¶ … individual health history and examination of a 61-year-old American male Vietnam veteran, "Mr. John Veteran" using the SBAR approach. Mr. Veteran is married, with two adult children and three grandsons, aged 4, 7 and 12 years by his older daughter who is a registered nurse in an intensive care unit; his younger daughter is a senior in college majoring in business administration (she received a full scholarship to a private college). Mr. Veteran earned his bachelor's degree in organizational leadership at a small midwestern university. Although Mr. Veteran continues to work full time as a paralegal, he advises that he intends to "semi-retire" when he turns 62 years next year and becomes eligible for Social Security payments. Mr. Veteran smokes two packs of cigarettes a day and drinks beer on occasion, but does not take drugs, even for severe pain, because he is worried about becoming addicted to them. Although he served as a combat veteran in Vietnam, Mr. Veteran finished his tour of duty without incident. He was, however, wounded in 1976 while serving in Belgium at Supreme Headquarters Allied Powers Europe when his car struck a light stanchion on the autobahn, seriously injuring him with two broken ankles, severe traumatic brain injury, a broken right femur, a fractured pancreas and a broken mandible. Mr. Veteran has undergone 17 orthopedic surgeries over the years to repair these injuries, including a left femoral shortening by 1-1/2 inches to even his...
Mr. Veteran had an artificial joint installed in his right ankle initially, but this failed after 2 years at which time his ankle was fused using a piece of bone harvested from his right iliac crest. Mr. Veteran is otherwise in good health.
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