Cardiac, Respiratory, Musculoskeletal, Neurological And General Assessment

Cardiac, Respiratory, Musculoskeletal, Neurological And General Assessment

Week 6

Cardiac Heart Failure

What questions would you ask as part of your focused assessment? Question regarding shortness of breath, site and intensity of pain. At what time does pain start? What is the current routine of patient?

What history might be associated with the symptom, if any? Patients with family history of heart disease are likely to acquire cardiac heart failure. Some families possess the genetic condition of an enlarged wall between the chambers of the heart. Members of such families usually suffer from the disease. Obesity, smoking and reduced kidney function also causes the heart failure.

What are the known risk factors for this condition? The known risk factors include age, cardiomyopathy, abnormal heart valves, myocardial infarction, diabetes and elevated blood pressure.

What physical examination techniques would you use? Techniques include the examination of swelling in the body part, breathing pattern, heart sounds, measurement of pulse rate and blood pressure.

What patient education would you give to the patient?Educate patients about modification of lifestyle; via incorporation of a healthy diet and exercise, and smoking cessation. Patients of CHF must not take fats containing food and must avoid alcohol. These factors increase the risks of heart failure.

Find a journal article about these symptoms. Kuklina E, Yoon P, Keenan N. Prevalence of Coronary Heart Disease Risk Factors and Screening for High Cholesterol Levels Among Young Adults, United States, 1999-2006, Ann Fam Med, 2010;8:327-333

Create a nurse's note to document your findingsS- 64 years old Asian American male came with the complaint of shortness of breathing, swelling in legs, chest pain and high pulse rate. O- BP 210/110, T99F, RR28A- Examination of heart and breathing sound, swelling in body parts, and pulse rate.P- Administer diuretics and other medication as prescribed, and obtain the blood and send to the lab for tests.

References

Gillinov M M, Nissen S (2012), Heart 411: The Only Guide to Heart Health You, Three Rivers Press, pp. 35- 48 Data retrieved from http://www.amazon.com/Heart-411-Guide-Health-Youll-ebook/dp/B00540P95W#reader_B00540P95W

Miller D R (2012), Surviving Congestive Heart Failure, pp. 10-21, Kindle Edition Data retrieved from http://www.amazon.com/Surviving-Congestive-Failure-Deanna-Miller-ebook/dp/B007GPYIXM

Chronic Obstructive Pulmonary Disease

What questions would you ask as part of your focused assessment? Question concerning the smoking frequency, as well as the history of smoking and onset of cough. What happen when exercise? Does your breathing rate sustain at the normal rate?

What history would be associated with the symptom? Individuals addicted to smoking and take many packs per day are likely to have the disease. In some cases, the cause of the disease is the genetic deficiency of alpha 1 antitrypsin.

What are the risk factors for this condition? 1. Long-term exposure to smoke of cigarette

Occupational exposure to chemicals and dust

Smoking by the asthmatic patient.

What physical examination techniques would you use?Listening the lungs sound, observing the signs of hyperinflation and use of spirometer.

What patient education would you give the patient? Educate patient to cease smoking and not to take any self medication. Wear face masks to avoid ...