Assignment Task:
Situation: Chloe M. Baker, 14 years old, was born on 01/03. She came to the office with her father for a well-teen checkup and to receive the rest of her high school immunizations. Background: The patient has a family history of DM type 2 and HTN from her father. Over the past two years, Dad lost his job and family's health insurance, causing a delay in Kellen's healthcare/routine appointments. Currently, his vital signs are within the normal range for his age, and he is within normal developmental milestones. Assessment: Vital signs- T: 98.8, P: 90/min, R: 16/min, BP: 122/78 right upper arm, Ht/Length: 170 cm (68 in), Wt: 91 kg ( 200 lb ), BMI >30 Patient and father did have a lack of knowledge on vaccines. Father and patient state they eat out a lot. Patient states she also started her menstrual cycle last year. She states she does experience cramping with her menstrual cycle and causes her to miss the first couple days of school. I am concerned that Kellen is behind on his immunizations.