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Patient suffering from acute chest pain: Partnership and collab

   

Added on  2020-10-23

14 Pages4804 Words68 Views
ENHANCING ADULT NURSINGPRACTICE THROUGH EFFECTIVEDECISION MAKING

TABLE OF CONTENTSINTRODUCTION...........................................................................................................................1MAIN BODY...................................................................................................................................1Journey of patient suffering from acute chest pain................................................................1Assessment issues...................................................................................................................2Symptom presentation/control................................................................................................3Therapeutic interventions.......................................................................................................4Complex interaction of symptoms, cognitions, emotions, behaviour and the significance ofsocial support..........................................................................................................................5Risk reduction through interventions and standardised approaches to care...........................6The promotion of mental health ............................................................................................6Partnership and collaboration in decision making and care...................................................7National and local policy promoting person centred care closer to home.............................7CONCLUSION................................................................................................................................8REFERENCES................................................................................................................................9

INTRODUCTIONEffective decision making plays a vital role in enhancing adult nursing practices becauseit helps in determining individual’s ability to make decisions for patients as per different medicalsituations. Report will outline the case study of Mr Singh who is a 56 years old Asian man whohas been presented in hospital for acute chest pain. Bio psychosocial is the model which helps indetermining attributes of diseases with regard to biological factors such as genetics, heredity,personality, mood and medical condition (Burns and Mullen, 2015). As per Mr Singh’scondition, it can be said that the patient is suffering from anxiety and depression due to familyseparation and job. Further, he is anxious because he is dependent on smoking which regulatedcontrol over his psychological factors. Further, it identifies his overall journey on the basis of hissymptoms, prevention measures, therapeutic intervention, etc. Thus, for assessment of acutechest pain and medical history of patient, practitioner will implement the use of different modelssuch as Tanner's model because it recognizes relationship between the nursing process, criticalthinking, and theclinical judgement.Further, the nurse will make use of Airway, Breathing,Circulation, Disability, Exposure (ABCDE) approach (Initial assessment and treatment with theAirway, Breathing, Circulation, Disability, Exposure (ABCDE) approach, 2012). However,when Mr Singh was presented in the hospital, he was suffering from sharp pain in chest due towhich he was restless.MAIN BODYAcute chest pain is the condition where the pain in human body radiates from one or bothsoldiers and arms to chest which restricts the patient’s physical activity and also, leads tovomiting and nausea (Acute chest pain, 1997). However, chest pain is related to Acute coronarysyndrome where the service users experience sweating and diaphoresis (The InterdisciplinaryManagement of Acute Chest Pain, 2015). The cause of sudden acute chest pain is blockage inheart blood vessels which reduces the flow of oxygen and blood in heart muscle. It is a severemedical situation which holds the risk of death (Mahler, and et.al., 2015).Journey of patient suffering from acute chest painMr Singh is a 56 years old Asian man who has been presented in A & E hospital whichdeals with life threatening and emergency situation. The service users were diagnosed withAcute Chest pain and therefore, he was admitted instantly in medical ward. The present situation1

of man reflects that he was taken to A&E at 0730 hour and at 0400 hour. He was experiencingsharp pain in the central chest pain to which he described that he was feeling something heavy onhis chest (Thompson and Stapley, 2011). He was anxious and according to him, it was the firsttime when he was experiencing this pain that remained for 30 minutes where he was feeling outof breathe. However, when Mr Singh was presented in hospital, he complained he experincedsharp pain in chest for 30 minutes and now he is again feeling normal therefore professionalconnected him to Cardiac monitor as the situation holds multiple cardiac risk factors.Apparently, 12 lead electrocardiograms was conducted to analyse his medical condition andsigns and symptoms (Fanaroff and et.al., 2015).Assessment issuesFor assessment, it is important for the nurse to implement use of assessment tools likeTanner and ABCDE approach to manage bio psychosocial cofactors of patient. With regard toMr Singh, the model will be used by practitioner for making clinical judgement over thecondition of patient. The assessment issues with the help of model approach are as follows:Noticing: In this, the focus of health practitioner will be on noticing condition and habitsof Mr Singh towards medication and change in different situations. In accordance withhis condition, it has been analysed that he lives alone and is separated from family.Further, he lost his job and is dependent on the cigarettes. However, secondary aspect ofclinical judgement will be based on mental condition where he is bipolar personality andsmokes regularly regardless of the fact that he is diabetic and has hyper tension andhyperlipidaemia.Interpreting: It is based on medical condition of Mr Singh which will be analysed andinterpreted with the help of diagnosis. This will include ABCDE assessment of acutechest pain where the nurse will analyse level of airway blockage by monitoring cardiacrisk factors (.Paterson, Thorne and Russell, 2016). Further, the practitioner will focus onanalysing breathing ability and circulation issue which is common in patient diagnosedwith hyperlipidaemia and cardiogenic shock which is experienced by Mr Singh. Inaddition, nurse will be focusing on determining mental health of patient which helps inanalysing individual dependency on intoxication which can be a cause of disabilities.Apart from this, with the help of approach, health practitioner will be able to determinelevel of exposure with regard to environmental triggers such as anxiety, depression,2

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