D028 CDM2 Patient Case Scenarios
Directions: Choose one of the patient scenarios (HRRP conditions or
surgical procedures) to create the transition of care plan.
Scenario 1
Condition or Procedure: Myocardial Infarction (MI)
Patient Details: 55-year-old Hispanic male. Last visit with primary care provider was 7
months ago.
Hospital Diagnosis: Acute MI
Length of Stay: 5 days
Third Party Provider/Insurance: Blue Cross Blue Shield
Reason for Admission: While gardening on a hot summer day the patient experienced
chest tightness, nausea, and shortness of breath.
Patient History and Physical:
Medical History:
Allergies: No Known Drug Allergies (NKDA), no food or environmental allergies
Hypertension for 15 years
Obesity (BMI 35 kg/m2)
Hyperlipidemia
CDM2: Clinical Practice Experience Patient Case Scenarios
2
Last updated 5/30/24
Accessibility Review Completed and Approved for Distribution and Use.
Accessibility, Production & Operations [HC – Based on review completed 05/02/24.]
Surgical History:
Tonsillectomy – 15 years of age
Right knee Anterior Collateral Ligament (ACL) repair at 36 years of age
Family History:
Father deceased at 62 – MI
Mother 80 years – Type II diabetes, Hypertension, Osteoporosis
Daughter 20 years – no health issues
Son 17 year – no health issues
Social History:
Bachelor’s and master’s degrees in mathematics
Community college math professor
Salary of $75,000 per year with state benefits
Married with two children at home – wife is an accountant.
Extended family for both patient and spouse live within 30 minutes
Home/Community: well-maintained neighborhood with sidewalks and nearby park
Nutrition:
Grocery store 0.5 miles away.
Patient typically eats at restaurants, college cafeteria, or fast food 6-8 times a week.
Two cups of coffee and one regular soda daily