A 50-year-old male presents to the community clinic. He has just relocated to the area and has no primary provider. He is a long distance truck driver and requires a physical examination as a requirement for his continued employment.

Physical examination demonstrates a BMI of 33, blood pressure of 180/90 mm Hg, diminished femoral pulses and bilateral varicose veins with 1+ pitting edema in both ankles. He has a 30 year history of smoking two packs of cigarettes per day.

Initial Discussion Post:

• Identify the risk factors for cardiovascular problems that need to be modified for this patient. 
• Using evidence based research, determine which risk factor the RN will address first.
• Describe how the RN will implement a patient centered plan to address the priority risk factor for this patient.

Base your initial post on your readings and research of this topic.

 

MUST BE IN APA FORMAT WITH 2 REFS NO OLDERS THAN 5 YEARS