An elderly, male patient has come in for an annual physical. He is walking slowly with a cane and is worried about an unusual looking spot on his chest. As you prepare him for his physical, what are some of the challenges that you may encounter? Also, how would you communicate with him about the spot on his chest he is worried about? What are some of the tests the doctor may order as part of a routine physical? If a referral is necessary for the lesion on the patient's chest, what type of doctor would he be referred to?

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Answer:

As you prepare him for his physical, what are some of the challenges that you may encounter?

Maybe the challenges that I might encounter is that the mini major insecurities of the patient.

Also, how would you communicate with him about the spot on his chest he is worried about?

The way I may communicate with him about the spot on his chest is to talk to him professionally for the patient to be more comfortable with me.

What are some of the tests the doctor may order as part of a routine physical?

It measures important vital signs -- temperature, blood pressure, and heart rate -- and evaluates your body using observation, palpitation, percussion, and auscultation. Observation includes using instruments to look into your eyes, ears, nose, and throat.

If a referral is necessary for the lesion on the patient's chest, what type of doctor would he be referred to?

Maybe the dermatologists it treats skin cancer.

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Some of the challenges that can be encountered with the person include:

  • Since the person is elderly, it may be difficult to complete the movements for the range of motion that is needed for the examination.
  • The man can also have insecurities regarding his body.
  • The man may not be able to able to give an accurate history of symptoms or past illnesses that he had.

Regarding communication, I'll be supportive and tell him to calm down and not be worried that he'll be okay. I'll be compassionate and offer him soothing words and medical advice before further tests are carried out.

Some of the tests that can be ordered include:

  • Complete blood count
  • Wood lamp examination in order to detect infection.
  • Red cell distribution width in order to determine the range regarding the red blood cells size and volume.

In conclusion, the patient should be referred to a dermatologist. This is a doctor whom specializes in the skin.

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