The patient explains the pain using the words like burning, aching, pins and needles, electric shock, shooting, throbbing or stabbing. It is one of the definitive symptoms of coronary heart disease, and can also be a symptom for other cardiac issues. Alternate periods of physical activity with rest and sleep. Having a low cholesterol, low sugar diet to control cholesterol and blood glucose levels. Educate the patient about deep breathing exercises and relaxation techniques. Desired Outcome: The patient will verbalize awareness of anxiety and will be able to demonstrate effective coping strategies. And also they can complaints it’s hurt when any thing likes blanket and bedsheets or any external thing get touch. | Nurse Salary Income, Preschooler Growth and Developmental Milestones Nursing Review, Preschooler Growth Developmental Milestones NCLEX Questions Quiz. (2020). The patient starts using the pharmacological and non-pharmacological strategies to get relief form pain. Encourage the patient to express any concerns regarding health management as well as any feelings of powerlessness. drug class, use, benefits, side effects, and risks) to treat angina. Our site's all services, content and products are for informational purposes only.TapisaMe does not provide medical advice, diagnosis or treatment. Cardiac, Nursing Care Plans Provide adequate ventilation in the room. It is important to also note that is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Chest Pain Management Of The Telemetry Patient Her symptoms are relieved with rest. Nursing Diagnosis: Activity intolerance related to reduced oxygen supply to the heart, as evidenced by fatigue, overwhelming lack of energy, verbalization of tiredness, generalized weakness, and shortness of breath upon exertion. That indicates generalized body and extremities pain with fever. The patients tells about the pain himself using the standardized intensity scale. Do not treat a patient based on this care plan. EKG shows slight ST elevation. A sudden pain is particularly alarming. Joint pain. Nursing Diagnosis: Fatigue related to decreased oxygen supply to the heart as evidenced by overwhelming lack of energy, verbalization of tiredness, generalized weakness, and shortness of breath upon exertion. Elements (ADPIE) or 7 steps called nursing process. After nursing observation nurse can find out some of the objective data is vital unstable increase pulse rate increase blood pressure increases respiratory rate due to pain. Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Nursing Diagnosis: Acute Pain Objectives and Expected outcomes Chest pain is lost or controlled Expected outcomes: Able to demonstrate use of relaxation techniques. The following are some of the main factors that may affect the nursing diagnosis of acute pain. Angina Pectoris - 4 Nursing Diagnosis | Nanda Books Angina Pectoris - 4 Nursing Diagnosis Angina pectoris is the result of myocardial ischemia caused by an imbalance between myocardial blood supply and oxygen demand. A 55 year old male comes into the ER with complaints of 9 on 1-10 scale chest pain that radiates from breast bone to left arm and up to his jaw. Angina is an important sign of heart attack. Cardiac, Nursing Study Guides Increased pain on deep inspiration, activity, and change the position. Refer to the community nursing team and social health team as needed. Observe for signs of decreasing peripheral tissue perfusion such as slow capillary refill, facial pallor, cyanosis, and cool, clammy skin. For baseline data.2 Provide comfortable position to the patient as semi fowler position and provide cool and calm environment to the patient3 Windows and doors are open and air ventilation by fan are provided.4 Provide aseptic care to the patient and advice patient to take rest.5 Provide aroma as well as oil massage therapy to extremities.6 Recheck Vital signs for assess body temperature tachycardia and blood pressure.7 If fever found consistent provide cold sponge to the patient.8 Provide analgesic medication as prescribed by physician to lower pain and inflammatory symptoms.9 Provide guided imagination therapy to the patient for lower pain level.10 Muscle relaxation therapy should be given to patient.11 Music therapy should be given to patient.12 Assess patients pain status, conditions of patients and give assurance to the patient. Patient is complaining that she/he has pain in the knee joint and he is not able to move his joint and feet. Reducing stress is also an important aspect of dealing with fatigue. Nursing Diagnosis: Anxiety related to situational crisis due to angina episode as evidenced by fatigue, overwhelming lack of energy, verbalization of helplessness, restlessness, and expression of fear of death. One of the most common indication of bearing intense pain is the loss of the ability to concentrate on the task at hand. Statins such as atorvastatin – also called as anti-cholesterol drugs used to reduce the deposits on the arterial walls, Beta blockers – to decrease the cardiac demand for oxygen by means of lowering the heart rate and blood pressure levels, Calcium channel blockers – to widen the blood vessels by vasodilation, Ranolazine – to treat angina, on its own or in combination with beta blockers, calcium channel blockers, and nitrates, Coronary artery bypass surgery – creation of a graft to reroute the blood flow away from the diseased artery). Copyright © 2020 All Rights Reserved. This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. There are some elderly patients who have impaired thinking getting the data for assessment is next to impossible. Your email address will not be published. Blood thinning agents such as aspirin – to reduce the ability of the blood to clot, so that the blood flows easier through the narrowed arteries. Perform 12 lead EKG, 24 lead if necessary. Patient complaints that he is having body pain with warm feelings and discomfort to take rest. Desired Outcome: The patient will express a sense of control in terms of physical, mental, and emotional health, as well as self-care.eval(ez_write_tag([[300,250],'nursestudy_net-large-leaderboard-2','ezslot_2',130,'0','0'])); Angina can be an overwhelming medical condition to the client, so effective nursing care is required to combat activity intolerance, fatigue, lack of knowledge, and feelings of anxiety and powerlessness.

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