Prior to beginning work on this discussion forum, read Chapters 12, 13, and 14 from the textbook and the following sources:

For this discussion, you are assigned a case scenario based on the first initial of your last name (see table below). Based on your assigned topic, create an initial discussion post that is a minimum of 250 words and addresses the topics listed below in the table. All referenced materials must include citations and references in APA format. Please see directions for including APA Style elements on these Writing Center pages:  and .

Patient D:

Althea—Thea—is a 67-year-old female who is a retired nurse and widowed. Thea is 5′8″and weighs 192 pounds. Her weight is evenly distributed. Thea smokes and drinks heavily, though very few people know how much alcohol she consumes. Her husband died three years ago from pancreatic cancer. She has two children who are in their 40s. One of her children died from leukemia five years ago.

Thea lives in a 200-unit independent-living senior apartment building. She moved in two years ago after selling the house she and her husband lived in for 42 years. Thea gets little to no physical activity. She spends most of her day watching television or playing games online. She does not actively engage with her neighbors and she has a very limited social life. Her children have busy lives with their careers and family, so they see her once every few months. Her weekly outings are usually to the grocery store. She rarely goes anywhere else.

In your discussion,

Describe the genetic, lifestyle, and cultural-social risk factors in the assigned scenario. Explain how these increase the risk of cardiovascular and respiratory disorders.Discuss environmental factors that increase the risk of cardiovascular disease as identified in the scenario.Identify at least two environmental factors that contribute to the onset of disease processes described in the scenario.Discuss how the environmental factors change the system function leading to cardiovascular disease.


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