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Focused Exam Chest Pain care plan
Health-Illness Concepts Across the Lifespan I (NUR 1460C)
Florida State College at Jacksonville
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Focused Exam: Chest Pain Results | Turned In
Health Assessment - Remediation/Refresher - January 2021, CCE 705 and 701
Return to Assignment (/assignments/432175/)
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Care Plan : 11 of 11 (100%)
Nursing Diagnoses: Definitions & Classifications 2018-2020 © NANDA-International, 2017 used by arrangement with Thieme Medical Publishers, Inc., a division of the Thieme Group. All rights reserved. Authorized translation from the English language edition published by Thieme Medican Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the copyright holder, NANDA-International. Direct inquires to nanda-i@thieme. Link for more information: nanda/.
Status
Student Response Model Answer Explanation Points Earned
exhibits exhibits The correct status for the nursing diagnosis is "exhibits," because Mr. Foster's condition is not a risk, but rather is actually present.
0 out of 0.
Diagnosis
Student Response Model Answer Explanation Points Earned
deficient knowledge deficient knowledge Mr. Foster has reported his pain is a 0/10; his current healthcare needs are for education on relevant topics.
0 out of 0.
Etiologies
Student Response Model Answer Explanation Points Earned
insufficient knowledge of cardiac disease process
insufficient knowledge of cardiac disease process
Any patient who has undergone a procedure needs teaching on proper recovery methods; in addition, in your assessment, Brian exhibited a lack of understanding about contributors to cardiac diseases.
0 out of 0.
insufficient knowledge of resources for cardiac procedure recovery
insufficient knowledge of resources for cardiac procedure recovery
Any patient who has undergone a procedure needs teaching on proper recovery methods; in addition, in your assessment, Brian exhibited a lack of understanding about contributors to cardiac diseases.
0 out of 0.
Your Results Lab Pass (/assignment_attempts/9710779/lab_pass)
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Care Plan
Program Competency Progress
Nursing Diagnosis 3 out of 3.
Suppor t
Signs & Symptoms
Student Response Model Answer Explanation Points Earned
not currently on cardiac diet not currently on cardiac diet Brian's stent was just placed, indicating a need for recovery instructions. In addition, his lifestyle is sedentary and his diet isn't cardiac-friendly, and so he has room to learn about the link between heart health and diet & exercise.
0 out of 0.
sedentary lifestyle prior to hospitalization
sedentary lifestyle prior to hospitalization
Brian's stent was just placed, indicating a need for recovery instructions. In addition, his lifestyle is sedentary and his diet isn't cardiac-friendly, and so he has room to learn about the link between heart health and diet & exercise.
0 out of 0.
new placement of cardiac stent new placement of cardiac stent Brian's stent was just placed, indicating a need for recovery instructions. In addition, his lifestyle is sedentary and his diet isn't cardiac-friendly, and so he has room to learn about the link between heart health and diet & exercise.
0 out of 0.
Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.
Prompt Student Response Model Answer Explanation
How can a patient's knowledge of their health risks affect their health?
When a patient understands the risks and the signs to look out for, it greatly increases their chances to get the proper help in time. Also eating the proper diet and exercising regularly.
A patient's understanding of their health risks can lead them to be wary of warning signs, practice appropriate health habits, and know when to reach out to medical professionals for help.
Your role as a healthcare provider is not limited to physical and medical interventions; knowing why and how to educate your patients is a crucial part of impacting their health.
Short-Term Goal
Student Response Model Answer Explanation Points Earned
To have patient verbalize and agree to their post-stent care and heart- healthy lifestyle instructions, by end of hospitalization.
To have patient verbalize and agree to their post-stent care and heart- healthy lifestyle instructions, by end of hospitalization.
Having a patient verbalize their instructions lets you check for things they might have missed. In addition, if a patient doesn't consent to their instructions, further persuasion should be made.
0 out of 0.
Interventions
Student Response Model Answer Explanation Points Earned
Self Assessment
Planning 5 out of 5.
Instruct patient to monitor stent site for signs of bleeding
Instruct patient to monitor stent site for signs of bleeding
These interventions teach Brian appropriate stent-site monitoring and heart-healthy diet & exercise tips. Timing is appropriate in interventions; chest pain, especially after a procedure that should mitigate it, should be reported to a provider immediately. Similarly, while Brian can begin his diet anytime, beginning a new exercise regimen right after his surgery increases his risk of injury.
0 out of 0.
Instruct patient to monitor stent site for signs of infection: redness, swelling, warmth, drainage
Instruct patient to monitor stent site for signs of infection: redness, swelling, warmth, drainage
These interventions teach Brian appropriate stent-site monitoring and heart-healthy diet & exercise tips. Timing is appropriate in interventions; chest pain, especially after a procedure that should mitigate it, should be reported to a provider immediately. Similarly, while Brian can begin his diet anytime, beginning a new exercise regimen right after his surgery increases his risk of injury.
0 out of 0.
Intervention Rationale
Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.
Prompt Student Response Model Answer Explanation
In 1 or 2 sentences, explain how your selected interventions work to accomplish your goal.
By telling the client to call right away if he starts having chest pain, or if he notices any signs of infection, bleeding, swelling of the stent site is very important. We will be starting th epatient on a cardiac diet and also a workout exercise.
These interventions help Brian stay alert for problems in his stent-site healing, so that he knows when to contact his provider. Brian also receives teaching on concrete ways to diet and exercise for his cardiovascular health, while ensuring he makes his changes at an appropriate time during his surgery recovery.
It is important to give a patient the tools they need to stay healthy in the short-term (monitoring their surgical site) and in the long-term (building habits that stave off cardiovascular disease).
Data Collections
Student Response Model Answer Explanation Points Earned
Ask patient to agree to and verbalize his instructions for diet and exercise
Ask patient to agree to and verbalize his instructions for diet and exercise
After all patient instructions have been made, make sure your patient agrees as well as can verbalize them back, letting you spot any details they've missed.
0 out of 0.
Ask patient to agree to and verbalize his stent-related care instructions
Ask patient to agree to and verbalize his stent-related care instructions
After all patient instructions have been made, make sure your patient agrees as well as can verbalize them back, letting you spot any details they've missed.
0 out of 0.
Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.
Prompt Student Response Model Answer Explanation
Discussion Of Care
Explain the rationale behind your nursing diagnosis.
Mr Brian you now have a newly placed stent in that is going to require a few lifestyle changes. We will go over all the information you need to be aware of, including a heart healthy cardiac diet, and an exercise regimen.
Brian, your recently placed cardiac stent will require some at-home recovery care from you, which you haven't yet been filled in on. In addition, you haven't been taught about some heart-healthy practices that will prevent future cardiac diseases.
A patient should understand their nursing diagnosis and the rationale behind it to increase their sense of involvement and to identify areas for future improvement.
Explain your goal for Mr. Foster and the interventions and data collections through which you will achieve it.
So we will start with your diet and exercise. This is so important for preventing future cardiac issues. By the time you get discharged, ill have you repeat all of the post-sent care and heart healthy lifestyle changes. Your Dr will be in shortly to go over your medication regimen.
Brian, my goal for you is, by the end of your stay, to have you agree to and verbalize back the instructions you'll receive on post-stent care and long-term heart health. I'm going to educate you on these subjects, with some help from your provider, who will review your medication regimen with you. At the end of your hospitalization, I'll have you repeat back your instructions to make sure you've got them down.
You should communicate the care plan to the patient, allowing them to have involvement and agency in their own healthcare.
Explicitly ask for Mr. Foster's consent to the Care Plan.
Do i have your consent to go through with this plan of care?
Do I have your consent to move forward with these interventions?
A patient must consent to all interventions in their Care Plan. Disagreements are opportunities to provide further patient education and to consider alternative options.
Inform Mr. Foster you will now begin his education interventions.
Do you have any other questions before i start your post-stent care?
Unless you have any other questions, I will now begin educating you on your post- stent care and your long-term health.
It's time to begin your education interventions, so let your patient know!
Student Response Model Answer Explanation Points Earned
Fully Fully Mr. Foster's repetition of his instructions shows a full and detailed knowledge of them; furthermore, he consents to making these new choices. Your goal has been fully achieved.
2 out of 2.
Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.
Prompt Student Response Model Answer Explanation
Your goal was that the patient, by the end of their hospitalization, verbalizes and agrees to instructions for their post-stent care and heart healthy practices. Have you achieved your goal?
The goal was fully achieved. He agreed to and reapeated back the detailed lifestyle changes and the post-stent care needed.
The goal for Mr. Foster has been fully achieved; he has agreed to and verbalized detailed and comprehensive knowledge of his instructions for post-stent recovery and long term heart-health, without missing any details.
A patient's verbalization of their instructions shows to what extent they understand and remember those instructions.
Intervention & Evaluation 2 out of 2.
Intervention & Evaluation Rationale
Focused Exam Chest Pain care plan
Course: Health-Illness Concepts Across the Lifespan I (NUR 1460C)
University: Florida State College at Jacksonville
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