Assessment- Case Study
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Assignment Objectives The purpose of the assignment is to facilitate student development in: Understanding the pathophysiology of an acute cardiac condition; Nursing care and management of the patient with the cardiac condition; Health promotion for the patient with the cardiac condition.Case Study Mr Papas is a 54-year-old Greek man who presents to the emergency department with central chest pain. He has no cardiac history and has never been to hospital. There is no known family history of cardiac disease or myocardial infarction. Mr Papas states he has associated symptoms of nausea, diaphoresis, and pain radiating to both shoulders and down his left arm. When asked to rate his pain, he states his pain score is 10 out of 10. When questioned about his social history, he states he smokes cigarettes (15 per day), drinks socially, works as an IT consultant in an office, and does very little exercise.
Mr Papas is pale and clammy. He is afebrile, with a blood pressure of 106/62 mm Hg, a regular pulse of 70bpm, a respiratory rate of 20 breaths/min, and an oxygen saturation of 96% while breathing room air. An ECG reveals an acute ST elevation myocardial infarction (STEMI). His Troponin I result is 2.4. The plan for Mr Papas is to have thrombolysis medication and be admitted to the cardiac ward for monitoring. Mr Papas is anxious and feels guilty about his lifestyle that he considers has contributed to his admission today.1. Risk Factors and Health Promotion What are the factors that may have contributed to Mr Papas’s myocardial infarction? Outline how you would approach Mr Papas regarding these and what health promotion information and referral’s you would provide to him. (500 words- this is a guide)2. Pathophysiology Briefly describe the pathophysiology behind both a ST Elevated Myocardial Infarction (STEMI) in your own words (in the way you would explain it to a family member) and identify how it differs from a non-STEMI. (400 words- this is a guide) 3. Homeostatic Mechanisms Outline the homeostatic mechanisms that result in the following symptoms Mr Papas is displaying on your nursing assessment: – Radiation of pain to shoulders and left arm – Pallor – Clamminess (500 words- this is a guide)4. Nursing Care Outline and justify the nursing care required for Mr Papas with his presenting symptoms, placing this nursing care in order of clinical priority. (600 words- this is a guide)5. Activities of Living Consider the twelve (12) activities of living outlined in the Roper Logan & Tierney Model of Nursing and specifically discuss which of these activities of living may be influenced or altered for Mr Papas during his admission. Outline how the registered nurse could assist the patient to manage them. (500 words- this is a guide) You should incorporate current research to support your discussion (less than 10 years old), texts/journal articles and/or other resources. Your assessment should be presented in academic format. This assignment can be presented in the numbered format using the headings provided in the case study. You should type out each heading and provide your answer to that question immediately underneath in essay format.
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