NUR 3010 Brian Foster Focused Exam Chest Pain Completed Shadow Health Care Plan

NUR 3010 Brian Foster Focused Exam Chest Pain Completed Shadow Health Care Plan

6/6/2020 Focused Exam: Chest Pain | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/7046803 1/6 Focused Exam: Chest Pain Results | Turned In Physical Assessment - June 2020, NUR 3010 Return to Assignment (/assignments/351027/) Care Plan : 11.5 of 11.5 (100.0%) 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 [email protected]. Link for more information: http://www.nanda.org/. Status Student Response Model Answer Explanation Points Earne 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. 0.5 out of 0.5 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. 0.5 out of 0.5 Etiologies Student Response Model Answer Explanation Points Earne 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. 0.5 out of 0.5 Your Results Reopen (/assignment_attempts/7046803/reopen Lab Pass (/assignment_attempts/7046803/lab_pass.p Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Care Plan Nursing Diagnosis 3.5 out of 3 This study source was downloaded by 100000805705997 from CourseHero.com on 03-28-2021 02:19:43 GMT -05:00 https://www.coursehero.com/file/63194084/Brian-Foster-Focused-Exam-Chest-Pain-Completed-Shadow-Health-Care-Planpdf/ This study resource was shared via CourseHero.com6/6/2020 Focused Exam: Chest Pain | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/7046803 2/6 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. 0.5 out of 0.5 Signs & Symptoms Student Response Model Answer Explanation Points Earne 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. 0.5 out of 0.5 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. 0.5 out of 0.5 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. 0.5 out of 0.5 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? If a patient does not understand the health risks, they ignore signs of a heart attack, forget to practice healthy habits, and does not know when to contact health professionals for assistance. 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 5.5 out of 5 This study source was downloaded by 100000805705997 from CourseHero.com on 03-28-2021 02:19:43 GMT -05:00 https://www.coursehero.com/file/63194084/Brian-Foster-Focused-Exam-Chest-Pain-Completed-Shadow-Health-Care-Planpdf/ This study resource was shared via CourseHero.com6/6/2020 Focused Exam: Chest Pain | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/7046803 3/6 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. 0.5 out of 0.5 Interventions Student Response Model Answer Explanation Points Earne Inform patient that his provider will be in soon to discuss post-operative medication Inform patient that his provider will be in soon to discuss post-operative medication 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. 0.5 out of 0.5 Instruct patient that if chest pain develops, he should alert staff immediately Instruct patient that if chest pain develops, he should alert staff 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. 0.5 out of 0.5 Instruct patient to begin exercise regimen: low-impact walking, 15-20 minutes, 3 times a week, and increase intensity and frequency as tolerated Instruct patient to begin exercise regimen: low-impact walking, 15-20 minutes, 3 times a week, and increase intensity and frequency as tolerated 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. 0.5 out of 0.5 Instruct patient to begin exercise regimen after a week Instruct patient to begin exercise regimen after a week 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. 0.5 out of 0.5 Instruct patient to begin cardiac diet, including reduction of salt and red meat intake Instruct patient to begin cardiac diet, including reduction of salt and red meat intake 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. 0.5 out of 0.5 This study source was downloaded by 100000805705997 from CourseHero.com on 03-28-2021 02:19:43 GMT -05:00 https://www.coursehero.com/file/63194084/Brian-Foster-Focused-Exam-Chest-Pain-Completed-Shadow-Health-Care-Planpdf/ This study resource was shared via CourseHero.com6/6/2020 Focused Exam: Chest Pain | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/7046803 4/6 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. 0.5 out of 0.5 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. 0.5 out of 0.5 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. 0.5 out of 0.5 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 will help the patient understand the importance of caring for the stent and having a healthy diet or cardiac diet. 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. 0.5 out of 0.5 This study source was downloaded by 100000805705997 from CourseHero.com on 03-28-2021 02:19:43 GMT -05:00 https://www.coursehero.com/file/63194084/Brian-Foster-Focused-Exam-Chest-Pain-Completed-Shadow-Health-Care-Planpdf/ This study resource was shared via CourseHero.com6/6/2020 Focused Exam: Chest Pain | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/7046803 5/6 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. 0.5 out of 0.5 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. Since you are currently not on a cardiac diet, with no exercise and have a placement of new stent, it important that you get teachings about cardiac diet, long term health maintenance, and management of the new stent. By doing so, major health problem can be avoided. Brian, your recently placed cardiac stent will require some athome recovery care from you, which you haven't yet been filled in on. In addition, you haven't been taught about some hearthealthy 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. Our goal is for you to understand the importance of cardiac diet, regular exercise, and stent care. You should be able to verbalize those information once we are done with the teaching. 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. Do I have your consent to move forward with these interventions? 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. Unless you have any other questions, I will now begin educating you on your post stent care and long term health 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 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. 2.5 out of 2.5 Discussion Of Care Intervention & Evaluation 2.5 out of 2 This study source was downloaded by 100000805705997 from CourseHero.com on 03-28-2021 02:19:43 GMT -05:00 https://www.coursehero.com/file/63194084/Brian-Foster-Focused-Exam-Chest-Pain-Completed-Shadow-Health-Care-Planpdf/ This study resource was shared via CourseHero.com6/6/2020 Focused Exam: Chest Pain | Completed | Shadow Health https://app.shadowhealth.com/assignment_attempts/7046803 6/6 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? Patient's repetition of his instructions show a full detailed knowledge of them. In addition, he consents to making these choices. The goal is fully achieved. 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 hearthealth, without missing any details. A patient's verbalization of their instructions shows to what exte they understand and remembe those instructions. Intervention & Evaluation Rationale Comments If your instructor provides individual feedback on this assignment, it will appear here. © Shadow Health 2012 - 2020 (800) 860-3241 | Help Desk (https://support.shadowhealth.com/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents (https://www.shadowhealth.com/patents) ® This study source was downloaded by 100000805705997 from CourseHero.com on 03-28-2021 02:19:43 GMT -05:00 https://www.coursehero.com/file/63194084/Brian-Foster-Focused-Exam-Chest-Pain-Completed-Shadow-Health-Care-Planpdf/ This study resource was shared via CourseHero.com Powered by TCPDF (www.tcpdf.org