Description
In 750-1,000 words, critically evaluate Mrs. J.'s situation. Include the following:
Describe the clinical manifestations present in Mrs. J.
Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
- Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
- Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
- Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients' transition to independence.
- Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
- Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.'s current and long-term tobacco use, discuss what options for smoking cessation should be offered.
Explanation & Answer
Here you go, if no revisions are needed, have a blessed night and goodbye!
Running head: CLINICAL DIAGNOSIS OF MRS. J
Clinical Diagnosis of Mrs. J
Instructor
Class
Date
Name
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CLINICAL DIAGNOSIS OF MRS. J
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Clinical Diagnosis of Mrs. J
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart
failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of
oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a
day and has done so for 40 years. Three days ago, she had a sudden onset of flu-like symptoms
including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been
unable to perform ADLs and has required assistance in walking short distances. She has not
taken her antihypertensive medications or medications to control her heart failure for 3 days.
Today, she has been admitted to the hospital ICU with acute decompensated heart failure and
acute exacerbation of COPD.
Clinical Manifestations of Mrs. J
Heart failure is a chronic and progressive disease where the heart muscles become unable
to pump efficient amounts of blood so that the body's needs are met with the required amount of
oxygen (Farmakis, Parissis, Lekakis, & Filippatos, 2015). Mrs. J. has been admitted to the
intensive care unit for acute decompensated heart failure. Given that she was off her medications,
sick with the influenza virus, and not feeling well, this could be the cause of her condition. The
clinical manifestations of COPD, in this case, are observed through the frequent respiratory
infections that Mrs. J develops, tachycardia, an anxiety disorder, she has tightness in her chest,
her energy has decreased, she is experiencing difficulties with breathing, and the chronic coug...
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