Question

Please help

Case study

Mr. Hastings is a 60-year-old retired architect who is financially comfortable. His medical history includes a heart attack 5 years ago and a second heart attack just 4 weeks ago. Mr. Hastings lives with his wife in their two-story home, which they own. The bedrooms and bathroom are upstairs.

During the intake interview at his first clinic visit, Mr. Hastings states that his wife “hovers” over him, taking care of him physically and seeing that he does not overexert himself. He denies any chest pain but mentions that he occasionally experiences slight shortness of breath when climbing the stairs. Mr. Hastings looks downcast and somewhat depressed, despite being given permission by the cardiologist to begin driving again. He states, “I am going to die from this heart condition, so why treat it?” He states that he has difficulty falling asleep and remaining asleep because he feels anxious and jittery.

The nurse takes Mrs. Hastings aside and asks how she is feeling. Mrs. Hastings states that she is afraid her husband will have another heart attack if he exerts himself doing routine daily tasks and feels that she must take on his responsibilities. She knows that he is frustrated and stressed, and she does not know what to do to help him

Question:

1. List a minimum of three factors that are contributing to Mr. Hastings's stress level.

2. Identify five general resistance resources that Mr. Hastings has as sources of support.

3. Name three stress management therapies that could benefit Mr. Hastings. Discuss the best way to incorporate these therapies into Mr. Hastings's plan of care.

4. What suggestions should the nurse make to Mr. Hastings's wife regarding her husband's care?

Answer 1

Answer1 ) The three factors that are contributing to the Mr.Hasting's stress level are

• the fear of impending death
• physical exertion due to climbing of stairs.
• sleeplessness

Answer 2) The five general resistance resources that Mr.Hastings has as a sources of support are self esteem,self confidence, revised clinical supervision,staff support services and peer support groups services.

Answer 3) Counselling, Support groups, Activity management, meditation, Exercises can benefit Mr.hastings. All these therapies should be incorporated into the daily care of the client by explaining their importance and benefits it will cause when adopted.

Answer 4) Mr.Hasting's wife support is very important inorder to help him alley his fears and combat stress. She should remove her fear first and should understand the things that can benefit him physically as well as mentally. All the activities should be planned in such a way that it will provide adequate rest in meantime needed activity too.