Chapter 38 Nursing Management Vascular Disorders

As with all cardiovascular diseases, Peripheral Arterial Disease can be easily prevented. A good heart healthy diet should be implemented everyday for meals and snacks. A good tip is to include fresh fruits and vegetables everyday. Eating foods low in saturated fat and cholesterol and high in fiber can help prevent high blood cholesterol. Limiting salt or sodium in your diet can also lower your blood pressure. (CDC, 2009) Making sure to get at least 30 minutes of moderate physical activity a day can not only help maintain

3. You know that G.P. has atherosclerosis of the coronary arteries but he has not told you about his risk factors. You need to know his risk factors for CAD in order to plan teaching for lifestyle modifications. What will you ask him about? [c]

When I entered the client’s room for wound care; I saw that she was on her bed, in semi-fowler position with the bottom of the bed elevated as well. I pressed the bed remote to bring the bottom of the bed down and straight. We had everything ready on the table for the procedure; we washed our hands and wore PPE, gloves. Client’s legs were very stiff and contracted, we tried to extend but it didn’t work. It was documented on client’s chart that she has severe contracture which “is an abnormal flexion and fixation of a joint caused by muscle atrophy and shortening” (LeMone, p. 1330). When I assisted client with passive ROM exercises before wound care, it was very difficult to straighten her legs. We perform aseptic technique for cleaning and dressing the wound. We placed extra bed pad under client’s leg and I used the

2. An 56-year-old established patient presents to her doctor's office with chest pain and shortness of breath. The doctor orders an ambulance to take the patient to the ED to be checked out. From the ED the patient is admitted for some

Raynaud’s disease is when the body restricts the amount of blood flow to various parts of the body, such as the hands and feet. There are some factors that contribute to making this disease worse, but there are also some factors that can help in making this disease more controllable. With the very few known facts about Raynaud’s disease, it is not a disease that should be overlooked for the fact it affects “approximately five to ten percent of Americans.” (WebMD, 2005-2016).

Patient 2: For DVT, I would contact the physician for surgical or anticoagulant intervention, manage pain, and apply a warm compress to leg. For hypoxia, I would sit the patient up in the bed, maintain oxygen administration via nasal cannula or BiPAP, have patient cough and deep breath, give medications as order, and call the physician if the patient does not improve after

There are lifestyle changes that may help people with Raynaud's disease. Smoking makes Raynauds worse. If someone has Raynauds they should not smoke or use nicotine in any way. If the person is taking medications that cause the blood vessels to spasm or tighten they should take a different medication, if there is one available.

Include the family in the patient’s physical mobility education, and have the family repeat demonstrate the techniques. This way the family will be able to help Joseph with his impaired mobility at home.

Taking action to the risk factors of arteriosclerosis can prevent or delay the disease. The risk of arteriosclerosis increase with the number of risk factors you have. A big step of arteriosclerosis prevention is to live a healthy lifestyle which includes:

-Contacted Desert Springs facility and follow-up on the patient. Spoke to medtech Muriel and stated that another caregiver has been going to patient’s room and no complaint or concern was raised from the patient. Instructed Muriel to see the patient and she stated that patient is the same and “normal” sitting up in her recliner’s chair. Speech is clear and no facial droop per Muriel. Per Muriel, patient did complaint about a week ago with right foot

Mrs. Nellie Ostalowich has required left hip surgery after failing while shoveling snow. Prior to the fall Nellie favored laying on her left side or back when sleeping. After her surgery, Mrs. Ostalowich has been spending much more time lying on her back without changing positions. Nellie has also requested to wear a protective undergarment as she has trouble with dribbling and struggles to make it to the bathroom on time.

Annie Coffey is a 72 year old woman that has developed a deep vein thrombosis (DVT) due to reduced mobility while on bed rest. This assignment will discuss the signs, symptoms, prevention and management of a DVT and the use of warfarin as long term treatment. The assignment will explain what a DVT is and discuss its potential implications. The nurse’s role in the prevention of DVTs will be discussed in detail as well as the nursing management of Annie. The importance of patient education will be highlighted throughout the assignment and important discharge advice while on warfarin will be explained.

of 6 to 10 g/dL. The other values are all within the range of normal.

During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to

The patient should be seated with the feet flat on the floor. The BP is obtained in both arms,