Patient Information: John, a 65-year old male with a history of high blood pressure.
Initial Assessment: For my initial assessment of patient John I gathered comprehensive medical information including his complete past medical and surgical history family health related risk factors current medications lifestyle habits etc… Additionally I also conducted physical examination which included general appearance vital signs circulation musculoskeletal neurological systems as well as assessing heart lungs abdomen among other things . After review findings I found that while overall he appeared healthy presence high blood pressure warranted further investigation ..
Recommendation: Based on my assessment it was recommended that patient John undergo additional tests ruling out any underlying causes for hypertension such electrocardiogram (ECG) chest X ray or lab work measuring sodium potassium levels order determine if these contributing factors.. Furthermore counseling was advised in terms adopting healthier lifestyle changes such reducing salt intake increasing exercise quitting smoking using stress management techniques long term .. Finally medication adjustment may also needed addition abovementioned interventions depending results from follow up visits primary care provider could include adding removing certain drugs dosages required be adjusted time ensure most effective treatment possible..
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