Question

In: Nursing

A 47-year-old patient has smoked for 25 years. The patient has a history of cardiovascular disease...

A 47-year-old patient has smoked for 25 years. The patient has a history of cardiovascular disease and now he has noticed his lower legs have been aching and are pale, hairless, and diminished or absent pulses.

  • Develop assessment questions you would ask this patient to learn more about his problem.
  • Explain the most likely pathophysiology.
  • Describe the structures of the circulatory system most likely impacted by the patient’s symptoms.
  • Describe key considerations regarding the education for the patient and his significant others regarding the patient’s symptoms
  • Use at least 2 scholarly sources to support your initial post.

Solutions

Expert Solution

Assessment questions to be included are type of pain, the patient usually complains of claudication(muscle pain on mild exertion like walking a few feet). This includes the onset, duration, type of pain and its aggrevating and relieving factors.

He should be asked about his smoking history which includes what he smokes, how much he smokes per day and for how long has he been smoking

Pathophysiology of this condition(PAD-Peripheral Artery Disease) is due to the blockade of the arteries supplying blood to the lower limbs usually secondary to atherosclerosis.

The arteries affected by PAD include:

  • Femoral
  • Renal
  • Abdominal aorta
  • iliac arteries
  • popliteal
  • anterior and posterior tibial
  • peroneal, and even
  • arm or hand arteries

which leads to failure of kidneys, stomach and most commonly legs


Education for patient and his significant other:

  • Self-care: Do regular physical exercise, make sure that smoking is stopped, and heart-healthy diet is followed. His wife should make sure that she is supportive and he quits smoking,she should also have control over his lifestyle, habits and diet.
  • If self-care is not enough he should be given medications and surgery(angioplasty) as and when required

Related Solutions

Mr. Jones is a 75 year old male patient that presented in emergency room with a history of cardiovascular disease (CAD).
  Discuss the underlying pathophysiology of the following patient. Describe the alterations in health and treatment modalities. Please respond thoughtfully and in details of what a nurse would do.1. Mr. Jones is a 75 year old male patient that presented in emergency room with a history of cardiovascular disease (CAD). He came to emergency room with complaints of crushing chest pain, dizziness and nausea. The patient is able to communicate but his wife is also present. Abnormal ECG readings reveal...
A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a...
A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a stroke that has paralyzed his right side and caused him to aspirate food of any consistency. His mental status is clouded and there is disagreement as to whether or not he has decisional capacity. His language capacity is only “yes” and “no,” and his responses are inconsistent. The attending physician is convinced that the patient has lost decisional capacity while two family members are...
Mrs. R., an 87- year- old patient, has a past history that includes coronary artery disease,...
Mrs. R., an 87- year- old patient, has a past history that includes coronary artery disease, a previous stroke, and advanced Alzheimer's disease. Ten days ago, Mrs. R. was hospitalized for aspiration pneumonia and has been ventilator dependent since being admitted to the intensive care unit in a small rural hospital. Family members visit daily and have repeatedly voiced their concern to the nursing staff about the continued ventilator support that Mrs. R. is receiving, most notably the fact that...
Mrs. R., an 87-year-old patient, has a past history that includes coronary artery disease, a previous...
Mrs. R., an 87-year-old patient, has a past history that includes coronary artery disease, a previous stroke, and advanced Alzheimer’s disease. Ten days ago, Mrs. R. was hospitalized for aspiration pneumonia and has been ventilator dependent since being admitted to the intensive care unit in a small rural hospital. Family members visit daily and have repeatedly voiced their concern to the nursing staff about the continued ventilator support that Mrs. R. is receiving, most notably the fact that Mrs. R....
Mrs. R., an 87-year-old patient, has a past history that includes coronary artery disease, a previous...
Mrs. R., an 87-year-old patient, has a past history that includes coronary artery disease, a previous stroke, and advanced Alzheimer’s disease. Ten days ago, Mrs. R. was hospitalized for aspiration pneumonia and has been ventilator dependent since being admitted to the intensive care unit in a small rural hospital. Family members visit daily and have repeatedly voiced their concern to the nursing staff about the continued ventilator support that Mrs. R. is receiving, most notably the fact that Mrs. R....
Mrs. R., an 87-year-old patient, has a past history that includes coronary artery disease, a previous...
Mrs. R., an 87-year-old patient, has a past history that includes coronary artery disease, a previous stroke, and advanced Alzheimer’s disease. Ten days ago, Mrs. R. was hospitalized for aspiration pneumonia and has been ventilator dependent since being admitted to the intensive care unit in a small rural hospital. Family members visit daily and have repeatedly voiced their concern to the nursing staff about the continued ventilator support that Mrs. R. is receiving, most notably the fact that Mrs. R....
Mrs. R., an 87-year-old patient, has a past history that includes coronary artery disease, a previous...
Mrs. R., an 87-year-old patient, has a past history that includes coronary artery disease, a previous stroke, and advanced Alzheimer’s disease. Ten days ago, Mrs. R. was hospitalized for aspiration pneumonia and has been ventilator dependent since being admitted to the intensive care unit in a small rural hospital. Family members visit daily and have repeatedly voiced their concern to the nursing staff about the continued ventilator support that Mrs. R. is receiving, most notably the fact that Mrs. R....
Hans Dietz is a 25 year old male patient with a family history of Marfan Syndrome...
Hans Dietz is a 25 year old male patient with a family history of Marfan Syndrome (MFS). He is generally well and enjoys attending regular fitness sessions in his local gymnasium. During a recent gym session, he experienced dizziness followed by a fainting episode. He presented at the emergency department and a new systolic murmur was heard. Mr Dietz subsequently underwent screening for cardiovascular abnormalities associated with his family history of Marfan Syndrome. Question 1 The fibrous structure of the...
Hans Dietz is a 25 year old male patient with a family history of Marfan Syndrome...
Hans Dietz is a 25 year old male patient with a family history of Marfan Syndrome (MFS). He is generally well and enjoys attending regular fitness sessions in his local gymnasium. During a recent gym session, he experienced dizziness followed by a fainting episode. He presented at the emergency department and a new systolic murmur was heard. Mr Dietz subsequently underwent screening for cardiovascular abnormalities associated with his family history of Marfan Syndrome. Question 4 Describe the secondary complications (or...
Hans Dietz is a 25 year old male patient with a family history of Marfan Syndrome...
Hans Dietz is a 25 year old male patient with a family history of Marfan Syndrome (MFS). He is generally well and enjoys attending regular fitness sessions in his local gymnasium. During a recent gym session, he experienced dizziness followed by a fainting episode. He presented at the emergency department and a new systolic murmur was heard. Mr Dietz subsequently underwent screening for cardiovascular abnormalities associated with his family history of Marfan Syndrome. Question 1 The fibrous structure of the...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT