus, and hepatitis
A and B 4 years ago.
Surgical History: Appendectomy 47 years ago.
Family History: Father- died 81 does not report information
Mother-alive, 88 years old, Diabetes Mellitus,
HTN
Daughter-alive, 34 years old, healthy
Social Hx: No smoking history or illicit drug use, occasional
alcoholic beverage consumption on social celebrations. Retired,
widow, he lives alone.
SUBJECTIVE:
Chief complain: “headaches” that started two weeks ago
Symptom analysis/HPI:
The patient is 65 years old male who complaining of episodes of
headaches and on 3 different occasions blood pressure was
measured, which was high (159/100, 158/98 and 160/100
respectively). Patient noticed the problem started two weeks ago
and sometimes it is accompanied by dizziness. He states that he
has been under stress in his workplace for the last month.
Patient denies chest pain, palpitation, shortness of breath,
nausea or vomiting.
ROS:
CONSTITUTIONAL: Denies fever or chills. Denies weakness or
weight loss. NEUROLOGIC: Headache and dizzeness as

2. describe above. Denies changes in LOC. Denies history of
tremors or seizures.
HEENT: HEAD: Denies any head injury, or change in LOC.
Eyes: Denies any changes in vision, diplopia or blurred vision.
Ear: Denies pain in the ears. Denies loss of hearing or drainage.
Nose: Denies nasal drainage, congestion. THROAT: Denies
throat or neck pain, hoarseness, difficulty swallowing.
Respiratory: Patient denies shortness of breath, cough or
hemoptysis.
Cardiovascular: No chest pain, tachycardia. No orthopnea or
paroxysmal nocturnal
dyspnea.
Gastrointestinal: Denies abdominal pain or discomfort. Denies
flatulence, nausea, vomiting or
diarrhea.
Genitourinary: Denies hematuria, dysuria or change in urinary
frequency. Denies difficulty starting/stopping stream of urine or
incontinence.
MUSCULOSKELETAL: Denies falls or pain. Denies hearing a
clicking or snapping sound.
Skin: No change of coloration such as cyanosis or jaundice, no
rashes or pruritus.
Objective Data
CONSTITUTIONAL: Vital signs: Temperature: 98.5 °F, Pulse:
87, BP: 159/92 mmhg, RR 20, PO2-98% on room air, Ht- 6’4”,
Wt 200 lb, BMI 25. Report pain 0/10.
General appearance: The patient is alert and oriented x 3. No
acute distress noted. NEUROLOGIC: Alert, CNII-XII grossly
intact, oriented to person, place, and time. Sensation intact to
bilateral upper and lower extremities. Bilateral UE/LE strength
5/5.
HEENT: Head: Normocephalic, atraumatic, symmetric, non-
tender. Maxillary sinuses no tenderness. Eyes: No conjunctival
injection, no icterus, visual acuity and extraocular eye
movements intact. No nystagmus noted. Ears: Bilateral canals
patent without erythema, edema, or exudate. Bilateral tympanic

3. membranes intact, pearly gray with sharp cone of light.
Maxillary sinuses no tenderness. Nasal mucosa moist without
bleeding. Oral mucosa moist without lesions,.Lids non-
remarkable and appropriate for race.
Neck: supple without cervical lymphadenopathy, no jugular vein
distention, no thyroid swelling or masses.
Cardiovascular: S1S2, regular rate and rhythm, no murmur or
gallop noted. Capillary refill < 2 sec.
Respiratory: No dyspnea or use of accessory muscles observed.
No egophony, whispered pectoriloquy or tactile fremitus on
palpation. Breath sounds presents and clear bilaterally on
auscultation.
Gastrointestinal: No mass or hernia observed. Upon
auscultation, bowel sounds present in all four quadrants, no
bruits over renal and aorta arteries. Abdomen soft non-tender,
no guarding, no rebound no distention or organomegaly noted
on palpation
Musculoskeletal: No pain to palpation. Active and passive ROM
within normal limits, no stiffness.
Integumentary: intact, no lesions or rashes, no cyanosis or
jaundice.
Assessment
Essential (Primary) Hypertension (ICD10 I10): Given the
symptoms and high blood pressure (156/92 mmhg), classified as
stage 2. Once the organic cause of hypertension has been ruled
out, such as renal, adrenal or thyroid, this diagnosis is
confirmed.
Differential diagnosis:
· Renal artery stenosis (ICD10 I70.1)
· Chronic kidney disease (ICD10 I12.9)
· Hyperthyroidism (ICD10 E05.90)
Plan
Diagnosis is based on the clinical evaluation through history,
physical examination, and routine laboratory tests to assess risk

4. factors, reveal identifiable causes and detect target-organ
damage, including evidence of cardiovascular disease.
These basic laboratory tests are:
· CMP
· Complete blood count
· Lipid profile
· Thyroid-stimulating hormone
· Urinalysis
· Electrocardiogram
· Pharmacological treatment:
The treatment of choice in this case would be:
Thiazide-like diuretic and/or a CCB
· Hydrochlorothiazide tab 25 mg, Initial dose: 25 mg orally
once daily.
· Non-Pharmacologic treatment:
· Weight loss
· Healthy diet (DASH dietary pattern): Diet rich in fruits,
vegetables, whole grains, and low-fat dairy products with
reduced content of saturated and trans l fat
· Reduced intake of dietary sodium: <1,500 mg/d is optimal
goal but at least 1,000 mg/d reduction in most adults
· Enhanced intake of dietary potassium
· Regular physical activity (Aerobic): 90–150 min/wk
· Tobacco cessation
· Measures to release stress and effective coping mechanisms.
Education
· Provide with nutrition/dietary information.
· Daily blood pressure monitoring at home twice a day for 7
days, keep a record, bring the record on the next visit with her
PCP
· Instruction about medication intake compliance.
· Education of possible complications such as stroke, heart
attack, and other problems.
· Patient was educated on course of hypertension, as well as
warning signs and symptoms, which could indicate the need to

5. attend the E.R/U.C. Answered all pt. questions/concerns. Pt
verbalizes understanding to all
Follow-ups/Referrals
· Evaluation with PCP in 1 weeks for managing blood pressure
and to evaluate current hypotensive therapy. Urgent Care visit
prn.
· No referrals needed at this time.
References
Domino, F., Baldor, R., Golding, J., Stephens, M. (2017). The
5-Minute Clinical Consult 2017 (25th ed.). Print (The 5-Minute
Consult Series).
Codina Leik, M. T. (2014). Family Nurse Practitioner
Certification Intensive Review (2nd ed.). ISBN 978-0-8261-
3424-0
IHP 510 Module Two Short Paper Guidelines and Rubric
Aligning a Healthcare Organization’s Mission, Vision, and
Values to Its Marketing Efforts
Overview: For this task, you will reflect on the foundations of
healthcare marketing as discussed in the opening chapters of the
two course textbooks, and you
will consider the importance of healthcare organizations
aligning their vision, mission, and values to their marketing
goals. This is practice for work you will do
with your organization in the final project.
Prompt: To begin, reflect on the foundations of healthcare
marketing as discussed in the opening chapters of the two

6. course textbooks and review the module
resources. Next, access websites to find the
mission/vision/value statements for the following types of
organizations:
-for-profit community hospital
ursing facility
In a 1- to 2-page paper, address the following critical elements:
these organizations' mission/vision/values statements. Further,
discuss any surprising or
unexpected things you found.
common? How do they differ?
to align its mission, vision, and values to its marketing efforts?
Support your responses by referencing the module resources.
Also, feel free to refer to your own research to support your
work. Be sure to use this practice as
you prepare for Final Project Milestone One.

7. Rubric
Guidelines for Submission: The short paper should follow these
formatting guidelines: 1 to 2 pages in length, double spaced, 12-
point Times New Roman font,
one-inch margins, and citations in APA style.
Critical Elements Exemplary (100%) Proficient (90%) Needs
Improvement (70%) Not Evident (0%) Value
Challenges Meets “Proficient” criteria and
demonstrates sophisticated
understanding of a healthcare
organization’s mission, vision,
and values
Discusses challenges
encountered locating the
mission/vision/values
statements of the healthcare
organizations, including any
surprising or unexpected
findings
Discusses challenges
encountered locating the
mission/vision/values
statements of the healthcare
organizations, but does not
sufficiently discuss any

8. surprising or unexpected
findings, or response has gaps
in detail
Does not discuss challenges
encountered locating the
mission/vision/values
statements of the healthcare
organizations
30
Commonality
Meets “Proficient” criteria and
demonstrates keen insight into
the comparison of
mission/vision/value
statements
Discusses what the healthcare
organization’s
mission/vision/values
statements have in common
and how they differ
Discusses what the healthcare
organization’s
mission/vision/values
statements have in common
and how they differ, but
response has gaps in detail,

9. clarity, or logic
Does not discuss what the
healthcare organization’s
mission/vision/values
statements have in common or
how they differ
30
Alignment Meets “Proficient” criteria and
demonstrates sophisticated
awareness of the importance
of aligning a healthcare
organization’s mission, vision,
and values to its marketing
efforts
Describes why it is important
for a healthcare organization
to align its mission, vision, and
values to its marketing efforts
Describes why it is important
for a healthcare organization
to align its mission, vision, and
values to its marketing efforts,
but description is cursory or
lacking in detail or logic
Does not describe why it is
important for a healthcare
organization to align its
mission, vision, and values to

10. its marketing efforts
30
Articulation of
Response
Submission is free of errors
related to citations, grammar,
spelling, syntax, and
organization and is presented
in a professional and easy-to-
read format
Submission has no major
errors related to citations,
grammar, spelling, syntax, or
organization
Submission has major errors
related to citations, grammar,
spelling, syntax, or
organization that negatively
impact readability and
articulation of main ideas
Submission has critical errors
related to citations, grammar,
spelling, syntax, or
organization that prevent
understanding of ideas
10
Total 100%