Scenario – Mr George McFarlane

I:Mr George McFarlane is a 53 yearold male.

S:George has presented to theaccident and emergency department with a history of chest painwhich started yesterday as he was driving back from an interstatetrip.

B:George’s past Medical History(PMHx) include:

  • Type ll Diabetes needing close management. Records BGLdaily
  • Osteoarthritis in L) Knee
  • Allergy to Penicillin

Social History (SHx):

  • Married for 5 years to Yu Yan, who is of Chinese heritage,she speaks English well
  • Occupation: Long Haul truck driver, often isolated fromfamily and friends as on the road and away from home due to work.Speaks to wife daily when away.
  • ETOH (Alcohol) usage on a regular basis
  • Smoker, averages 15cigarettes per day
  • Often consumes take away/ fast food diet as away from homeregularly
  • Sedentary lifestyle, often watches TV to cope with stress.Little to no exercise

A:Mr McFarlane is 118kg and 180cmin height. Current vital signs Resp 26, O2Sats 97% onroom air (RA), BP 170/90, HR 110, Temp 37.

Question

Coronary heart disease (CHD) risk factors can be divided intonon-modifiable and modifiable.

  1. Outline your understanding of modifiable and non-modifiablerisk factors
  2. Provide at least two (2) examples,each, of modifiable andnon-modifiable risk factors for George.

Reference required.

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