Brittnay Lengle Delaware Technical Community College Terry Campus Week 6 Plan of Care Paper

Running Head: WEEK 6 PLAN OR CARE PAPER 1
Brittnay Lengle
Delaware Technical Community College Terry Campus
Week 6 Plan of Care Paper

WEEK 6 PLAN OF CARE PAPER 2
The patient examined for the plan of care is named Linda Lengle. The
abnormalities found in her health assessment were hyperlipidemia, being overweight and skin
abnormalities. The patient had a history of other chronic issues such as hypothyroidism and a
hysterectomy, but these problems have been treated or are currently still being treated. No
abnormalities were found in emotional, psychosocial, social/occupational and spiritual. The rest
of her physical assessment was within normal limits.
Hyperlipidemia is defined as too many lipids in the blood. Hypercholesterinemia is
defined as too much LDLs in the blood (American Heart Association. 2017). HDLs are good
cholesterol that fight off the bad cholesterol. Patients are at a higher risk of heart disease when
HDLs are to low (American Heart Association. 2017). The patients goal for date to prove her
high cholesterol is an LDL level of 160. The patient had labs drawn 2 months ago. The patient is
planning on following up with her primary care provider to recheck her cholesterol. The goal for
the patient is for her LDLs to decrease to 130 by her next appointment in 6 months. The plan of
care involved daily exercise and a health diet. High cholesterol can often be changed with
lifestyle modifications. The American Heart Association recommends limiting saturated fat to 5
to 6 percent of daily calories and minimizing the amount of trans fat you eat (American Heat
Association, 2017). It is important to maintain a diet high in fiber and low is trans fat. Foods high
is fiber include vegetable and fruits. It is also important to maintain a health exercise routine. The
American heart association recommends 40 minutes of moderate to vigorous aerobic exercise 3
to 4 times a week (American Heart Association. 2017).

One of the identified problems with the patient assessed is being overweight.
Being overweight can put the patient at an increased risk of heart disease. Being overweight puts
the patient at a higher risk for health problems such as heart disease, stroke, high blood pressure,
diabetes and more (American Heart Association. 2016). The evidence of the patient being
overweight is a BMI of 28. The goal is for the patient to decrease her BMI to 26 in six months.
The patient will follow up with her primary care provider to follow her weight loss. The plan of
care is for the patient to exercise 30 minutes daily or follow the American Heart Associations
recommendations. The American heart association recommends 40 minutes of moderate to
vigorous aerobic exercise 3 to 4 times a week (American Heart Association. 2017). Referrals that
can be made for the patient include a dietitian to help with maintaining a healthy diet. Also
helping the patient get involved with a gym membership or classes in the community to help
with weight loss can help the patient lose weight.
The last abnormality during the health assessment was an abnormal mole the patient
noticed on her face. The patient has reported that the mole had increases in size over the past
couple months. The plan of care for the patient is to follow up with a dermatologist as soon as
possible. Normal moles are common small brown spots or growths on the skin that appear in the
first few decades of life in almost everyone (The Skin Cancer Foundation. 2017). Melanoma one
of the deadliest forms of skin cancer, most often appears as an asymmetrical, irregularly
bordered, multicolored or tan/brown spot or growth that continues to increase in size over time
(The Skin Cancer Foundation. 2017). The patient was advised to keep the spot out of the sun
and to continue to take pictures of the mole to make sure the mole does not continue to increase
in size.
References
American Heart Association. (2017). Prevention and Treatment of High Cholesterol
(Hyperlipidemia). Retrieved from: http://www.heart.org/HEARTORG/Conditions
/Cholesterol/PreventionTreatmentofHighCholesterol/Prevention-and-Treatment
-of-High-Cholesterol-Hyperlipidemia_UCM_001215_Article.jsp#
American Heart Association. (2016). Obesity Information. Retrieved from:
http://www.heart.org/HEARTORG/HealthyLiving/WeightManagement/Obesity/Obesity-
Information_UCM_307908_Article.jsp#.Wh-KC7pFxC8
The Skin Cancer Foundation. (2017). How to Spot an Atypical Mole. Retrieved from:
http://www.skincancer.org/skin-cancer-information/atypical-moles/warning-signs-and-
images
Plan of Care
Identifie Goal/Ou Plan/Inter Evaluation/ Community Resource

d tcome vention outcome
problem
Hyperlip LDL Exercise Patient will Dietitian:
idemia level 30 minutes follow up Wendy Flannery RDN
LDL160 will be daily. Eat with PCP in
les than foods high 6 months http://www.contemporarynutritioninc.com
130 in 2 in HGLs. /
months HDLs will
fight off Location:
LDLS 301 Camden Wyoming Ave
Camden, DE 19934
P 302.222.1403
F 302.269.3858
Overwei BMI will Exercise Patient will Gym membership:

ght decrease 30 minutes follow up http://www.clubfitness247.com/
BMI 28 to 26 in daily with PCP in Personal trainer:
6 months 6 months Kendall Gariepy
18 650 S. Bay Road
Dover, Delaware 19901
(302) 678-4653
Class list:
https://mico.myiclubonline.com/iclub/clas
slist.htm?clubNumber=6632
Abnorm Patients Cover Dermatologi Dermatologist:

al mole: goes to mole in st performed https://burkedermatology.com/
Patient Dermato sunlight, biopsy. 95 Wolf Creek Blvd, Unit 1, Dover, DE
states: logist in wear Results still 19901
Mole has 1 week sunblock pending (302)734-3376
grown when
over past outside
few
weeks

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Running Head: WEEK 6 PLAN OR CARE PAPER 1

Delaware Technical Community College Terry Campus

Week 6 Plan of Care Paper

of her physical assessment was within normal limits.

Hyperlipidemia is defined as too many lipids in the blood. Hypercholesterinemia is

American heart association recommends 40 minutes of moderate to vigorous aerobic exercise 3

to 4 times a week (American Heart Association. 2017).

recommendations. The American heart association recommends 40 minutes of moderate to

with weight loss can help the patient lose weight.

American Heart Association. (2017). Prevention and Treatment of High Cholesterol

(Hyperlipidemia). Retrieved from: http://www.heart.org/HEARTORG/Conditions

American Heart Association. (2016). Obesity Information. Retrieved from:

Identifie Goal/Ou Plan/Inter Evaluation/ Community Resource

Overwei BMI will Exercise Patient will Gym membership:

Abnorm Patients Cover Dermatologi Dermatologist:

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