Learning Goal The core learning goal for this assignment is to accurately define the patient’s condition and device a care plan that would address or mitigate chief complaints and mediate the onset of conditions if possible. Achieving this goal would require diligence in observation and careful weighing of the obtained evidence. In addition to that, consultation with reliable data sources is paramount to establish a good quality of recommendations and suggestions. Patient Information A patient is a 65-year-old white male born and raised in Huston, Texas. He is married, has 4 adult children, and lives in his own farmhouse. He adheres to Catholic faith and is a regular churchgoer. Until recently he worked at a local grocery store as a cashier. Drinking habit is occasional and well-controlled, no active or passive smoking habits. In terms of physique, he is moderately overweight and has gait issues. At the age of 64, he survived an ischemic stroke which caused minor memory loss and speech issues. He is allergic to paracetamol which causes a skin rash. His wife and children, concern for his wellbeing noticed shaking hands and moving difficulties which caused them to bring him to the clinic for assessment and care. History and Chief Complaints The patient has a history of repeated stable fracture of left and right leg which was regarded as a farmhouse accident. In terms of surgical interventions, he had his appendicitis removed in 2006 with no significant complications. The ischemic stroke resulted from a blood clot the symptoms of which were not duly uncovered. The latter was surgically removed through thrombectomy. The recovery medications he received included anticoagulants (Rivaroxaban) and blood pressure mitigators (Fludrocortisone). For a period of time he recovered almost fully and regained his strength, yet, presently he experiences symptoms such as low blood pressure, fatigue after short periods of activity, tremor in the left hand, and memory problems and obstructed speech. The patient started having issues with handling change at the grocery store as his left hand started shaking. He also noticed difficulties producing long sentences or long words. In mornings, getting out of bed became an issue as he felt fatigue right away despite having enough sleep. Blood pressure levels as measured by his wife demonstrated 80 systolic and 59 diastolic which accounts for hypotension. Finally, the patient felt discouraged to participate in family activities and acted in a distracted manner. Physical Assessment Respiratory        Acceptable expansion noted, wall movements are symmetrical with no abnormalities present. Sound resonates with no friction; irregularities are not registered. The subject does not have a history of smoking. Cardio/Peripheral  Bradycardia is noted, heart palpitations felt vague, orthostatic hypotension is present.                                                                                                                       Gastrointestinal   Bowel sounds are absent, patient defecates 1-2 times a day with no blood or irregularities in the stool reported.                                                                                              Genitourinary      Urination is unobstructed and regularly, no abnormalities or signs of infection in genitalia.