Nursing Care Plan Assignment- Anthony Khoury
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Added on 2020-05-28
Nursing Care Plan Assignment- Anthony Khoury
Added on 2020-05-28
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Running head: NURSING CARE PLAN FOR ANTHONY KHOURYNURSING CARE PLAN FOR ANTHONY KHOURYName of the StudentName of the UniversityAuthor Notes
1NURSING CARE PLAN FOR ANTHONY KHOURYCardiovascular diseases involve disorders that are related to the heart as well as the bloodvessels and include the coronary heart diseases, peripheral arterial diseases, cerebrovasculardiseases, rheumatic heart diseases, pulmonary embolism, deep vein thrombosis, congenital heartdiseases, among others. These usually results in heart attacks or strokes (Berry et al. 2012).These results due to the deposition of fat along the inner linings of the blood vessels that supplyblood to the heart or to the brain. Tobacco use apart from obesity, hypertension, hyperlipidaemia,diabetes and physical inactivity generally gives rise to such problems (Rigotti and Clair 2013). Some of the symptoms of cardiovascular diseases include chest pain, lightheadedness,confusion, dizziness unconsciousness, among others (Www.nhs.uk 2018). This essay describesthe case study of Mr. Anthony Khoury. He was admitted to the hospital following symptoms ofchest pain and discomfort. This essay will at first describe the actual or potential problems along with a nursing careplan. The second part of the essay is an assessment report that provides the rationale for theidentified patient problems and the associated nursing interventions.Part IThis is the case of Mr. Anthony Khoury, who is a 67-year-old male, who had beenadmitted to the emergency department of the hospital following chest pain and inability to carryout proper breathing. Upon arriving at the hospital he was monitored to determine his vital signs.His heart rate was found to be 125BPM. Monitoring of the blood pressure revealed that on sittinghis blood pressure is 146/88 and on standing, his blood pressure was found to be 132/68. Hisrespiratory rate was found to be 28 BPM and the cough was identified to be non-productive thatis without the presence of sputum. It was identified to be dry cough. His oxygen saturation levels
2NURSING CARE PLAN FOR ANTHONY KHOURYwas found to be 91%, which then increased to 95% following administration of oxygen. Histemperature was however, normal but showed signs of confusion and felt light headed. Hispupils were however perceptive to light and was suffering from pain on his upper chest area,which on the pain scale was found to be 4/10. According to Mr. Khoury, he suffered from chest pain or angina and breathlessness aftersubjecting to an argument with his sons. He has a medical history of diabetes, which is howeverkept under control by the use of oral medications. However, he suffers from peripheral arterialdisease and symptomatic neuropathy, both of which are co-morbidities of diabetes (Thiruvoipati,Kielhorn and Armstrong 2015). He also reported that in the past he has suffered from chest pain,dyslipidaemia and hypertension. He controls these medical conditions by using hypolipidaemicand anti-hypertensive medications. However, he has complained of uncontrolled blood pressure.He has admitted to being a smoker and suffered from acute myocardial infarction after the deathof his wife. He had undergone coronary angioplasty and stents were used in order to manage hismedical condition. According to his daughter, he always remains stressed and anxious withregards to his family business and she also has noticed a decline in his health as a result of this. Assessment of his medical data reveals that his blood pressure falls in the standingposition, which may be caused due to postural hypotension (Pasma et al. 2014). Lack of oxygencould be associated with him suffering from chest pain or angina and is showing signs of milddysfunction, incomplete speech and confusion (Ripley et al. 2012). Impaired speech andconfusion could be associated with hypoxia (Leto and Feola 2014). Moreover, impaired speechand chest pain could be associated with heart attack. The pain scale indicated that he is sufferingfrom distressing pain. He is suffering from mild dysfunction, which could increase his risks offalling. His heart rate is above normal, which could be due to tachycardia and low oxygen
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