She describes her pain being worse in her lumbar back area but…
She describes her pain being worse in her lumbar back area but states her entire body hurts. She also complains of generalized abdominal pain, constipation, chronic headache(severity of 5/10), and difficulty sleeping. Relevant Medical and Social History Past medical history includes depression, migraine headaches without aura, irritable bowel syndrome, and substance abusedisorder. She is married to her husband of two years. They have no children. They reside in rural West Virginia. Her husband recently lost his job as a construction worker. She works part-time as a waitress, two days a week. She dropped out of high school but completed her GED. She denies the use of tobacco products, ETOH, or current illicit drug use and reports successful completion of an inpatient treatment program for opioid addiction one year ago and has remained drug free. Shehas one sister and is estranged from her family. Maternal family history includes hypertension, hypercholesterolemia, hypothyroidism, substance abuse, and depression. She does not know her father. Discuss cultural, environmental, ethical, genetic/genomic, legal, political, psychosocial, socioeconomic, and spiritual factors considered in the care of this patient. Discuss one age-appropriate primary, secondary, and tertiary prevention intervention for this patient based on the case history and presentation. Support your
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