Case Management Plan

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Reference no: EM133750673

Case Management Plan : Pharmacologic Care Supportive Care Patient Education Follow-Up General: The patient demonstrates a typical energy level, has no sleep disturbances. She is alert, well-oriented, and communicate clearly and coherently. She maintained good eye contact throughout the interview and did not seem distressed. There are no indications of fatigue, night sweats, chills, or fever. She has recently experienced changes in weight and diet. Diagnostic results:

• Glucose, 8 hours fasting. Value is 122 mg/dL. Reference range is <126.126 is considered prediabetes.

• Hemoglobin A1c is 6.4.

• Cholesterol 239. High-moderate risk.

• HDL 45. Suggestive of sedentary lifestyle.

• LDL 159. High-moderate risk.

• Triglycerides 40. Normal.

• Papanicolaou test: Normal

• Mammography screening: Pending.

ASSESSMENT: The patient is a healthy 41-year-old Hispanic-American female, gravida 2 para 2, who presents for a well-woman examination. She has no active medical complaints but is concerned about her risk of breast cancer due to recent diagnoses of intraductal breast cancer in her mother (age 63) and first cousin (age 44). Additional risk factors include menarche at age 10.5, first pregnancy at age 33, and breastfeeding each of her two children for only four months. The patient reports.

Reference no: EM133750673

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