(Solved): Concept Map - Constipation Patient's Chief Complaint "I ve been having some problems moving my bowe ...

Concept Map - Constipation Patient's Chief Complaint "I ve been having some problems moving my bowels lately. I was hoping you might prescribe something to help me that my Medicare plan will cover. History of Present Ilness Reba Horne is a 74-year-old black woman who presents to the family practice clinic for a scheduled appointment. She complains of feeling bloated and constipated for the past month. sometimes going an entire week with only one bowel movement. Until this episode, she has been very regular all her life having a bowel movement every day or every other day. She reports straining most of the time and it takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies any pain when straining. A colonoscopy was negative for any tumors or other lesions. She has not yet taken any medications to provide relief of her constipation. Furthermore, she repots frequent heartburn (3-4 times each week) most often occurring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friend's advice she purchased a package of over-the-counter aluminum hydroxide tablets to relieve the heartburm. She has had some improvement since she began taking the medicine. She reports using Naproxen as needed for arthritis pain in her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise. Disease Process Constipation (Define the disease process)