Hello there! Want a discount? Grab 5% OFFon your first order!
originalresearchpapers.com logo
Hello there! Want a discount? Grab 5% OFF on your first order!

Our Services

Get 15% Discount on your First Order

BDS Health & Medical Patient Having Shortness of Breath Discussion Nursing Assignment Help

Scenario: A 77-year-old white male comes into your office complaining of feeling dizzy, short of breath, easily fatigued and having a sensation of his heart ‘skipping beats’. 

  • He reports he has had these same symptoms numerous times over the last year or so, but they only lasted for about a day. 
  • He thought since he has been experiencing them now for about 3 days he should come in and get checked out.
  • He was diagnosed with type 2 diabetes twenty years ago and hypertension fifteen years ago.
  • Current medications include Lisinopril 20 mg daily and Metformin 1000 mg daily.
  • BP 172/100, P 123 irregularly irregular, R 20
  • Skin is warm, pale with a slight gray cast; lungs are clear to auscultation; heart irregular rhythm

Please develop a discussion that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion.

Initial post

Utilize the information provided in the scenario to create your discussion post. 

Construct your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).

Structure your ‘P’ in the following format:

Therapeutics: pharmacologic interventions, if any – new or revisions to existing; include considerations for OTC agents (pharmacologic and non-pharmacologic/alternative); [optional – any other therapies in lieu of pharmacologic intervention]

Educational: health information clients need to address their presenting problem(s); health information in support of any of the ‘therapeutics’ identified above; information about follow-up care where appropriate; provision of anticipatory guidance and counseling during the context of the office visit

Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’ with the patient/patient’s care giver; if appropriate -placing the patient in a Transitional Care Model for appropriate pharmacologic and non-pharmacologic care; if appropriate – consult with or referral to another provider while the patient is still in the office; Identification of any future referral you would consider making

Expert Solution Preview

Subjective:
The patient, a 77-year-old white male, presents with complaints of feeling dizzy, short of breath, easily fatigued, and having a sensation of his heart ‘skipping beats’. He states that he has experienced these symptoms multiple times over the past year, but they typically last for only about a day. Given that he has been experiencing these symptoms for approximately three days this time, he decided to seek medical attention. The patient has a medical history of type 2 diabetes for the past twenty years and hypertension for the past fifteen years. His current medications include Lisinopril 20 mg daily and Metformin 1000 mg daily.

Objective:
On examination, the patient’s blood pressure is 172/100 mmHg, heart rate is irregularly irregular at 123 beats per minute, and respiration rate is 20 breaths per minute. The patient’s skin is warm, pale with a slight gray cast. Lung auscultation reveals clear breath sounds, while cardiac auscultation reveals an irregular rhythm.

Assessment:
Based on the patient’s symptoms, medical history, and examination findings, the initial assessment includes the following considerations:
1. Cardiac arrhythmia: The patient’s irregularly irregular heart rate, sensation of skipped beats, and dizziness may be indicative of cardiac arrhythmia.
2. Hypertension: The elevated blood pressure reading suggests poorly controlled hypertension, which may contribute to the patient’s symptoms.
3. Anemia: The patient’s pale skin and easy fatigue may indicate anemia, although further investigation is necessary.

Plan:
Therapeutics:
1. Pharmacologic interventions: Consider initiating or adjusting the current antihypertensive medication regimen to better control blood pressure and manage the patient’s symptoms. Options may include increasing the dose of Lisinopril or adding another antihypertensive agent such as a calcium channel blocker or beta-blocker.
2. Educational: Provide information on the importance of medication compliance, lifestyle modifications (such as a low-sodium diet, regular exercise, and stress reduction), and self-monitoring of blood pressure. Educate the patient on the signs and symptoms of cardiac arrhythmias and the need for prompt medical attention in case of worsening symptoms.
3. Consultation/Collaboration: Collaborate with the patient’s primary care provider to optimize management of his diabetes and address any potential interactions between antihypertensive and antidiabetic medications. Consider referral to a cardiologist for further evaluation of the cardiac arrhythmia and potential treatment options.

In conclusion, the initial assessment suggests a possible cardiac arrhythmia in the setting of poorly controlled hypertension. Proper management includes pharmacologic interventions, patient education, and potential referral to a specialist.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Understanding how the health care system works and evolves Nursing Assignment Help

Understanding how the health care system works and evolves provides health care administrators and leadership with awareness of the position of their organization and facilitates compliance with health regulations. Discuss in detail each component of the U.S. delivery system, its function, and how it supports the delivery of care. Describe

This assignment requires you to conduct the Strengths (S), Nursing Assignment Help

This assignment requires you to conduct the Strengths (S), Weaknesses (W), Opportunities (O), and Threats (T) SWOT Analysis.  As the planner for your health organization (selected by you), you will need to prepare a 3-page document addressing your organization’s internal and external environment to include, but not limited to, forces/trends,

Health from A Public Health Nursing Perspective Discussion Nursing Assignment Help

Read chapter 1, 2 & 6 of the class textbook and review the attached PowerPoint presentations once done answer the following questions. 1. Compare and contrast definitions of health from a public health nursing perspective. 2. Explain the difference between public/community health nursing practice and community-based nursing practice. 3. Discuss

Compare and Contrast Definition of Health from Public Nursing Assignment Help

Read chapter 1, 2 & 6 of the class textbook and review the attached PowerPoint presentations once done answer the following questions. 1. Compare and contrast definitions of health from a public health nursing perspective. 2. Explain the difference between public/community health nursing practice and community-based nursing practice. 3. Discuss

MSN Maternal and Child Health Essay Nursing Assignment Help

Health Policy Briefs provide succinct overviews of health policy  topics. The intended audience is policymakers, journalists, and others  concerned about improving health care in the United States. The briefs  explore arguments made on various sides of a policy proposal. They  provide guidance on available research behind each perspective. Health  policy

End of Life Ethical Decisions Discussion Nursing Assignment Help

I’m trying to study for my Health & Medical course and I need some help to understand this question. 2. Ethical issues arising from end-of-life decisions are among the most common that health services organizations and their clinical and managerial staff encounter.  Technology is central to the ethical and legal

HIM2588 Data Steward Presentation Nursing Assignment Help

Imagine that you are a Data Steward and your employer has asked you  to teach others in the organization about your role and  responsibilities. Prepare a PowerPoint slideshow that describes the role  and various responsibilities of a Data Steward. Your presentation should be a minimum of 8 slides (including a

After presenting your capstone Power Point on CAUTI write a Nursing Assignment Help

After presenting your capstone Power Point on CAUTI write a 250-350 word summary of the presentation. Include a description of the feedback and questions from your audience after your presentation, and how this interprofessional collaboration and experience will affect your professional practice in the future solid academic writing is expected,

https://stacks.cdc.gov/view/cdc/59876 Nursing Assignment Help

https://stacks.cdc.gov/view/cdc/59876 https://www.cdc.gov/training/publichealth101/public-health.html https://stacks.cdc.gov/view/cdc/59876 The Public Health System [WLO: 1] [CLOs: 1, 2, 3, 4]  This week’s discussion is on the role of the public health system within the greater view of the U.S. health care system. Prior to beginning work on this discussion forum, please review the United States Public Health

Identify the APN you interviewed and summarize the Nursing Assignment Help

Identify the APN you interviewed and summarize the interview, which may include (if not in the interview, please address): Describe the organization and setting, population, and colleagues where your interviewee works. Examine regulatory and legal requirements for the state in which you plan to practice/work (and that your interviewee resides,

You deserve a bonus!

Subscribe and get regular bonuses and discounts.