Charles Wheeler Room
Charles Wheeler, Charles Wheeler is an 18-year-old male who is a senior in high school. Charles is
struggling socially and
... [Show More] academically at school. On numerous occasions Charles has been asked to leave
the classroom for acting out and saying offensive things to his classmates and teachers. Charles was
recently hospitalized and diagnosed Attention-Deficit/Hyperactivity Disorder (ADHD). Medications: NKDA.
Adderall 20 mg daily; Zoloft 50 mg daily. Surgical history: Tonsillectomy and Adenoidectomy age 3,
Appendectomy age 10 Social history: Charles lives at home with his parents in a suburban single-family
home. Charles has a lot of conflict at home with his parents; his parents were frustrated with his recent
hospitalization and his inability to “control himself”. Charles works at an auto parts store 15 hours per
week. After graduation, he plans to go to vocational school for auto mechanic.
You responded correctly to 3 out of 10 evaluations:
Category
Your
response Explanation
Disease/Illness
Prevention
Increased
acuity
Charles is living with ADHD. Disease prevention aims to reduce and severity of disease as well as management of Education/Counseling Normal
acuity
Charles will require education and counseling on managing his diagnosis and the importance of medication adhereCulture/Beliefs/Spirituali
ty
Increased
acuity
There is no current evidence of Culture/beliefs/spirituality concerns with Charles.
Community Assessment Normal Community assessment needs are increased for Charles. The community assessment can identify service gaps and
Category
Your
response Explanation
acuity for ADHD. Community assessment includes options for socialization and recreation, mentor services and academicand family counseling is an important resource for Charles.
Health Promotion Normal
acuity
Charles has an increased need for health promotion. As Charles returns to school, organizational management of hsocial expectations are important components of health promotion. Charles health promotion also include his emotinterpersonal interactions with his parents.
Resource Identification Increased
acuity
Charles will require support from school and community resources. Counseling, and monitoring on life skills and acservices are a primary focus for Charles. Accommodations are an important resource to assist Charles in being sucin obtaining his vocational school goals.
Risk Reduction Normal
acuity
Charles has increased need for risk reduction. His immediate concerns are medication adherence, self-managemenorganizational skills. Support in school-counseling, socialization, and organizational are essential components of risCharles.
Self-Management Normal
acuity
Charles has increased need for self-management of his ADHD. Self-management include adherence to his medicatidentifying nutrition triggers, establishing routines and focusing on organizational skills, eliminating or minimizing ptriggers.
Social Determinants of
Health
Normal
acuity
Social determinants of health include living in a home with conflict, academic and social challenges in school, livingSurveillance Normal
acuity
There is no increased need for surveillance in this case.
Suzanne Olsen Room
Suzanne Olsen, 24-year-old female who comes to the community clinic with complaints of increased vaginal discharge, pain with intercourse,
lower abdominal pain, and urinary frequency. Suzanne reports her symptoms started over a week ago. Suzanne is accompanied to the clinic by
her boyfriend. Suzanne is 5 feet 6 inches tall, 117 pounds. BP 132/76 mmHg, T 100.2 F. (37.9 C.), P 88 beats/minutes, RR 18 breaths/minutes.
Medical history: Suzanne’s medical history is significant for five elective first trimester pregnancy terminations and two full term spontaneous
vaginal deliveries. Suzanne’s boyfriend states she gave the two children up for adoption. Medications: NKA. Surgical history: T & A age 5 Social
history: Suzanne is new to the area and has not established a primary care provider. When asked what she does for employment, her boyfriend
states because she is new to the area, she is unemployed and does not currently have insurance. He states that they are living in his apartment
but are looking for another place to live.
suzanne_olsen.jpg
You responded correctly to 2 out of 10 ev [Show Less]