NRSG 366 Partnership in Chronicity

Running head: NRSG 366 PARTNERSHIP IN CHRONICITY
NRSG 366 PARTNERSHIP IN CHRONICITY
Name of the Student
Name of the University
Author note

1NRSG 366 PARTNESIP IN CHRONICITY
The given case study is about a woman named Mrs. Melanie Bradford who is 48 years of
age. The patient’s problems or any situation, the planning and interventions of the nursing, the
outcomes of the nursing care plan and the analysis are presented through the clinical reasoning
cycle. The cycle involves the details of her disease, the history and the nursing care plan that
needs to be carried out for her.
Mrs. Melanie is a woman of 48 years. She is married and has two children who goes to
school. She has an accountancy business which she manages by working from home only. She
has two dogs who are very large in size and are very friendly. I will be visiting her because the
ways that she will be treated will help the students to understand the nursing activities
properly.
Before my visit to the patient I need to know in details about the medicines that she
is taking, her medical history and also the environment in which she lives. Currently the
patient is under different medications. She is taking lisinopril 20 mg once day, she is taking
frusemid 40 mg once a day, aspirin of weight 150 mg once in a day, coloxyl and senna 2 tablets
once in a day, nexium 40 mg 0nce in a day and ibuprofen of weight 400 mg as per needed. Her
medical history shows that she has hypertension, ischemic heart disease and gastro oesophageal
reflux. The patient becomes tensed at simple things this proves that she has hypertension. She
has heart diseases which can be characterised by the reduction in the supply of blood to the heart
(Hoos et al., 2015). So she must have blockage in the coronary artery which reduces the supply
of the blood to the heart muscle. She may have atherosclerosis, which is very difficult to identify
at the initial stages and so the disease get increased. She also has gastro oesophageal reflux, so
she might be vomiting quite often as the acidic juices of the stomach, foods and different fluids

2NRSG 366 PARTNESIP IN CHRONICITY
move to the oesophagus from the stomach. While talking with the patient I must be make
sure that she is telling in details all about her diseases and medicines.
The diseases that the patient is suffering are quite interrelated. She is suffering from
hypertension, ischaemic heart diseases and gastro oesophageal reflux. One of the root cause of
the heart disease is the hypertension, though in the given case of ischaemic heart disease the
main causative agent is the blockage in the arteries of the heart. If the patient becomes tensed
frequently, then the heart disease may get effected. Acid reflux is also reported so she definitely
is facing vomiting tendencies. If she gets tensed frequently then the acid reflux will occur again
and again. The present medication of the patient shows that she is suffering from heart diseases.
Some of the medicines she is using are given to patients to cure heart disease. She takes aspirin,
which is used to reduce the hypertension of the patient. Nexium is used to reduce the acid reflux
that the patient is suffering, it cures any oesophageal abnormalities. Medicines to reduce
constipation is also prescribed to her. So the patient is still taking the medicines against the
diseases which are mentioned in the history of the medical background.
Mrs. Bradford needs to be diagnosed properly for each of the respective diseases. The
nurse must measure the cardiac output, notice the emotional needs of her and also find the
altered heart rates. Diagnoses of gastro oesophageal reflux is easy as it has different symptoms.
The symptoms are not taking food properly, alteration in taste, loss in weight, pain in the
abdomen and discomfort, not able to tolerate the fatty foods and feeling of heart burn
(Boeckxstaens et al., 2015). The symptoms of hypertension can be diagnosed clearly by properly
noticing her reactions to every actions. Hypertension can be cured by providing mental
assistance to her (Gopalan, Delcroix & Held, 2017). Other information like whether the patient