Telehealth Case Summary

and a 5-year history of angina pectoris. During the past week he has had more frequent episodes of

Mr. Thomas’ has been diagnosed with an acute myocardial infarction (MI). A myocardial infarction is an “infarct of heart muscle caused by occlusion of one or more of coronary arteries” (Frucht, 2012 P.125). The common name for Mr. Thomas’ condition is a heart attack. A heart attack occurs if the flow of oxygen-rich blood to a section of heart muscle suddenly becomes blocked ( ). If the blood flow is not restored quickly, then that section of the heart muscle begins to die. Heart attacks have become the leading killer of both men and women in the United States. The main cause of heart attacks has

Pulse rate is at 72. The blood pressure was 140 / 95,which is suggestive of high blood pressure and related to his medical history. No heart murmur was noted, and no other abnormalities were noted.

You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.

Analyzing Mr. Edward blood pressure (140/85) during his last visit to the doctor, plus the constipation and the GERD, and also the level of his cholesterol, it show that he has all the condition to develop myocardial

Telehealth- is a collection of means or methods for enchancing health care, public health,and health education delievery and support using telecommunications technologies.

Uncle Gary, a single firefighter captain and grandfather of four, has recently been experiencing chest pain. Having a background as an emergency response provider, he is not unaware of what the condition could lead to. A trip to the doctor’s concluded that he has angina, high blood pressure, and does not exercise enough. While these symptoms are modifiable, he also has a non-modifiable risk factor; he is male over the age of forty-five. The doctor stressed the seriousness of his conditions and put him at an increased risk for Congestive Heart Disease that, if not treated, could lead to a stroke or myocardial infraction.

The first approach to assessing chest pain incorporates excluding life threatening reasons, which for the most part incorporate (1)coronary artery disease (Kettunen and Talvensaari ,2009) (2)acute aortic syndrome (AAS) (3)pulmonary embolism (PE) (4)esophageal rupture (5)tension pneumothorax and (6)pericardial tamponade (Butler and Swencki, 2006).

Clinical care standards (2014) for patients, who experience chest pain, need to be assessed within a 10 minute time frame. Immediate management and assessment including a 12 lead ECG will provide evidence in whether a patient with chest pain is indeed having a cardiac, plueretic or musculoskeletal event.

Misdiagnosis may eventually lead to serious implications, both in regards to medico-legal issues and resource utilization. If there is no diagnosis of cardiac disease the patient is sent for an X-ray which is also professionally evaluated. The decision of the further pathway of the patient depends on the ECG and X-ray results. If ECG is positive the patient is most likely diagnosed with ACS, AMI, Aortic Dissection or Angina and immediately admitted to the appropriate hospital ward where doctors will decide on an appropriate treatment. If ECG test is negative or when the doctor exclude the cardiac disease at the triage level the patient is referred for an X-ray. If the X-ray is positive, depending on imagining, the Pulmonary Embolism, Pneumonia, Foreign body, Pneumothorax and Aortic Dissection is most likely to be considered and patient is admitted to the appropriate hospital ward while consulting the suspicions and findings with respiratory unit/ward. If the X-ray is negative, the next decision will depend on the results of the test marker

Nurses play a vital role in the management of problems presented by patients through nursing practice, research, and patient education (Abbas, 2015). This paper will discuss chest pain and the factors surrounding it, along information collected from two patients with cardiac and respiratory diseases. Assessment techniques including checking capillary refill time, skin turgor, color and temperature of the upper and lower extremities, peripheral pulse checks, and pulse amplitudes and the significance of noted abnormalities will also be discussed in this paper. With increased proficiency in assessment skills, nurses can make a significant contribution to the quality of care delivery in the health care field.

Joseph is middle age Caucasian male who has suffered a heart attack. This may have been caused by him not taking care of his body properly. Joseph is already at high risk for heart disease due to a family history if vascular disease. He has also been stressing, an increase in weight, not exercising, and unhealthy eating. These things could all

Chest pain has a broad differential diagnosis. It is complicated by a frequent disassociation between intensity of symptoms and signs and seriousness of underlying pathology. Patients present with a spectrum of signs and

The GP could outline the signs and symptoms of myocardial infarction and its treatment or prevention. To obtain more information for the health risk, two online resources that Heather could easily access at home are: Heart Foundation (www.heartfoundation.org.au) and the Australian Institute of Health and Welfare (www.aihw.gov.au). The the AIHW is focused on the statistics while the Heart Foundation has outlines for a list of heart conditions but has a tab focused on heart attacks (myocardial

My 66-year-old uncle was admitted to hospital with various symptoms including fatigue, dizziness, and blood coming from his rectum which turned into black stools. During the initial examination the physician asked him questions about his medical history which he responded that he had myocardial infarctions, ischemic cardiomyopathy, chronic atrial