When conducting the interview, I realized that the alert and oriented nature of Ms. Jones made the assessment of the situation at virtual healthcare care satisfactory. Moreover, her character provided an avenue for easy interrogation and quick response, making it possible to acquire the data I required ( Lippincott, 2012) .Again, I am convinced that the section on respiratory issues was not as successful as the cardiac section since my questions tended to assume a specific similar path.
While in the respiratory lab section, my questions were not differentiated; they were alike; therefore, the answers I obtained were almost similar. During my next assessment, I will structure my problem in a manner that the responses I gather a wide range of information regarding respiratory systems and likely disorders and their remedies. On the other hand, in the cardiac lab , I was not in a position of getting all the crucial details relating to the diagnosis of Ms. Jones. However, I obtained adequate data relating to the previous test ( Lippincott,2012) . Again, the test is vital in reinforcing the information I already had regarding cardio-vascular conditions.
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While in the respiratory lab, I revealed the results such as Ms. Jones was obese besides having a type 2 diabetes and blood sugar levels of 199. Again, she refutes claims of her taking any hypertension and diabetes medication. However, she has explained her difficulty in breathing for two consecutive days and that her inhaler is not efficient as it used to be. She goes ahead explaining of how the cat at her cousins makes her breathing problem intensify. When carrying out Auscultation of the lungs, there was gasping in the adjacent lower sections consensually moreover in the cardiac lab. I uncovered Ms. Jones main issue as that she had had heart shivers, which had lasted for two months. She explains that she experiences these palpitations happen once in every week.
Again, she tells of her difficulty at work due to these challenges ( Budoff, & Shinbane, 2016) Moreover, she says that the pressure of her blood is at 142/90 and temperatures of 98.besides her family had issues of hypertension and stroke. However, I failed to include in my findings that she takes a lot of caffeine.
Most of my questions were useful in the assessment. However, my question on the reason for her visit to virtual clinic yielded more information as Ms. Jones narrates of her conditions for the last three months, allergens as well as the family history. The data was essential as it made diagnosis easy and possible.
Based on the findings in the respiratory lab, I would recommend tests a close monetary of the wheezing produced in the lower lobs and asthma symptoms with certain aspects that may prompt Ms. Jones to frequent the health center. Again, she ought to be encouraged to wash beddings regularly, obtain oxygen saturation, and ensure that PTFs are completed after an exacerbation to the available information for future reference and comparison. However, in the cardiac lab, I would recommend Ms. Jones be encouraged to monitor symptoms and keep a record of her symptoms, especially the palpitation. Again, she should be advised to reduce her intake of coffee and supplement it with water and other fluids. Moreover, she ought to obtain EKG to eliminate cardiac abnormality (Labarthe, 2011). Advice on the need to fight anxiety, such as taking deep breathes and relaxation is necessary. MS. Jones should also be informed on the proper means of keeping her blood pressure at a stable condition
Presently, I am considering a diagnose on anxiety and Tachycardia in the cardiac lab and Dyspnea and acute respiratory distress in the respiratory lab.
In the respiratory, I was able to accomplish a patient teaching skills on the episodes of the symptoms that he/she is experiencing to come up with a proper record that will aid appropriate prescription. Again, the patient may not be aware of factors that may intensify a health condition; therefore, notifying him/her of the possible allergens is essential. I was able to complete the teaching regarding the means of obtaining office saturation. Completion of PFT after exacerbation to aid in the future comparison of symptoms was exhaustively covered. Moreover, I was able to teach Ms. Jones on the importance of incorporation of fluids in the diet and seeking emergency health care when the conditions of breathing or chest pains worsen. Overall, I taught her the need to visit the clinic regularly for check-ups and follow up activities.
On the other hand, in the cardiac lab, I encouraged Ms. Jones to continue monitoring symptoms while recording her episodes of palpitations alongside possible factors and bring log during her next visit to the clinic. Advise her to decrease intake of caffeine and increase consumption of water and other fluids ( Lippincott,2012). Educate on simple anxiety reduction methods such as deep breathing, relaxation as well as guided imagery. Discuss the need to visit the clinic, especially after two to four weeks.
At this point, I would prescribe medication at the respiratory lab such as a change for her inhaler to aid in the relief of pain and struggle when breathing problems strike in since the previous one seems not efficient enough. In the cardiac lab, I would also prescribe a medication for anxiety and palpitations (Labarthe, 2011). Besides, I would prescribe avoidance of dusty beddings alongside a reduction in her intake of caffeine.
In both labs, I was in a position of performing an expansive exploration of the possible causes of a patient’s problem based on the history provided by the patient and family background (Auth, 2012). As a result, I am in a position of offering recommendations as well as possible prescriptions.
Reference
Auth, P. C. (2012). Physician Assistant Review . Lippincott Williams & Wilkins.
Budoff, M. J., & Shinbane, J. S. (2016). Cardiac CT Imaging: Diagnosis of Cardiovascular Disease . Basingstoke, England: Springer.
Labarthe, D. (2011). Epidemiology and Prevention of Cardiovascular Diseases: A Global Challenge . Burlington, MA: Jones & Bartlett Learning.
Lippincott. (2012). Cardiovascular Care Made Incredibly Visual! Lippincott Williams & Wilkins.
