Problem
A 54-year-old man reports recurrent burning epigastric pain for the past six weeks and, during the past two weeks, the pain has often awakened him during the night. The pain lessens after meals but gets worse if he fasts for several hours. He has not been experiencing nausea or vomiting. His vital signs are: T = 98.8°F, P = 90/min, RR = 16/min, BP = 130/80 mm Hg. The physical examination is unremarkable except for some slight epigastric tenderness. When asked about his family's medical history, the patient indicates that his mother and one of his two siblings have had recurring symptoms similar to those he is experiencing now.
A. Select the relevant cues from the case study.
B. Analyze or interpret every cue from (A) and explain what the potential causes are (List more than 5 where applicable).
C. What are the potential complications or consequences for each cue?
D. Determine what is most likely happening in the case study.
E. Based on the cues, the analysis, and what is most likely happening in this scenario, what are the priority needs for this client?
F. What outcomes are essential for the client?
G. Are there any solutions or interventions that may be harmful regarding the outcomes from #6? If so, what are they?
H. What solutions or interventions will meet the outcomes from #6?
I. Prioritize the solutions or interventions listed in #8 and provide the rationale.
J. What outcomes would indicate the solutions or interventions were successful?