Nursing Care Plan

Improved Essays
Nursing Diagnosis and Plan of Care
Name
Institution

Nursing Diagnosis and Plan of Care Nurses play a vital in the general care of patients. Hence, nurses strive to help the patients maintain high standards of health or regain their health in the event they have lost it as a result of illness. In this case, we will focus on an African American male who purposes of privacy and confidentiality will be simply referred as JM (Gulanick & Myers, 2014). The patient presented at the clinic with complaints of significantly reduced frequency of urination, chest tightness, increased heart rate as well as reduced appetite. For that matter, this paper will explore the nursing diagnosis for JM as well as create a plan for care.
Assessment
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Moreover, he has little time to physical exercise as well as failure to access healthy foods due to nature of his job. Hence, the patient is at risk of developing metabolic-related illnesses such as obesity and diabetes (Herdman, 2009).
Health Teaching Topics Among the teaching topics is exercising and consumption of proper diet. Since the patient is considered at high risk for heart disease and other metabolic illnesses such as diabetes, it is important for him to eat healthy food and exercise regularly. The patient should reduce the intake of salts and fats and increase the consumption of fluids, fruits, and vegetables (Spark & Taylor, 2013).
Nursing Plan of Care
Diagnosis
JM is has reduced cardiac output. His heart is struggling to pump blood to meet all the needs of the body. However, due to reduced cardiac output the pumping is not normally occurring resulting in altered heart rhythm. Assessment includes increased heart rate and irregular pulse (Herdman, 2009).
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On the long term, the patient will be able to display hemodynamic stability (Spark & Taylor, 2013).

Interventions
1. Assessing the abnormal lung and heart sounds is imperative. This intervention enables detection of heart failure.
2. Monitor pulse/blood pressure. Patients with heart disease suffer from high blood pressure caused by initiation of the rennin-angiotensin mechanism (Gulanick & Myers, 2014).
3. Analyze the laboratory results and diagnosis results. This step helps in getting clues about the status of the heart disease.
4. Administer cardiac glycoside agents. This agent promotes the myocardium contractility improving cardiac output.

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