Critically think and analyze this case study to complete a detailed plan of care for Mr. Z. Assume the patient knows nothing of his conditions, medications, or diet.  Mr. Z is a 59-year-old man who was admitted to the acute-care hospital with a diagnosis of possible myocardial infarction. Subsequent testing proved Mr. Z did not have an infarction. His medical diagnoses are stage 2 hypertension and myocardial ischemia. He is being readied for discharge to home. Mr. Z is vice president for sales of a large manufacturing company. His business activities involve luncheon and dinner meetings at which alcohol consumption is common. He stated that he has “at least one cocktail, usually two” with lunch and with dinner. The clinical dietitian visited Mr. Z to evaluate his food behaviors as requested by the physician. After the dietitian left, Mr. Z said to the nurse, “That diet is impossible for my situation. She just doesn’t understand the business world. I don’t believe there’s anything wrong with my heart anyway. It was just indigestion.” Providing client care is a dynamic process. Based on the above information, the nurse added the following modifications to Mr. Z’s care plan.

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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 Critically think and analyze this case study to complete a detailed plan of care for Mr. Z. Assume the patient knows nothing of his conditions, medications, or diet. 

Mr. Z is a 59-year-old man who was admitted to the acute-care hospital with a diagnosis of possible myocardial infarction. Subsequent testing proved Mr. Z did not have an infarction. His medical diagnoses are stage 2 hypertension and myocardial ischemia. He is being readied for discharge to home.
Mr. Z is vice president for sales of a large manufacturing company. His business activities involve luncheon and dinner meetings at which alcohol consumption is common. He stated that he has “at least one cocktail, usually two” with lunch and with dinner.
The clinical dietitian visited Mr. Z to evaluate his food behaviors as requested by the physician. After the dietitian left, Mr. Z said to the nurse, “That diet is impossible for my situation. She just doesn’t understand the business world. I don’t believe there’s anything wrong with my heart anyway. It was just indigestion.”
Providing client care is a dynamic process. Based on the above information, the nurse added the following modifications to Mr. Z’s care plan.

 

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