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Stage 1: Consider the patient’s situation Increasing fatigue Shortness of breath Leg edema Swelling in ankles

Assignment Task

Analysis

Stage 1: Consider the patient’s situation

  • Increasing fatigue
  • Shortness of breath
  • Leg edema
  • Swelling in ankles
  • Palpitation and irregular heartbeat (Schwinger, 2021)

2. Gathering information/cues

  • Presenting symptoms
  • Duration and nature of chest pain
  • Results of ECG and chest X-ray
  • Medical, surgical and family history

3. Processing of information

  • Family history of heart attack, stroke and coronary artery disease
  • Atrial fibrillation
  • Cardiomegaly and Pulmonary congestion
  • Congestive heart failure (Reddy et al., 2020

4. Identification of issues

  • Congestive heart failure
  • Atrial fibrillation
  • Hypertension
  • Diabetes
  • Hyperlipidemia
  • Obesity

5. Establishment of Goals

  • Improvement of heart failure
  • Controlling co-morbidities
  • Reduce fluid retention and edema
  • Necessary lifestyle changes
  • Patient education and support (Upadhya & Kitzman, 2020)

6. Reflection and learning

  • Reflecting on decisions
  • Discussing challenges and successes
  • Emphasis on patient education
  • Patient centered and evidence based care

 

Stage 1: Consider the patient’s situation Increasing fatigue Shortness of breath Leg edema Swelling in ankles
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