Acute Myocardial Infarction (AMI) - PDF

Added on - Dec 2020

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Description/Focus:Care of the person with a medical conditionLength:1800 - 2000 wordsThis project requires you to focus on theholistic care of a patient admitted to hospitalwith an acute presentation of a chronic condition and to demonstrate your ability toapply the clinical reasoning cycle to develop and plan nursing care.Case scenarios:Miss Violet Paterson is a 77-year-old woman admitted to the ward following an AcuteMyocardial Infarction (AMI). Miss Paterson is currently in a stable condition. She has ahistory of primary hypertension and longstanding osteoarthritis. Over the last fewmonths the arthritic pain has increased significantly, and both her blood pressure andosteoarthritis are impacting on her ability to meet her daily living needs. Miss Patersonlives alone in an apartment on the 3rdfloor (with no lift access) with her cat Molly andhas no extended family.Based on the information provided in the above case scenarios complete the followingtasks.Task 1. Consider the patientWhat will you consider when preparing the care plan for your chosen patient?Answer: Before planning the care plan, it is important to know about the medical history and stablesymptoms and signs of the patient (Zamanzadeh & et.al., 2015) . Violet is an elderly woman who issingle and lives along with her cat. Thus, it is clear that she needs a constant assistance of nurse forperforming daily household chores. In addition to this, she has been suffering from primaryhypertension that has led to the onset of Acute Myocardial Infarction (AMI). She has also treated forosteoarthritis (OA) which is also considered as one of the chronic conditions. The planning is crucialin this to make the recovery appropriate for gaining better results in stabilising the patient, Violet'sconditions.
Herein Violet has been admitted into the hospital and thus she needs an immediatetreatment by performing the angioplasty or coronary artery bypass graft (CABG). In this process, astent has been placed where the blockage of blood was taking place and led to the heart attack.Mostly the blockage occurred due to deposition of plaque (Dwarswaard & et.al., 2016). Violet wasleading a sedentary lifestyle due to the long standing osteoarthritis and had been indoors due to noaccess to lift. Her home is in third floor and this made her confined to the boundaries of home.Consequently, the nurses also has essential part to play in the recovery stage. Their roleincludes complete assessment of the patient’s progression by following the care plan in systematicways (Hunter & Arthur, 2016). They must check the vitals regularly and look into her daily careproperly by giving her medications on time. Moreover, the focus is to maintain her health byfollowing a therapeutic regime for better outcomes in terms of adopting active lifestyle. This consistsof breathing exercises to overcome the cardiac dysfunctional changes so that whenever she wouldbe moved out, she is able to continue with her routine.Furthermore, the care plan includes to manage her diet with inclusion of physical activity inorder to improve the conditions. Physical therapy is necessary for strengthening of muscles,especially the joints. The practitioners might also suggest Orthoses to the patient Violet to givesupport to keep her joints in aligned manner. These are the devices to minimise the pain and assistin performance of the functionalities related to the joints (Rascovsky& et.al., 2017).Task 2. Nursing assessmentsIdentify three (3) nursing assessments you will conduct and explain why they are a priority for you.Nursing assessments are useful to collect data and complete information about the patient'soverall status including physical needs, social needs and the psychological needs (Cabrera & et.al.,2018). This supports in recognising the existing and futuristic care specifications of patients likeViolet as given in the case study. Here, the aforementioned symptoms and other related informationare crucial in explaining the interventions by the nurses for the betterment of Violet's conditions. Forinstance, Violet has been admitted for AMI, however, she has been diagnosed with osteoarthritiswith primary hypertension which means that the blood pressure is always on a rise.Nursing Assessment 1: Using OLDCART methodologyOnset of health issue: The nurse here asked the patients like Violet about its routine, the medicalhistory or collect reports and other small complaints regarding the onset of health issue.Location of pain: The nurse investigate about the pain areas to identify and analyse the signs ofViolet to make necessary changes in the ongoing treatment plan.
Duration of health issue: The nurse ask the patient about the time since the occurrence of any signor symptom (Croatti, Montagna & Ricci, 2017).Characteristics: This involves examining of the existing situation and related concerns of the patient'sdisease.Aggravating factors: The changes that occur and led to such critical measurements of Violet's AMI.Relieving factors: It shed light on the application of therapeutic sessions and inclusion of breathingexercises, healthy diet and other necessary modifications to mitigate the triggering points of AMI inthe patient, Violet.Treatments: This includes the choice of treatments required to maintain the vitals of the patient whowas admitted due to AMINursing Assessment 2: Regular physical examinationThis is applicable soon after the patient undergoes any surgery or minute treatment process (Ryan &Deci,2017). Here the patient Violet who is an elderly and aged 77 needs constant supervision sinceshe was not able to do daily chores and find it difficult in performing the necessary tasks. This wouldassist in understanding the gradual progression of her vitals and overall status of conditions to giveher specific treatment plan for full recovery.Nursing Assessment 3: Focused assessment on usage of tools and pain levelsThe nurses conduct proper tests to evaluate and measure the functionalities of other sensory partsof Violet. Their focus areas include a wide range of activities to understand the progress levels of herrecovery plan ad also might be useful in addressing the queries (Mangnus & et.al., 2016).Task 3. Care planningIdentify three (3) priority nursing diagnoses for your chosen case scenario and explain why they arerelevant.Nursing diagnosis is important to measure the care plan for the patient's recovery (Yang &et.al., 2016). There are several priority nursing diagnoses that help in assessing the patient, Violet'sconditions and ongoing treatment interventions to follow a standardised nomenclature and usetheethical standards o fulfil the expectations' ad requirements of the patient, Violet who has been livingalone and has no extended family. She has been not doing any physical oriented tasks and was livingwith her cat which clearly demonstrated lack of social life. Moreover, her old age is another factorthat brought anxiety and stress levels.
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