CV: A Case Study

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A review of his medical records indicates that he had his first CVA later March of 2016 then one week later he had another CVA. His last CVA resulted in a stay in ICU with a tracheostomy and peg tube placement. He no longer has a tracheostomy and he recently loss his peg tube and refused to have it replaced. He was recently hospitalized at SLMC with complaints of fatigue and neck pain. He suffers from co-morbidities of DM which is stable with insulin, HTN which is stable and hyperlipidemia which is stable. At todays visit he is accompanied by his wife. He is awake but unable to speak due to the effect of his last CVA. The wife provides his history. She reports that he has increased poor appetite with weight loss. He used to be in the 140lb

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