Mr. R. is a 65-year-old African American man who presents to the Penmen Hospital a complaint of rapid weight gain and peripheral edema. He has a past medical history of coronary artery disease, hypertension, hyperlipidemia, and chronic renal insufficiency. He smokes tobacco daily and is obese. Upon arrival, his blood pressure reading was 172/91. He states that the reading is what he averages on his home blood pressure monitor. The provider considers prescribing a thiazide diuretic or calcium channel blocker for his treatment regimen.
1. Describe the pathophysiology of coronary artery disease and how it relates to this case scenario.
2. Identify modifiable and nonmodifiable risk factors in this case scenario. As his nurse, explain how you would educate this patient regarding the modifiable risk factors identified in the above prompt.
3. Briefly discuss the classification of hypertension this patient is experiencing and explain the mechanism of action for the classes of drugs discussed in the scenario.
Critical thinking is a habit of mind characterized by the comprehensive exploration of issues, ideas, artifacts, and events before accepting or formulating an opinion or conclusion. Case studies are meant to connect real-world scenarios with theoretical teachings. You are expected to test assumptions and find creative ways to consider all the facets contributing to analysis of the case.
Prompt:
For each case study, be sure to:
• Introduce main elements and concerns and identify the pathology.
• Use the associated questions to guide your paper and explain the pathology in the development of a plan of care.
• Explain the role patient-care technologies (i.e., point of care testing, computer provider order entry, bar-coding medication administration, EMR/EHR) in caring for the individual(s).
• Apply critical thinking in analyzing and interpreting the data.
• Include evidence to support your analysis of the case.
• Write clearly and concisely, following standard rules of grammar.
What to Submit
Your paper must be submitted as at least a 2-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and at least two peer-reviewed sources cited in APA format.
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