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Shadow health - Focused Exam Chest Pain Care Plan
Advanced Concepts of Adult Nursing II (NUR 4110 )
Nova Southeastern University
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Focused Exam: Chest Pain Results | Turned In
####### Introduction to Health Assessment - Spring 2020, NURS 3293
Return to Assignment (/assignments/289828/)
Care Plan : 9 of 11 (82%)
Nursing Diagnoses: Definitions & Classifications 2018-2020 © NANDA-International, 2017 used by arrangement with Thieme Medical Publishe Inc., a division of the Thieme Group. All rights reserved. Authorized translation from the English language edition published by Thieme Medica Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the copyright holder, NAN International. Direct inquires to nanda-i@thieme. Link for more information: nanda/.
Status
Student Response Model Answer Explanation Points Earne
is at risk for 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 Earne
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 Earne
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.
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.
Your Results Lab Pass (/assignment_attempts/6137159/lab_pass
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Care Plan
Self-Reflection
####### Nursing Diagnosis 1 out of 3
####### coursehero/file/55296556/Focused-Exam-Chest-Pain-Care-Planpdf/
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Signs & Symptoms
Student Response Model Answer Explanation Points Earne
N/A 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.
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.
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?
Education is a key factor in improving a patient's health and to help prevent future health problems. By assessing a patient's learning style, a nurse is able to help the patient learn in a way that will help them to understand and retain the information. Patients are often not aware of changes that need to occur in their lifestyle following a procedure, especially cardiac. It is up to nursing to ensure they have the necessary information to make those changes to help prevent future complications or problems.
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 physic and medical interventions; knowing why and how to educa your patients is a crucial part of impacting their health.
Short-Term Goal
Student Response Model Answer Explanation Points Earne
####### Self Assessment
####### Planning 5 out of 5
####### coursehero/file/55296556/Focused-Exam-Chest-Pain-Care-Planpdf/
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Instruct patient to begin cardiac diet immediately
Instruct patient to begin cardiac diet immediately
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 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.
The interventions educate the patient as to what the next steps are in his recovery and the changes he needs to make in his lifestyle. Also, they help him to be aware of signs and symptoms and when to call the doctor.
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 Earne
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.
####### coursehero/file/55296556/Focused-Exam-Chest-Pain-Care-Planpdf/
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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
Explain the rationale behind your nursing diagnosis.
Mr. Foster with the placement of your stent, you will need to make some changes to your lifestyle. These changes will help to prevent further heart issues and will also help your stent stay healthy.
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 the nursing diagnosis and the rationale behind it to increase their sense of involvement and identify areas for future improvement.
Explain your goal for Mr. Foster and the interventions and data collections through which you will achieve it.
As we discuss the changes to your lifestyle and your post-stent care, I want you to ask any questions and I am going to have you verbalize and agree to the changes.
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, allowin them to have involvement and agency in their own healthcare
Explicitly ask for Mr. Foster's consent to the Care Plan.
Are you open to learning about how to take care of your stent and the changes to your lifestyle.
Do I have your consent to move forward with these interventions?
A patient must consent to all interventions in their Care Plan Disagreements are opportunitie to provide further patient education and to consider alternative options.
Inform Mr. Foster you will now begin his education interventions.
We are now going to go over some interventions I want you to work on.
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 patien know!
Student Response Model Answer Explanation Points Earne
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.
####### Discussion Of Care
####### Intervention & Evaluation 2 out of 2
####### coursehero/file/55296556/Focused-Exam-Chest-Pain-Care-Planpdf/ Intervention & Evaluation Rationale
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Shadow health - Focused Exam Chest Pain Care Plan
Course: Advanced Concepts of Adult Nursing II (NUR 4110 )
University: Nova Southeastern University
