Symptoms And Treatment Of The Patient Essay

Symptoms And Treatment Of The Patient Essay

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By identifying the main issue for the patient, the student nurse able to establish a goal for the patients care (Levett-Jones et al., 2010). The main problem as mentioned was hypertension based on the elevated BP reading of the patient which due to uncontrolled hypertension as result in non-compliance of drug therapy. Additionally, the student nurse was critically think that the patient’s symptom of chest pain is due to her medical history of reflux as research suggests that reflux typical symptoms are heartburns and non-cardiac chest pain (Ronkainen & Agreus, 2013). Therefore, the main goal was to stabilise the patient blood pressure into a normal range of 140/60 within the following hour to prevent severe damage of the vascular wall and other body organs (Poulter et al., 2015) and to reduce her HR back to normal between 60 – 100bpm.
By utilising the ISBAR (Identify, Situation, Background, Assessment, and Recommendation) approach, the student’s nurse was able to relay all the important information to the RN about the patient’s current situation and recommended of conducting a standing and lying BP to assess if there was a significant drop on the patient’s BP (Freeman et al., 2011). Taking into consideration the patient’s symptom of chest pain, conducting a blood test to check the cardiac troponins level could be beneficial to eliminate assumptions about the risk of the patient is having a diagnosis of myocardial infarction (Lackner, 2013). While waiting for the review of the treating team, the student nurse continue to monitor the patient vital signs every 30 minutes interval as well as conducting another ECG test to assess if there was changes on the patient’s heart rhythm. Upon evaluation, the patient’s BP was 170/70 mmHg whil...


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...ent and diagnosis of hypertension. Thus, I recommend nursing student should clinically competent in taking blood pressure as this often problematic to achieve and it will lead to inappropriate decision about treatment and will result in patient’s poor outcome (Badeli & Assadi, 2014). Additionally, the presence of clinical facilitator in the ward is important factors to assess and support the student in their skill, as study suggest that effective supervision and support in the clinical setting is an essential requirement for successful learning (Reid-Searl & Happell, 2012). Simulation in a safe learning environment is also identified as effective way to improve nursing student learning and skills in bridging the gap between theory and practice (Ballard, Piper, & Stokes, 2012). Therefore, by addressing this recommendation, it will provide a safe and accurate practice.

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Symptoms And Treatment Of The Patient Essay

- By identifying the main issue for the patient, the student nurse able to establish a goal for the patients care (Levett-Jones et al., 2010). The main problem as mentioned was hypertension based on the elevated BP reading of the patient which due to uncontrolled hypertension as result in non-compliance of drug therapy. Additionally, the student nurse was critically think that the patient’s symptom of chest pain is due to her medical history of reflux as research suggests that reflux typical symptoms are heartburns and non-cardiac chest pain (Ronkainen & Agreus, 2013)....   [tags: Myocardial infarction, Hypertension]

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