Module 08 Content Competency Prioritize Nursing Care Strateg ✓ Solved

Module 08 Contentcompetencyprioritize Nursing Care Strategies For Clie

Module 08 Content Competency Prioritize nursing care strategies for clients with cardiovascular disorders. Scenario Cardiac disease a one of the leading causes of death in the United States. Since it is so prevalent, you want to ensure your co-workers are fully prepared to care for patients. You are hosting a lunch to provide a refresher on heart disease and how to care for patients. During the lunch, you will present a PowerPoint Presentation to your co-workers.

Instructions Choose one of the cardiac diseases that we covered in the last two modules. Within your presentation include: Provide a detailed overview of the disease process Diagnosis Treatment Multidimensional care including risk reduction, health promotion, and nursing interventions specific to the disease process.

Sample Paper For Above instruction

Module 08 Contentcompetencyprioritize Nursing Care Strategies For Clie

Understanding Coronary Artery Disease: Pathophysiology, Diagnosis, and Nursing Care

Coronary artery disease (CAD) is one of the most common cardiovascular disorders and a leading cause of morbidity and mortality worldwide. It involves the narrowing or blockage of the coronary arteries, primarily due to atherosclerosis, which impairs blood flow to the myocardium. This condition poses significant health risks and requires comprehensive management strategies encompassing disease understanding, diagnosis, treatment, and multidimensional nursing care.

Overview of the Disease Process

Coronary artery disease develops when cholesterol, fats, and cellular debris accumulate along the arterial walls, creating atherosclerotic plaques. These plaques can progressively narrow the lumen of the coronary arteries, reducing oxygen-rich blood supply to the heart muscle. Over time, this ischemia can lead to myocardial infarction, heart failure, or arrhythmias. Risk factors include hypertension, hyperlipidemia, smoking, diabetes mellitus, obesity, sedentary lifestyle, and family history. Pathophysiologically, the disease involves endothelial injury, inflammatory responses, and plaque formation, which destabilizes arterial walls, increasing the likelihood of rupture and thrombosis.

Diagnosis of Coronary Artery Disease

Diagnosis involves a combination of clinical assessment and diagnostic tests. Patients typically present with chest pain or angina, particularly during exertion or stress. Physical examination may be normal or reveal signs such as S3 or S4 heart sounds. Confirmatory diagnostics include:

  • Electrocardiogram (ECG): Detects ischemic changes or infarction.
  • Stress testing: Assesses myocardial response to exertion.
  • Coronary angiography: Invasive imaging that visualizes arterial blockages directly.
  • Biomarkers: Elevated troponin indicates myocardial injury.
  • Blood tests: Lipid profile, glucose levels, and inflammatory markers help assess risk factors.

Treatment Strategies

Management of CAD aims to relieve symptoms, prevent progression, and reduce the risk of adverse events. Treatment modalities include:

  • Pharmacologic therapies: Anti-anginal agents (nitrates, beta-blockers, calcium channel blockers), antiplatelet drugs (aspirin, clopidogrel), statins for lipid management, and ACE inhibitors for cardiac remodeling.
  • Revascularization procedures: Percutaneous coronary intervention (PCI) with stenting and coronary artery bypass grafting (CABG) for significant blockages.
  • Lifestyle modifications: Smoking cessation, dietary changes, physical activity, weight management, and control of comorbidities such as hypertension and diabetes.

Multidimensional Care: Risk Reduction, Health Promotion, and Nursing Interventions

Effective care encompasses not only medical interventions but also holistic nursing strategies tailored to individual patient needs. Risk reduction involves education on lifestyle choices, medication adherence, and regular monitoring. Health promotion includes encouraging dietary modifications, physical activity, stress management, and smoking cessation programs.

Nursing interventions include assessing the patient’s cardiovascular status, monitoring vital signs, administering prescribed medications, educating patients on symptom recognition, and supporting behavioral changes. Nurses also play a critical role in coordinating multidisciplinary care, addressing psychosocial concerns, and providing emotional support to facilitate recovery and improve quality of life.

Overall, a comprehensive approach to CAD incorporates evidence-based medical treatments with proactive nursing care designed to mitigate risks, promote cardiovascular health, and empower patients to manage their condition effectively.

References

  • Benjamin, E. J., Muntner, P., Alonso, A., et al. (2019). Heart Disease and Stroke Statistics—2019 Update: A Report From the American Heart Association. Circulation, 139(10), e56–e528.
  • Fuster, V., & Kelly, B. B. (2018). Promoting Cardiovascular Health in the Developing World: A Critical Challenge to Achieve Global Health. The Journal of the American College of Cardiology, 72(11), 1363-1372.
  • Libby, P. (2021). Atherosclerosis. In P. Libby, R. R. Bonow, D. P. Zipes, & P. W. Mann (Eds.), Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine (12th ed.). Elsevier.
  • Yusuf, S., Hawken, S., Ôunpuu, S., et al. (2004). Effect of Potentially Modifiable Risk Factors Associated with Myocardial Infarction in 52 Countries (the INTERHEART Study): Case-Control Study. The Lancet, 364(9438), 937-952.
  • American Heart Association. (2022). Managing Cholesterol: Approaches for Reducing Cardiovascular Risk. https://www.heart.org
  • Chandrasekaran, B., & Lee, K. (2020). Nursing Care Management of Patients with Coronary Artery Disease. Journal of Clinical Nursing, 29(1-2), 245-257.
  • Johnston, N., & Lusardi, M. (2019). Nursing Perspectives on Cardiac Disease Care. Nursing Clinics of North America, 54(3), 389-400.
  • WHO. (2021). Cardiovascular Diseases (CVDs). World Health Organization. https://www.who.int/health-topics/cardiovascular-diseases
  • Fitzgerald, G., & Threapleton, D. (2018). Evidence-Based Nursing Practice for Heart Disease. International Journal of Evidence-Based Healthcare, 16(3), 174-181.
  • National Heart, Lung, and Blood Institute. (2020). Coronary Artery Disease. https://www.nhlbi.nih.gov/health-topics/coronary-artery-disease