Contemporary Clinical Manifestations Patientâ€Myassignmenthelp.Com

Question: What is the Contemporary Clinical Manifestations of the Patient? Answer: Introducation The contemporary clinical manifestations of the patient include the increase in the ischemic stroke which he got diagnosed within the last six months. The ischemic stroke gets caused by the reduction in the blood flow into the brain of the patient. Thus, the patient experiences a decrease in the cerebral blood which accelerates the reperfusion through the thrombolysis using the recombinant tissue of the plasminogen activator (rt-PA)(Brambilla, et al., 2013). The rt-PA has got an association for an improved clinical result. Further, his hypertension has increased with the high prevalence of the Ischemic Heart Disease. Hypertension involves the chronic surge of the blood pressure which in the long-term results to the destruction of the organ. It also leads to the increased morbidity and the mortality rate. Moreover, the patient complains of the continued gastro-oesophageal reflux. The patient narrates that he feels kind of a gastric juice that comes back into the esophagus exceeding th e reasonable limit. The Patient Information Mr. Tim Hewson, aged 61 years old, who got widowed and left with no children. He lives alone in the apartment block. As a nurse, I feel that my client does not receive entirely any family-centered care and support since there is no family member or relative living with him. Hence, the patient may develop stress and have a feeling of loneliness which most likely would render the medications he receives ineffective and have a reduced efficacy(Ringoir, Pedersen, WIddershoven, Pop, 2014). The patient has got a medical history for ischemic stroke, high blood pressure, ischemic heart disease and the signs of gastroesophageal reflux disease. There is strong medical rationale currently for the patient that include the drug and the prescribed dosage. For instance, the 20mg Lisinopril, the Frusemide 40mg each day, 150mg of aspirin for a daily dosage. Furthermore, the Coloxyl and Senna tablets for a dosage of 2 tabs daily, the Nexium which is 40mg mane, Panadol, 400mg Ibuprofen TDS (taken prio r retire to bed). Further Assessments and the Issues to Consider I would like to acquire more information regarding Mr. Tims height, weight, whether he smokes or not. Moreover, would require additional information if the patient consumes alcohol and the kind of meal that has got prescribed for him. The height and weight would assist me to check on the patients basal mass index (BMI) so as to rule in or out obesity condition based on the index value obtained. In most instances, patients who are obese do experience high blood pressure(Shekelle, et al., 2013). Information about smoking gets critical in determining whether the patient might have any signs of the cigarette components related cancer or noncancerous lung disease as a result of the hydrogen cyanide gas from the cigarette smoke. The type of meal prescribed for the patient would assist me in knowing what balance diet I should offer my client during the nursing care(Aust, 2013). The knowledge about patient alcohol consumption would create the basis for determining whether the patient suffers from alcohol-related diseases in case he drinks. Establishment of the Care Goal As a competent nurse, I would first start by introducing to my client and bring to his attention that I would be the one taking of him. I should listen to him carefully and note any difficult in his communication if therein and devise a mechanism for effective communication. Based on the nursing practice standards, I should show empathy and deep concern for my client by creating enough time to stay close to the patient(Kitson, Marshall, Bassett, Zeitz, 2013). Thus, fight the loneliness feeling and offer more opportunity to learn more about how my patient feels. Besides, I shall encourage the client to enjoy his meal and take the medication rationales as prescribed for the faster recovery. Finally, I would always give my patient hope that he shall recover and all shall get well. Evaluation I would apply three strategies to evaluate my patient. The strategies include monitoring, outcome and the impact evaluation. The follow-up evaluation is the kind of assessment that takes effect shortly after the nursing intervention begins and goes up to the midway. The monitoring assessment would allow me to determine what I should do for my patient next. The patient outcome evaluation would enable me to assess the medication results on my client(Arora, Goldeberg, Menchine, 2014). The outcomes may be short-term or long-term. The impact assessment would assist in measuring the changes in the patient before and after receiving medication and other nursing care services. Examples of other nursing care services include the consolation, stress management, and the loneliness feeling fight. Usually, the impact assessment would help to answer some nursing questions on how much have the patient condition has improved References Arora, S., Goldberg, A. D., Menchine, M. (2014). Patient impression and satisfaction of a self-administered, automated medical history taking device in the emergency department.Western Journal of Emergency Medicine,15(1). Aust, M. P. (2013). Critical care nursing: a holistic approach. Brambilla, G., Bombelli, M., Seravalle, G., Cifkova, R., Laurent, S., Narkiewicz, K., ... Grassi, G. (2013). Prevalence and clinical characteristics of patients with true resistant hypertension in central and Eastern Europe: data from the BP-CARE study.Journal of hypertension,31(10), 2018-2024. Kitson, A., Marshall, A., Bassett, K., Zeitz, K. (2013). What are the core elements of patient?centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing.Journal of advanced nursing,69(1), 4-15. Ringoir, L., Pedersen, S. S., Widdershoven, J. W. M. G., Pop, V. J. M. (2014). Prevalence of psychological distress in elderly hypertension patients in primary care.Netherlands Heart Journal,22(2), 71-76. Shekelle, P. G., Pronovost, P. J., Wachter, R. M., McDonald, K. M., Schoelles, K., Dy, S. M., ... Bates, D. W. (2013). The top patient safety strategies that can be encouraged for adoption now.Annals of Internal Medicine,158(5_Part_2), 365-368.