Chest pain is a very wide complaint that can be pointing to several diseases other than cardiac in origin. The reason why there is a need to evaluate patients presenting with chest pain in any situation is that for health care providers to assess at once the possibility of the patient having a heart attack that is a life threatening condition…
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In the United States, every year, approximately 5.3 million patients present to the ED with chest discomfort and related symptoms and nearly about 1.4 individuals are hospitalized for unstable angina and Non ST Elevation Myocardial Infarction (NSTEMI) (Cannon & O’Gara 2006). On the same context, in 2000 it was estimated that 1.4 million people in England suffer from angina. 300,000 of which have heart attacks, and it is estimated that more than 110,000 die every year. Although much has improved in terms of treatment and modalities when it comes to cardiac problems and the mortality from cardiovascular causes has declined still the numbers that hit the scale will always remain as a basis for improving programs against coronary artery disease and myocardial infarctions (The National Clinical Guideline Centre 2010).
However, the number of people admitted with NSTEMI ACS has shown less of a decline and the management of these conditions remains a high priority (The National Clinical Guideline Centre 2010).
The healthcare delivery system is designed to address the growing health problems of the population is a systematic procedure and nurses play an important role on the lead in the promotion, prevention and rehabilitation of health of people. In the concept of this paper the role of the nurse will be given much focus as an evaluative tool in the planning and the delivery of nursing care to NSTEMI patients from the perceived onset, the course of the disease and the rehabilitative phase. With this Nurses’ play an important role as health guide that improve the totality of patient outcome for better prognosis and continuous recovery. NSTEMI: Overview and Understanding the disease According to Anderson et al. (2007), NSTEMI constitute a clinical syndrome subset of Acute Coronary Syndrome that is usually caused by Cardiovascular Atherosclerotic Disease and is associated with increased risk of cardiac death and subsequent myocardial infarction. It is defined by the electrocardiographic ST segment depression or prominent T wave inversion and positive biomarkers of necrosis in the absence of ST-segment elevation and in an appropriate clinical setting such as chest discomfort (Anderson et al. 2007; Kalra et al. 2008). Acute coronary syndrome starts when platelet aggregates clump together and forms a thrombi from a ruptured arteriosclerotic plaque. Once the clot occludes the vessels for more than 20 minutes, the myocardial tissue becomes necrotic due to the occlusion (Smeltzer et al. 2009; White et al. 2012). Due to this the heart will not be able to pump enough blood to vital organs and tissues leading to shock and eventually death. Chest pain in NSTEMI lasts longer and is more severe than the pain of unstable angina and can lasts for 15 minutes if not treated with rest or nitro-glycerine. The pain may or may not radiate to the arm, neck, back or epigastric area and may also experience dyspnoea, diaphoresis, nausea, and dizziness (Jevon et al. 2008). Women experiencing ACS may experience misleading symptoms of indigestion, palpitations, nausea, numbness in the hands, and fatigue rather than chest pain (Overbaugh 2009) The US Department of Health & Human Services (2010)
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