SU_NSG4055_W2_Project_Tanner_W

.docx

School

South University, Savannah *

*We aren’t endorsed by this school

Course

NSG4055

Subject

Health Science

Date

Feb 20, 2024

Type

docx

Pages

Uploaded by CommodoreSpiderMaster1080

1 Benefits of Individualized Care Plans Windy L. Tanner South University NSG 4055 Illness and Disease Management across Lifespan CP02 Professor Kara Bral MSN, RN April 5, 2022

2 Benefits of Individualized Care Plans Coronary artery disease (CAD) is prevalent in the southern United States. Modernized countries have seen a decrease in CAD in the last few decades. The reduction may be related to effective acute phase treatment and improvements in primary and secondary preventive measures. In the United States, variability in the incidence of CAD is observed. The most significant contributing factors to this are the Western diet and increases in sedentary lifestyle choices (Ralapanawa & Sivakanesan, 2021). Heart disease in the United States is the leading cause of death for people from various racial and ethnic groups. CAD is the most common type of heart disease, and in 2019, statistics report that 360,900 people died from CAD. The CDC reports that 18.2 million adults aged 20 and older have CAD, about 6.7%. The American Heart Association says that CAD accounts for 2 in 10 deaths in adults less than 65 (Virani et al., 2021). CAD cost the United States about $363 billion each year from 2016 to 2017. The cost factors include health care services, medicines, and lost productivity due to death (Centers for Disease Control and Prevention, National Center for Health Statistics, 2021). Identifying people at risk for developing CAD through health screenings and social media education can help bring awareness to coronary artery disease. The early identification can start treatment early and slow the progression of the disease through behavior modifications and lifestyle changes. J. L.'s Story of being informed of a Chronic Illness I chose a family member that has been diagnosed with Atrial Fib and cardiomegaly for about four years now. The participant "J. L." is a seventy-four-year-old female, married for over fifty-five years. J. L. has a high school diploma and no secondary education. Her family consists of her husband, three grown children, and several grandchildren living nearby. Her husband is

3 three years older than her, and she rates his health as good. J. L. has been retired for fourteen years from a local store, where she stocked supplies and did the bookkeeping. Her past health history consists of three vaginal births, four miscarriages, hearing loss, and a one-pack per day smoker. She also reports recently being diagnosed with peripheral artery disease (PAD) in the last month. Four years ago, she reported having chest pressure and feeling lightheaded with a fast heart rate. She went to the emergency room for medical care and was admitted. During the hospital stay, an electrocardiogram resulted in Atrial Fib with a heart rate of 110. An Echo was performed, revealing cardiomegaly and thrombus in the left atrium. She was started on Eliquis and Lopressor and arranged to be followed by a cardiologist as an outpatient. The medical issue was the first medical diagnosis of any concern, and it has been a life-changing event for her and her family. Analysis of Questionnaire J. L. was happy to participate in answering a questionnaire concerning her health on March 31, 2022. She confirms that she is older than 65 years of age. J. L. does have a primary care provider (PCP) that she only visits when she is sick, she does not participate in annual wellness checks or any preventive health screenings, including labs. Her medications can be costly, and she does find herself adjusting her medications to get them to last longer due to cost factors. She lives with her husband, and they eat a minimum of two meals together daily. She follows a typical southern diet of meat (mainly fried) each dinner and a variety of fresh vegetables. J. L. does not routinely eat out or consume prepackaged meals. She lives on a farm. They grow many of the vegetables they eat. As noted in her history, she does smoke one pack per day for almost sixty years. She occasionally thinks about stopping smoking; however, it is a part of her core lifestyle, and she doesn't desire to change her habits.

4 J. L. has never been overweight and doesn't weigh daily or report any weight gain. Her medical history is vague at times, with not many health visits. She only seeks medical care when extremely ill and feels she needs medical attention. The last time she had blood work collected, she was not fasting, and her cholesterol was elevated, which she thinks is due to the non-fasting state. J. L. denies hypertension, elevated glucose levels, or hypercholesteremia. J. L. is very active for her age and considers housework and yard work physical exercise. She denies any discomfort with performing activities of daily living (ADLs). She admits that she gets tired more than she used to, which contributes to age. Her sleep patterns are regular, sleeping on two pillows at night, with no cough or difficulty sleeping. Her past family history is scarce due to her growing up without knowing about her father, and her mother is deceased from cancer at age sixty-two. J. L. was able to answer almost all questions without needing any explanation. She was quick with responses and expanded on having her grown children eat with her at least once weekly. J. L.'s perception of health is that you keep pushing through, and many issues are related to age. Patient and Family Impact of Illness Family involvement is necessary for the management of long-term medical conditions. Disease management and interventions are evolving and directed toward patient and family- centered care plans to improve health care quality for individuals and families (Park et al., 2018). The collaborative healthcare team must have a shared vision when caring for the chronically ill and have considerable value-added when dealing with multiple morbidities. The focus must be on the patient rather than the disease. A patient-centered approach must value the patient and caregivers as full team members. Identifying a dedicated point spokesperson for the family is vital to bridging the gap between providers and patients (Bayliss et al., 2014). J. L. has children

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help