Aim of assessment
The purpose for this case study is to enable students to produce a nurse-led case management plan, using evidence-based information relevant to nurses and up-to-date Australian statistics, for improving the health and quality of life for an older adult who has suffered a myocardial infarction. Content should include discussion on pathophysiological treatment options, based on national guidelines and implications for nursing practice. Nursing Assignment Help
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Patient profile
Kath Harris is a 65-year old lady who lives alone. Kath was doing light cleaning around the house, prior to the onset of her pain. Mrs. Harris has a history of unstable angina, hypertension and diabetes mellitus type 2. She is a cigarette smoker, smoking two packets of cigarettes a day, for approximately 40 years. A recent history of indigestion suggests an active peptic ulcer. She is also obese (her body mass index is 32). She has had a history of head trauma due to an incident a few months ago, where she fell down a set of stairs. Mrs Harris’ current medication includes; GTN, carvedilol, and metformin.
Subjective data
• She had taken three glyceryl trinitrate tablets, which had little effect on reducing her chest pain.
• Has an 6/10 chest pain
• Pt is nauseated
• Appears distressed
Objective data Physical examination
• GCS 15
• BP 92/58mmHg, HR 92 bpm, Temp 370Celsius, Resp 28 bpm, SaO2 91% RA,
• Skin was pale
• Peripheries were cool Nursing Assignment Help