Reggie Case Study

Running head: REGGIE CASE STUDY
REGGIE CASE STUDY
Name of the Student
Name of the University
Author Note

1REGGIE CASE STUDY
Reggie Simpson is a 42 year old person who has a family of 3 children and a wife and he
is the sole worker of the family. Reggie is a mine worker thus his physical strain is high and from
childhood he diagnosed with rheumatic heart disease and recently he was fatigued at the time of
examination. On the basis of his past medical history and his present condition it can be said that
he has hypertension and oedema as the primary problems which would be intervened. In terms of
intervention of these problems the nurse needs to administer proper medication such as
Frusemide, Morphine and also Paracetamol for pain reduction and also needed to plan life style
changes such as healthy diet incorporation, aerobic exercises and others (Kobrin et al., 2016). As
for intervention of the hypertension the Angiostenin-converting enzyme (ACE) inhibitor drug
would also be used as well. The whole data collection and assessment would be dependent on the
critical evaluation process of the nursing care. In the following essay the problems of priority
problems of Reggie would be discussed and the interventions mentioned would be proved to be
the effective treatment for his diseases.
Reggie has the primary problem of hypertension as a result of his childhood rheumatic
heart disease and it has been seen when he was fatigued as a result of his cardiac examination
(Parks et al., 2017). He also works in a mine thus his respiratory problems could be understood
that shows his respiratory rate as 28 per minute and oxygen saturation rate was 92%. It can be
stated that his hypertension caused by his body stress and also the improper heart function. This
condition of Reggie can be the cause of the left ventricle hypertrophy as a result of which the
blood pump from the heart is higher than normal rate and thus his blood pressure rise up to
184/75. His left ventricle hypertrophy could be resulted by his childhood cardiac disease that is
the rheumatic heart disease in which one of the heart valves got damaged or the heart gets into an

2REGGIE CASE STUDY
inflamed condition (Grabner et al., 2015). As a result of the valve damage the blood pump
function of the heart got disrupted as well which can be identified as the pathophysiology of the
left hypertrophy of Reggie and thus the hypertension in his body can be described. Other than all
these his body showed ascites that can be stated as the fluid buildup in the abdomen and this
could be caused by the counter mechanism of the blood pressure rise in the body (Brinkley et al.,
2018). The counter mechanism would be the Renin-Angiotensin-Aldosteron system (RAAS) and
it is a hormonal system which would regulate the blood pressure, electrolyte and the fluid
balance of the body. When the blood pressure remains lower than normal rate the body would be
activate the system and thus the sodium and water reabsorption starts by the kidney and the
potassium exertion also starts in order to balance the electrolyte balance of the body (te Riet et
al., 2015). However, there is a mechanism called the ACE inhibitor that inhibits the RAAS
mechanism and if the ACE inhibitor mechanism disrupts then the extra incorporation of the
sodium and the water which leads to the hypertension and ascites development in the body.
These would be the possible causes or the pathophysiology of the hypertension and the ascites
development of Reggie’s body and also the cause of his sudden weight gain up to 10 to 15 Kg
(Angeli et al., 2015). According to these possible assessments and the information from past
medical history of Reggie the health professional would be able to evaluate the condition of him.
The intervention plan would be comprised with the proper medication administration, healthy
diet incorporation and also life style changing in a positive way. The positive changes in life
style would incorporate the daily aerobic exercises and also provide with proper sleeping as well.
Also the diet would incorporate the vegetables, fruits in order to production of antioxidants and
also removing red meat from the diet would be recommended as well. However, the medication
administration would be the most important aspect for his treatment. His treatment would be

3REGGIE CASE STUDY
comprised of the medication that is the Metoprolol which reduces the hypertension of the body
and also Captopril which is an ACE inhibitor drug used for the hypertension treatment (García-
Prieto et al., 2017). Other than all these the health care professional needs to monitor Reggie’s
daily routine on the basis of the medication and diet in order to observe the changes in his body
to determine the positive outcomes of the treatment or assessing the negative effects of the
medication on his body as well. All these factors needed to be evaluated and on the basis of the
evaluation the plans for the intervention and further treatment would be adjusted on the basis of
the patient’s need. On the basis of the situation and the intervention plans the health care
professional would be able to gather experience and knowledge about the problem as well. This
would be done through the whole situation assessment and also reflection process which are the
phases of the critical evaluation of nursing and help in the planning of proper intervention. Thus
the proper evaluation of the patient’s condition and the intervention needed to be done by the
professional and the whole process would help in the experience gathering for the health care
professional. Evaluation and assessment are the critical aspects of nursing care as on these two
factors the nursing intervention planning depends and with the help of diagnosis and assessment
of past data of the patient the nurse can devise the intervention. In case of Reggie his past
rheumatic heart disease is the factor that helps in the intervention planning properly and detects
the cause of the disease as well. However, assessing the patient’s condition and the intervention
plan in case of Reggie is needed mostly over the reflection on the case here (Marsh & Zarda,
2016).
The second problem that can be identified as Reggie’s priority problem that is the
oedema which can be caused by the fluid retention in the knee to the leg of Reggie and he feels
pain. As a fluid retention problem in the lower limb the oedema would raise the problem of