Nursing | Focused Assessment and Recommendation

Running head: NURSING
NURSING
Name of Student
Name of University
Author note

NURSING
1
Assessment 2
a. Analysis of findings
Analyzing the presenting signs and the symptoms of the admitted with the past history
of the patient is critical to the nursing practice and the skills of critical thinking, clinical
reasoning and of clinical decision making that is appropriate and relevant to the case is very
important in the clinical day to day nursing practice (Thomas, 2018). It is highly important
the history of past illness, of present illness according with family history and
sociodecographic data is taken properly by the nurse in order to correlate the same to the
presenting symptoms, based on which the nursing assessments can be started. Comprehensive
history taking followed by comprehensive assessment taking with the right demonstration of
critical thinking, clinical reasoning and apt problem solving is vital to the nursing care. Along
with these components of the clinical practice that is safe and secure – it is also very
important to address the needs of the patient in a very individual manner.
Health history
As for the socio-demographic history, the subject has three children and married. He
works in the high paced work environment of the airport where his work life is highly
stressful. Stress and anxiety in relation to the lack of work-life balance of the subject has been
increasing day by day that has resulted in the development of hypertension in the subject. It is
critical to be noted that the patient has three children who are minor and taking the
responsibility of three children is stressful and this has added and attributed to stress, anxiety
and psychogenic rise of blood pressure, to a great extent. As for the family history of the
subject, it is important to note his father died because of the heart attack or cardiovascular
accident that is also suggestive of a similar high blood pressure that led to the adverse event.
His father died when the subject was just in his adolescent stage and the loss of the parent

NURSING
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have also led to feelings of stress and anxiety in the subject from a very early age that is to be
correlated to the present symptoms of the patient. His mother died due to cerebrovascular
accident which is also very suggestive of a high blood pressure or hypertension led event. His
uncle recently had a surgery following the bout of a health attack which suggests the similar
pathophysiological process as well (Sulastini et al., 2019). Hence, it can be considered that
the ubject has a family predisposition of high blood pressure or hypertension, cerebrovascular
accidents and the heart attacks that increases his chance of having a heart attack or
cerebrovascular accident. His present symptoms of severely increased blood pressure, chest
pain that is angina and pale skin is suggestive of a congestive heart failure and it is reasoned
with the family history of the patient, moreover as per the history of present illness, when the
subject initially presented flu like symptoms to the doctor, he was already presenting with
abnormally high blood pressure and increased cholesterol and lipid levels that was way
beyond the normal range which lead to the presentation of the current signs and symptoms in
the patient. The normal level of cholesterol level is considered to be less than 2.6 but upto
3.4 millimoles is still considered to be optimal but the levels were more than 7 in the patient
that was suggestive of hypercholesterolemia and as the lipid levels of the patient were as
raised as 5.9, the condition was also suggestive of dyslipidemia that resulted in the
presentation of the heart attack in the patient (Ajaero et al., 2016). The subject has overweight
and near obese with a near body mass index of 29 and obesity and being overweight is
directly with the presentation of the cardiovascular accidents such as myocardial infarction
and congestive heart failure which has happened in the patient. It is highly important to note
that the weight issue in the patient along with excessive levels of stress and an anxiety in the
patient led to increase in the blood pressure of the subject beyond the controllable normal
limits that acted as a predisposing factor to the causation of the cardiac arrest or heart attack
in the patient. The subject is also a coach in her daughter’s team and this is another important