Mrs. S. is a 75-year-old African American woman with hypertension, cardiomyopathy, type 2 diabetes, and hyperlipidemia. She comes to the clinic because of a 10-lb weight gain and reports a shortness of breath for the past month. Mrs. S. recently moved into a three-room apartment after the death of her husband. She has an eighth-grade education.
Guidelines
• Discuss ways to mitigate the risk factors for heart disease.
• Discuss strategies for helping older patients reduce their risk factors.
• Discuss nursing interventions for the gerontological clinical nurse.
• Find a scholarly article and describe specialized treatments for this client.
• Identify the priority components of a systems assessment for this client.
• Outline steps for teaching self-care measures to the client.
• Analyze the interrelations between multiple factors that commonly affect the incidence of heart disease in older patients. For example, describe the correlation between hypertension, diabetes mellitus, and peripheral vascular disease.
• Investigate the local heart associations to see what educational and support programs they offer. Make a list of at least three (3) programs.
• Access www.easyauscultation.com and listen to different types of heart sounds.
• Reflect on what you learned from the assignment and how it will impact your practice in the future.
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