Teaching Plan For Angina Pectoris



Teaching Plan For Angina Pectoris

Introduction

The aim of this paper is to present a teaching plan of nursing practice from the perspective of the client. In the following report a teaching plan is suggested for an angina pectoris patients with her case report.

Discussion

Case Report

Magdalena The patient was admitted to hospital for angina pectoris. In addition to the disease cause of admission, has diabetes mellitus type II (DMII) and hypertension pressure (BP), both conditions being treated, and obesity. Must remain at rest absolute medical indication.

Basic Conditioning Factors

Descriptive of the Person

70 years of age.

She lives alone in a house with good living conditions.

Widow for a year, has a daughter.

The family has a high economic and cultural level.

Standard of living

She gets up around 8.00 am and independently carries out its self-care.

Normal sleep (8 hours per day).

Drink between 1,700 and 2,000 cc / day.

Make a normal bowel movement every day.

She has a good appetite.

Health status and factors of health care system, Conditions identified by physician

Medical diagnosis: angina pectoris.

Personal history:

Mixed angina episode in December 2003.

II DM treatment.

Hypertension treatment.

Obesity.

Allergic to iodine and streptomycin.

Physical examination

BP (blood pressure): 130/70 mm Hg. FC

Heart rate: 65

Respiratory: 14 breaths / minute.

Skin and mucous membranes in good condition, good coloration.

Generally has an overall state

Good Health.

Teaching Plan

This plan is on track to meet the demands of self that can occur in these days. Priority is given in this part of the process

General assessment of the capabilities and limitations of Magdalene as AGAC

Cognitive

To maintain attention and vigilance respect to itself the conditions and significant internal and external factors for AC.

Limitations

Currently quite decayed due to the recent death of her husband.

This emotional state may involve limitations in the cognitive area

Value judgments and decision,

To make decisions about their own care. 

Limitaitions

Lack of motivation to guide their AC to

goals that are consistent with the

maintenance of life, health and welfare

Assessment of self-care requirements

Requirements for universal AC,

Maintaining a sufficient supply of air;

Airway.

Normal chest and symmetrical.

FR of 14 breaths / minute.

No cough or secretions.

Good skin and mucous membranes.

Conscious and oriented.

PA 130/70 mm Hg.

FC 65 beats / minute

Respiratory Exercise,

Adequate intake air quantity and sufficient quality to each situation: Lung expansion exercises.

Suitable liquid supply accurate, Drink liquids at least 2,000cc / day,

Drink liquids such as juices, milk, tea

Client

It has the capabilities to meet this requirement.

Maintaining a sufficient supply of food

Has scheduled a diabetic diet of 1,500 cal without salt.

Make three meals a day and refers a good appetite. States that need to eat

More than scheduled in the diet and itchy between.

No difficulty in swallowing.

Weighs 70 kg and measured 1.50 cm.

Your BMI is 31% obese.

Symmetrical appearance of the abdomen. Soft without tender point palpation

No nausea or vomiting

Following a diabetic diet than 1,500 lime no salt, adapting the greater possible to their tastes. Client: Lack of knowledge and motivation to carry out the prescribed diet.

Provision of care associated with elimination processes,

Bowel elimination: Make one stool per day.

Good sphincter control.The rest can cause constipation.

Urinary excretion: good control of his bowels.

Transpiration: refers to sweat slightly.

Performs a healthy hygiene

Demands

Increased intake of fiber in ...