Question

Mason Zigfried is a 67 year old male with history of diabetes mellitus, hypertension, smokes 1 pk of cigarette/day, drinks 2-3 beers daily. He is admitted to the CCU with a diagnosis of Unstable Angina, R/O NSTEMI. During the admission process in ER a CBC, CMP, cardiac enzymes including troponin level was checked. Patient continues to complain of chest pain 3/10 with no other symptoms. 12 lead EKG showed no ST elevation, cardiac enzymes were slightly elevated and troponin came back at 0.04 ng/ml.

1. Outline anticipated assessment findings for the patient.

2. Address the nursing diagnoses: Knowledge deficit and Risk for Non/Compliance by developing a teaching plan for this patient. Include topics to be covered and techniques you would use.

Answer 1

Unstable angina is one of the type of angina in which patient has chest pain even at rest and non working state .

1. The anticipated assessment findings for the patient are :-

Chest pain or pressure.

Pain or pressure in the back, neck, jaw, abdomen, shoulders or arms.

Sweating.

Dyspnea.

Nausea, vomiting.

Dizziness or sudden weakness.

Fatigue.

Tachycardia.

High BP .

2. Nursing diagnosis - Anxiety related to knowledge deficit about the disease condition

Nursing interventions / teaching :-

- Make the patient comfortable

- Encourage the patient to express his concerns and doubts

- Explain about the disease condition from its pathophysiology to treatment in a language understood by the patient .

- Provide psychological and emotional support

#. Nursing diagnosis - Risk for non - compliance related to knowledge deficit

Nursing interventions :-

- Explain the patient about the importance of having compliance to treatment , follow ups etc

- Explain the patient about the complications that would happen due to non - compliance

- Encourage the patient to express doubts if any he have

- Clear all the wrong perceptions of the disease by the patient

- Encourage him to follow healthy behaviour like healthy eating , doing regular exercise , etc

- Involve the patient and family members in planning care .