NURS 6521 Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders Paper

NURS 6521 Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders Paper

NURS 6521 Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders Paper

NURS 6521 Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders Paper Sample

Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders

The case scenario concerns a 66-year-old female presenting with sudden-onset diaphoresis, nausea, vomiting, and shortness of breath, accompanied by band-like upper chest pain radiating to the left arm.  The patient’s health needs include possible angina pectoris owing to positive symptoms like diaphoresis, nausea, vomiting, and chest pain radiating to the left arm. The positive history of HTN, Dyslipidemia, and MI may have contributed to Angina pectoris (Manfredi et al., 2022). In addition, the patient has developed myocardial ischemia based on positive diagnostic findings like ST-segment depression in leads II, III, and aVF, positive cardiac enzymes, and hyperdynamic T waves. The patient also has a possible kidney insufficiency due to elevated creatinine levels.

The treatment regimen for this patient will aim to alleviate symptoms of Angina pectoris. The pharmacologic therapy will include a vasodilator, Beta blocker, Calcium channel blocker (CCB), antiplatelet, and morphine. Nitroglycerin is the vasodilator drug of choice. It dilates coronary arteries to increase oxygen to the myocardium and dilates peripheral vessels so the heart does not have to work so hard to pump blood (Ford & Berry, 2020). Beta-blocker will include metoprolol or atenolol to reduce myocardial oxygen consumption by blocking beta-adrenergic sympathetic stimulation to the heart (Rousan & Thadani, 2019). CCB will include Nifedipine, which decreases sinoatrial node automaticity and atrioventricular node conduction, resulting in a slower heart rate and a decrease in the strength of the heart muscle contraction.  Aspirin will be the antiplatelet agent of choice to prevent platelet aggregation (Ford & Berry, 2020). Morphine will be recommended to relieve chest pain.

The teach-back method will be my recommended patient education strategy for this patient. Talevski et al. (2020) explain that Teach-back entails asking patients to explain in their words what the health provider has just told them. Misunderstandings are clarified by the provider, and understanding the patient’s understanding is assessed again (Bodenheimer, 2018). The teach-back strategy improves knowledge, skills, and self-care abilities in persons with chronic conditions.

References

Bodenheimer, T. (2018). Teach-back: a simple technique to enhance patients’ understanding. Family Practice Management, 25(4), 20-22.

Ford, T. J., & Berry, C. (2020). Angina: contemporary diagnosis and management. Heart (British Cardiac Society), 106(5), 387–398. https://doi.org/10.1136/heartjnl-2018-314661

Manfredi, R., Verdoia, M., Compagnucci, P., Barbarossa, A., Stronati, G., Casella, M., Dello Russo, A., Guerra, F., & Ciliberti, G. (2022). Angina in 2022: Current Perspectives. Journal of clinical medicine, 11(23), 6891. https://doi.org/10.3390/jcm11236891

Rousan, T. A., & Thadani, U. (2019). Stable Angina Medical Therapy Management Guidelines: A Critical Review of Guidelines from the European Society of Cardiology and National Institute for Health and Care Excellence. European cardiology, 14(1), 18–22. https://doi.org/10.15420/ecr.2018.26.1

Talevski, J., Wong Shee, A., Rasmussen, B., Kemp, G., & Beauchamp, A. (2020). Teach-back: A systematic review of implementation and impacts. PloS one, 15(4), e0231350. https://doi.org/10.1371/journal.pone.0231350

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Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders

As an advanced practice nurse, you will likely experience patient encounters with complex comorbidities. For example, consider a female patient who is pregnant who also presents with hypertension, diabetes, and has a recent tuberculosis infection. How might the underlying pathophysiology of these conditions affect the pharmacotherapeutics you might recommend to help address your patient’s health needs? What education strategies might you recommend for ensuring positive patient health outcomes?

For this Discussion, you will be assigned a patient case study and will consider how to address the patient’s current drug therapy plans. You will then suggest recommendations on how to revise these drug therapy plans to ensure effective, safe, and quality patient care for positive patient health outcomes.

Resources

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEK 9 RESOURCES

WEEK 10 RESOURCES

To Prepare:

Review the Resources for this module and reflect on the different health needs and body systems presented.

Your Instructor will assign you a complex case study to focus on for this Discussion.

Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected.

By Day 3 of Week 9

Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

You will respond to your colleagues’ posts in Week 10.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!

By Day 6 of Week 10

Read a selection of your colleagues’ responses from Week 9 and respond to at least two of your colleagues on two different days who were assigned a different patient case study, and provide recommendations for alternative drug treatments to address the patient’s pathophysiology. Be specific and provide examples.