Step 1: The client is presenting to the clinic in person or via a virtual telehealth visit, and you are the primary care provider following their care.  
Step 2: Review the client’s case, considering the foundational concepts and principles of caring for aging and maturing individuals and the management guidelines for various respiratory disorders from this week’s Explore pages.  
Step 3: Answer the discussion prompts below with explanation and detail. 

• Application of Course Knowledge: Answer all questions/criteria with explanations and detail. 
• Describe your assigned client’s situation. What holistic assessment data is concerning to you and why? 
• Recall the 5M framework elements
from the Week 1 lesson. How does the 5M framework apply to your particular client this week?
• Consider the client’s current presentation and initial diagnosis. What plan of care would you recommend and why? 
• Consider the provider’s role in delivering culturally sensitive care, eliminating health disparities, fostering health promotion and disease prevention, and preventing polypharmacy. What strategies will you use to address at least one of these concerns in your client’s situation?

ASSIGNED CLIENT:

Frida Yost, a 65-year-old retired chef, presents today to the primary care clinic. Frida’s primary complaint is newly diagnosed obstructive sleep apnea (OSA), accompanied by symptoms such as daytime fatigue, loud snoring, episodes of apnea during sleep (as reported by her husband), and poor, non-restorative sleep. Her husband, who is very concerned about her breathing at night, accompanies her to the clinic. Both Frida and her husband are desperate for relief, as neither has had good, restorative sleep in a long time. Her daytime fatigue has made her less active, and she struggles to stay awake and alert during the day.
 
Frida has a medical history of hypertension, poorly managed with amlodipine; dyslipidemia, adequately managed with simvastatin; and type 2 diabetes mellitus, adequately managed with metformin. Frida is obese and leads a relatively sedentary lifestyle, although she does enjoy gardening a few times a week. She denies any history of smoking or alcohol use. On physical examination, Frida appears obese, tired, and fatigued. Her vital signs are as follows: blood pressure 145/88 mmHg, heart rate 80 bpm, respiratory rate 18 breaths per minute, and oxygen saturation 94% on room air. The cardiovascular examination reveals a regular rate and rhythm with no murmurs, while the respiratory examination shows clear breath sounds bilaterally. The musculoskeletal examination reveals no significant findings.
 
Frida and her husband present to the clinic today to discuss her comprehensive management plan with you, her primary care provider.

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