nursing attention plan term paper
Excerpt from Term Paper:
Advanced Practice Medical: Case Study Research and Attention Plan Creation
Client Problems:
This case analyze involves a patient with symptoms for the past one day and the sufferer expresses soreness as 10 on a level of one to ten before 24-hour however , it is currently stated by seven. This patient is being treated intended for hypercholesterolemia, hypertonie and gout pain. The patient tested positive intended for H. pylori.
History of Present Illness:
The patient has had occurrences of stomach problems in the past however , this occurrence appears to be more severe in characteristics and to have lasted much longer than in the past.
Past Medical History:
The patient is German and this is very important because of the range of foods with this patient. In addition , the patient is found to be H. pylori positive. L. pylori can be described as spiral-shaped bacterium commonly seen in the tummy with a shape and movement that enables these to penetrate the protective mucous lining of the stomach. These types of bacteria are reported to generate substances that serve to weaken the lining of the stomach so that it is more prone to gastric chemical p damage. On top of that these bacterias attach to the stomach skin cells and this might cause inflammation of the stomach referred to as gastritis causing the simulation of the production of an excessive amount of stomach acid. The risk of stomach malignancy increases around time the moment infected with H. pylori. The patient shows symptoms of this infection. In addition , the patient has Gout, Hypercholesterolemia and Hypertension. If you are a00 of the crystals in the person’s system results from consuming purine containing foods and the increase in uric acid leads to its deposition causing gouty arthritis. Bacon is reported as a good source of urine which destroys into the crystals. Foods to avoid include alcoholic beverages and bread. Gout ruins the joints triggering renal destruction. According to the College or university of A bunch of states San Francisco The hospital “The characteristic symptom of gout pain is a immediate, severe assault of pain, redness, inflammation and tenderness in a joint, often the 1st toe. Irritation also can result from the leg, ankle, feet, hand, hand and arm. Gout typically occurs quickly in only one particular joint at the same time, but symptoms may result from two or three joints simultaneously. Deposit of the crystals, called tophi, can show up as mounds under the skin area around the bones and at the rim of the ear. Occasionally, uric acid collects in the kidneys and varieties stones. inches (2014, g. 1) Hypertension is reported to be understood to be “a suffered blood pressure of 140 mmHG or better systole, and/or 90 mmHg or better diastole. inches (Hypertension Care Plan Suggestions, nd, s. 1) It is reported that 50% of people who have their particular first heart attack and two-thirds of those that have a cerebrovascular accident have a blood pressure reading higher than 160/95 mm Hg. In addition , it truly is reported that hypertension “precedes the development of congestive heart failing in 91% of the cases and raised blood pressure is usually associated with 2 – 3 times greater risk for expanding congestive heart failure. ” (Peters Commence of Pharmaceutical drug Care, nd, p. 1) The patient on top of that has Hypercholesterolemia. Hypercholesterolemia is often known as high cholesterol. It is reported that fats in the bloodstream are “called lipids” and that hyperlipidemia is defined “as an elevation of one of more of the following: cholesterol, hypercholesteria esterse, phospholipids, or triglycerides” (Peters Commence of Pharmaceutical Care, nd, p. 1)
Significant Family history and ancestors:
The patient is definitely married great wife attempts to get him to eat much healthier foods. You will have two friends and have high cholesterol, hypertension and designed gout in their early fifties. Gout is predominant with this family.
Plan for treatment:
Treatment can be aimed at discomfort reduction, reduction of episodes in the future and avoidance of tophi and kidney stone development. Medicine therapy reported is as follows:
” Nonsteroidal anti-inflammatory prescription drugs (NSAIDs), or perhaps corticosteroids, which can be either used orally or perhaps injected into the affected joint, are a pair of the most common remedies for serious attacks of gout. NSAIDs and corticosteroids reduce the inflammation caused by debris of uric acid crystals, even though have no effect on the amount of the crystals in the body. Sufferers often continue to improve in a few hours of treatment, as well as the attack generally goes away entirely within a week. ” (University of A bunch of states San Francisco Medical Center, 2014, s. 1)
The patient’s proper care plan will involve instructions on the recommended diet plan for this patient. Management of Gout needs that the patient adhere to a specialized nutritional intake and they avoid particular foods. Medicines to help with gout pain are reported to include Bromelain, black cherry wood juice and celery seeds extract intended for providing rest from uric acid maximize and inflammation. Celery seed is also beneficial for hypertension and high blood vessels cholesterol. In addition , maintenance of weight plays a major role in treating gout, hypertension and hypercholesterolemia. In addition , a diet plan that is well-balanced and abundant with complex carbs assists in treating these 3 conditions and a low fat diet with dietary fiber can be reported while beneficial. Advice are explained for small amounts of polyunsaturated fats along with vegetable oils including sunflower oil, groundnut, soy and flaxseed olive oil.
Unsaturated excess fat should be prevented and there should be no intake of deep fried foods. Processed foods made up of high sodium levels and trans fats should be averted by people that have high blood pressure. Foods containing intricate carbohydrates including whole grains, fruit and vegetables, cereals, dried beans, fruits and pulses are recommended for those with heart disease. Oatmeal and fruits which includes apple and guava make provision of dietary fiber and reduce cholesterol levels.
Five glasses of drinking water is reported to be aiding in flushing off the harmful toxins and diluting the uric acid. Acidic intake of food should be prevented as well as pastries, black tea, chocolate, light flour, teigwaren, turkey, man-made sweeteners, white colored rice, salt, sweet breads, beef, anchovies, herring, mackerel, game meat and scallops. Regular physical activity is critical for hypertension and hypercholesterolemia. The patient will be directed to avoid junk food that he’s reported to consume quite frequently.
Initial treatment for most individuals for hypertension is reported to be “either diuretics only or jointly with another school of antihypertensives. ” (Peters Institute of Pharmaceutical Treatment, nd, g. 1) This patient should certainly monitor their very own blood pressure on a regular basis and should become instructed in relaxation tactics that will serve to lessen their blood pressure. (Nurselabs. com, 2014, p. 1) The patient’s response to medicine therapy will probably be monitored in a regular basis. A great deal of the patient’s belly pain relates to the presence of They would. pylori which will be treated. It can be reported that according to the Food and Drug Administration that a number of regimens have already been approved pertaining to the treatment of They would. pylori contamination and particularly reported to get patients with peptic ulcer disease will be what are known as multiple therapies with cure prices stated by 85 to 90%. The triple solutions are used for 10 to 14 days and include omeprazole, amoxicillin and clarithomycin (OAC) for five days and bismuth subsalicylate, metronidazole, and tetracycline (BMT) for 2 weeks; and lansoprazole, amoxicillin, and clarithromycin (LAC), which has been authorized for either 10 days or perhaps 14 days of treatment” (Santacroce and Katz, 2014, s. 1)
The long-term goals or remedy for cholesterol levels are the decrease of cardiovascular system diseases and reduction of risk for cerebrovascular accident as well as to sluggish the development of heart atherosclerosis as well as the prevention of pancreatitis. Healing alternatives reported include medication therapy reported to be “often initiated using a statin (HMG-CoA redutase inhibitor” which is reported to be easy in use due to the single daily dose considered orally.
Finally, the patient ought to be instructed regarding compliance with the medication strategy as recommended because all these conditions can worsen and result in different health problems to get the patient.
