New Patient Appointment

Noah Ariki attends for a new patient appointment. Current concerns or challenges: - Patient reports experiencing chronic lower back pain, which has been ongoing for six months. The pain is exacerbated by prolonged sitting and standing. Health Goals: - Patient aims to reduce pain levels and improve mobility. PMHx: - Hypertension, diagnosed five years ago. Patient is currently taking Lisinopril 20mg daily. - Asthma, managed with an albuterol inhaler as needed. PSHx: - Appendectomy at age 16. Recent hospital visits and why: - No recent hospital visits. Current Specialists involved: - Cardiology Medication reconciliation done Y/N: - Yes Allergies: - NKDA ADRs: - No known adverse drug reactions. Immunisation history: - Up-to-date on all recommended vaccinations, including annual influenza and COVID-19 boosters. Screening up to date: - Yes Smoking/vaping history: - Patient is a former smoker, quit 10 years ago. No current vaping. Alcohol history: - Patient drinks alcohol socially, approximately 2-3 drinks per week. Current work/school: - Patient is a software engineer, working remotely. Family History: - Father: History of coronary artery disease. Mother: Type 2 diabetes. Connection and whanau: - Patient is married with two children. Dashboard updated? - Yes Classifications updated? - Yes Physical Assessment: - BP: 130/80 mmHg, HR: 78 bpm, RR: 16, Temp: 37.0°C. BMI: 28. Tenderness to palpation in the lumbar region. Range of motion slightly limited due to pain.