Introduction
Aimee, your suggestions about additional subjective and objective data are very detailed and include diverse information that will be helpful to provide a precise diagnosis and develop an effective treatment plan. Thorough data collection is important for successful patient care. Patient data also help to reveal comorbid conditions which can make a diagnosing process more complicated (Phaneuf, n.d.). Sometimes, a longitude collection of objective data can be necessary. In this case, technological devices can be applied. For example, in the case of the patient, a device for measuring blood pressure and heartbeat with certain intervals both before and after activities can be used to evaluate the changes.
Peer Response: Aimee
As for the national guidelines, I would add ACR Appropriateness Criteria® chronic chest pain—a high probability of coronary artery disease because patient symptoms can witness the development of CAD (“ACR Appropriateness Criteria,” 2016). I support your idea to consider all possible causes of chest pain including cardiac and non-cardiac causes. Although the cardiac nature of pain is evident, it is important to evaluate the probability of other causes.
I strongly agree that plan of care should be based on patient examination and manage the primary symptoms. In the case of the patient, chest pain is the symptom to be managed. Moreover, patient teaching is an integral part of the treatment process. Patient teaching for cardiac problems should include recommendations about lifestyle modifications, for example, about a heart-healthy diet (“Eating right for your heart,” 2018). Finally, I would like to stress the importance of family participation in inpatient care. According to the Circle of Caring, it is possible to involve family members in the treatment process. For example, they can control medication administration or stimulate the lifestyle change of the patient.
References
ACR Appropriateness Criteria® chronic chest pain—high probability of coronary artery disease. (2016). Web.
Eating right for your heart. (2018).
Phaneuf, M. (n.d.). Data collecting: The basis for all nursing interventions. Web.