NSG 4055- Week 1 Discussion

NSG 4055- Week 1 Discussion

The questions that I would ask Ms. Johnson in the HPI include the following:

1. When did the chest pain begin?
2. Where is the pain? Can you point to it?
3. What were you doing when the pain began?
4. How long does the pain last?
5. How would you describe the pain?
6. Is it like the pain you had before?
7. Has the pain been constant?
8. Can you feel the pain anywhere else?
9. Did anything make the pain better?
10. What factors worsen the pain?
11. How would you rate the pain on a 0-10 scale with 0 being no pain and 10 being the most amount of pain?

Physical Exam and Diagnostic Tools

The physical exam will include monitoring vital signs, weight, and BMI. A general exam will be taken to assess the patient’s general condition. A neck exam is necessary to assess for venous distention and hepatojugular reflux. The neck will also be palpated for carotid pulses, lymphadenopathy, or thyroid gland abnormality. The carotid arteries will be auscultated for bruit. In addition, the lungs will be percussed and auscultated to assess the presence and symmetry of breath sounds, adventitious breath sounds, consolidation, pleural friction rubs, and effusion (Harskamp et al., 2019). A cardiac exam will be used to note the intensity and timing of S1 and S2 and assess for pericardial friction rubs, murmurs, and gallops. Diagnostic tests will include an ECG and chest x-ray. A 12-lead ECG is vital in assessing patients with suspected ischemic chest pain (Harskamp et al., 2019).

The plan of care for the angina pain will be administering Nitroglycerin. It dilates coronary arteries to increase oxygen to the myocardium and dilates peripheral vessels so the heart does not have to work so hard to pump blood into them (Ford & Berry, 2020). The patient will be educated that when she experiences angina pain, she should stop all activities and sit or rest in bed in a semi-Fowler’s position to reduce the oxygen requirements of the ischemic myocardium. After two weeks, she will be followed up to assess her response to treatment.

NSG 4055- Week 1 Discussion References

Ford, T. J., & Berry, C. (2020). Angina: contemporary diagnosis and management. Heart, 106(5), 387-398. https://doi.org/10.1136/heartjnl-2018-314661

Harskamp, R. E., Laeven, S. C., Himmelreich, J. C., Lucassen, W. A. M., & van Weert, H. C. P. M. (2019). Chest pain in general practice: a systematic review of prediction rules. BMJ open, 9(2), e027081. https://doi.org/10.1136/bmjopen-2018-027081

There are many factors that affect chronic illness—chronic
pain, stigma, social isolation, altered mobility, or fatigue. Utilizing your
learning from your readings and the South University Online Library resources,
respond to one the following questions:

Based on the research, which of these factors have the
greatest impact on a patient? Why? Contrast at least two ways the factors would
affect a twelve-year-old with the way they would affect a
seventy-five-year-old.

Consider the twelve-year-old and the seventy-five-year-old
have a chronic illness. How does the chronically ill patient’s illness
trajectory influence the plan of care?

Review Healthypeople.gov website. Discuss how you feel these
goals will impact the health of the nation. Briefly discuss how you could
incorporate these goals/objectives into your day-to-day nursing practice.

Citations should conform to APA guidelines. You may use this
APA Citation Helper as a convenient reference for properly citing resources or
connect to the APA Style website through the APA icon below.

Week 2 discussion

The impact of disease on family members: a critical aspect
of medical care.

Images

Chart Chart Color Photograph Chart Chart

Authors:

Golics, Catherine Jane1

Basra, Mohammad Khurshid Azam2

Finlay, Andrew Yule2

Salek, Sam

Source:

Journal of the Royal Society of Medicine. Oct2013, Vol. 106
Issue 10, p399-407. 9p. 1 Color Photograph, 4 Charts.

Document Type:

Article

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NSG 4055- Week 1 Discussion 

Abstract:

Most existing health-related quality of life research
concerns the impact of disease on patients. However, in several medical
specialties including dermatology, oncology, and physical and mental
disability, studies have been carried out investigating the impact of disease
on the lives of families of patients. The aim of this paper is to review the
literature which relates to the impact of disease on family members of
patients. The OVIDSP Medline was selected as the primary database, Searches
were limited to sources published in English. 158 papers were identified for
review. The definition of “family” varied across the literature, and a broad
definition was accepted in this review. This review shows that a wide variety
of aspects of family members’ lives can be affected, including emotional, financial,
family relationships, education and work, leisure time, and social activities.

Many of these themes are linked to one another, with themes including financial
impact and social impact being linked to emotional impact. Some positive
aspects were also identified from the literature, including family
relationships growing stronger. Several instruments exist to measure the impact
of illness on the family, and most are disease or specialty- specific. The
impact of disease on families of patients is often unrecognised and
underestimated. Taking into account the quality of life of families as well as
patients can offer the clinician a unique insight into issues such as family
relationships and the effect of treatment decisions on the patient’s close
social group of partner and family. [ABSTRACT FROM PUBLISHER]

Copyright of Journal of the Royal Society of Medicine is the
property of Sage Publications, Ltd. and its content may not be copied or
emailed to multiple sites or posted to a listserv without the copyright
holder’s express written permission. However, users may print, download, or
email articles for individual use. This abstract may be abridged. No warranty
is given about the accuracy of the copy. Users should refer to the original
published version of the material for the full abstract. (Copyright applies to
all Abstracts.)

Click here to read the following article from the South
University Online Library on the impact of disease on family members:

Golics, C. J., Basra, M. K. A., Finlay, A. Y., & Salek,
S. (2013). The impact of disease on family members: A critical aspect of
medical care. Journal of the Royal Society of Medicine, 106(10), 399–407.

After reviewing the article, which factor do you feel has
the most impact on family members? Please support your response with examples
from readings. What are some of the reasons it is important to include the
support persons in the plan of care?

Citations should conform to APA guidelines. You may use this
APA Citation Helper as a convenient reference for properly citing resources or
connect to the APA Style website through the APA icon below.

Also Check Out:  nsg 4055: Week 3 Discussion