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NRS410V Pathophisiology

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NRS410V Pathophisiology

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NRS410V Pathophisiology

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Course Code: NRS410V
University: Grand Canyon University is not sponsored or endorsed by this college or university

Country: United States

Considering Mr. P’s condition and circumstance, write an essay that includes the following:
1. Describe your approach to care.2. Recommend a treatment plan.3. Describe a method for providing both the patient and family with education and explain your rationale.4. Provide a teaching plan (avoid using terminology that the patient and family may not understand).

Plan for Mr. P
Mr. P is a 76 years old man diagnosed with cardiomyopathy, a disease of the heart muscles and congestive heart failure. He has been hospitalized with the signs and symptoms that include 4+ pitting edema, moist crackles throughout lung fields and labored breathing. He has established that he has difficulty in maintaining diet restrictions and managing polypharmacy. The disease has made him low in spirit and the only family he relies on is his wife who is saddened by his illness and the many medical bills she now has to take care of.
Approach to Care 
My care plan aims at reducing or eliminating the presentation signs of Mr. P without further worsening his condition; offering palliative care at best. I will put the patient on bed-rest to reduce his cardiac workload and oxygen consumption. I will place special focus on the impaired gas exchange caused by the subsequent patient immobility and thus in an attempt to improve ventilation, I will raise the patient’s head to fowler position. I will then put the patient on digitalis and diuretics to improved cardiac output and manage the edema respectively. I will subsequently monitor the patient daily for fluid intake and output and for signs of edema such a stretched, shiny skin and swelling of tissue directly under the skin (Lippincott and Wilkins, 2007).
Treatment Plan                            
I recommend a treatment plan that will maintain the functional capacity of the patient at the highest achievable levels. This treatment plan includes patient’s education, accesses to medical care, cardiac intervention and the application of non-pharmacological and pharmacological treatment programs (Gulanick and Judith, 2011). The main treatment would involve cardiac rehabilitation that involves follow-up assessments and counseling on healthy nutrition, change of lifestyle and stress management (Jeffery and Barry, 2007).
Patient and Family Education
Creating awareness of the disease in question plays a major role in achieving a holistic cure for a patient as the patient’s and family’s participation in the management of the condition is clearly outlined and hence makes it easy to care for the patient. Therefore, the method I would implore in educating the patient and family would involve a rehabilitation-like program that seeks to revise the absurd nutritional practices and re-enforce the appropriate diet restriction and adherence to poly-pharmacy. This is because a rehabilitation-like program would encourage interactive participation, education and most importantly, encouragement of the patient through placing emphasis on family support.
Teaching plan
The appropriate teaching plan would be the one that targets lifestyle changes, the importance of adhering to diet restrictions and following correct prescription directions to the use of the prescribe medicine. The teaching plan would also include psychological support for both the patient and the family. This would involve both the Mr. P and his wife and the health care providers in establishing a mutually beneficial agreement in which the Mr. P takes responsibility of his health by adhering to the diet restriction and his medication while receiving adequate moral and psychological support from his wife and the health care providers. Also, his wife would be counseled on stress management and the importance of her duty to her husband in providing him with a diet that contains low sodium (Marcia and Kathryn, 2015), low cholesterol and no caffeinated drinks.
Work cited
Lippincott Williams and Wilkins. (2007). Interpreting Signs and Symptoms, 227.
Gulanick M. and Meyers J. (2011). Nursing Care Plans: Diagnoses, Interventions, and Outcome.
Jeffery H. and Barry H. (2007). Cognitive Heart Failure.
Marcia N. and Kathryn P. S. (2015). Nutrition Therapy and Pathophysiology, 335.

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