The essential treatment goals in angina pectoris patients are to alleviate the causal signs, slow the disease events, as well as compress the future occurrences risks, particularly Myocardial Infractions and untimely deaths. In this paper, we are going to write the Care plan for a newly diagnosed patient with angina pectoris
Assessment
The subjective assessment of the patient with angina pectoris reported cases of chest pains, heaviness or pressure that may radiate to the shoulders, arms neck, jaws, or back (Andersson, 2014) . Objective assessment of newly diagnosed angina pectoris patient indicated, dyspnea, cold and clammy skin, jugular vein distention, high blood pressure (Ussher, 2016) .
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Diagnosis
Acute pain related to the reduction of myocardial blood flow.
Planning
Following 8 hours of care follow-up, the patient will be relieved from pain, stabilize their vital signs, and maintained a relaxed body posture (Andersson, 2014)
Intervention
The management of angina pectoris require the assessment of vital signs and indicators of discomfort, for example, facial expressions, rubbing of the neck or jaws, unwillingness to move, elevated blood pressure, and tachycardia (Andersson, 2014) . The nurse should also note inception, interval and the pain pattern of the patient. Utilize the rating scale of pain to assess the perception of the patient pain severity. Give the patient sublingual nitroglycerin as prescribed and lastly instruct the patient to report any experience of pain immediately. The caregiver should ensure the patient is relaxed and set them on bed rest in semi-to-high-Fowler’s position.
Evaluation
After 8hrs of nursing intervention, the patient was freed from pain and indicated stable vital signs. And relaxed body posture (Ussher, 2016) .
In conclusion, newly angina pectoris patient symptoms are easily predictable and controllable. Nurses should advise their patient to have frequent visits to the doctor when they experience chest discomfort for a complete assessment. If you they are diagnosed with stable angina and start experiencing chest pain more frequently, it will be necessary for them to see the doctor as it could be the initial unstable angina symptoms.
References
Andersson, C., Shilane, D., Go, A. S., Chang, T. I., Kazi, D., Solomon, M. D., ... & Hlatky, M. A. (2014). Beta-blocker therapy and cardiac events among patients with newly diagnosed coronary heart disease. Journal of the American College of Cardiology , 64 (3), 247-252.
Ussher, J. R., Elmariah, S., Gerszten, R. E., & Dyck, J. R. (2016). The emerging role of metabolomics in the diagnosis and prognosis of cardiovascular disease. Journal of the American College of Cardiology , 68 (25), 2850-2870.
