OBJECTIVE data collection of a patient who has Peripheral Vascular Disease - Coursework Example

Topic: This is the second admission for this forty four year old woman. Based on her previous records she has had a long history of diabetes and her major chiefcomplaint is severe internment claudication that occurs in the calf. She indicates that her leg discomfort is very painful and it occurs in form of cramps while exercising. However, the pain subsides when she is resting. Mrs Liam has had a long history of diabetes which has been managed over the years with prescribed medications. Besides her diabetes history, the patient admits that she is a chain smoker taking up to 2-3 packs of cigarrates in a day.

Therefore, this indicates that she is at a higher risk of getting a peripheral vascular related disease.Her state of health was well until 9pm the night she reported to the hospital. She describes that her pain began on her lower leg when she was moving her furniture in her living room. She took some pain killers but when the pain further persisted, her husband decided to bring her in for a check-up. She denied any form of dizziness, nausea, vomiting and diaphoresis.On her physical examination, her appearance is that of a slightly slim white woman lying on the bed with an indication of severe pain in her toes.

She is complaining of havingvery severe leg cramps. Based on the assumptions of the symptoms indicated by the patient, diagnostic procedures for peripheral vascular diseases are carried out. An angiogram is conducted on the veins and arteries in order to detect any form of blockage of the vessels. The Doppler technique is also conducted so as to measure the access of the flow of blood. The final test conducted is that of the treadmill exercise where by the patient is required to walk on the treadmill in order to monitor her pulse rate (Weber, Kelly & Sprengle, 2014).

Thorax and lungs On inspection of the thorax and lungs there is an indication of bibasilar rales. The diaphragm moves slightly well during respiration, percussion there are signs of dullness and no rhonchi, rubs and wheezes. The x-ray taken also shows the effect of the tobacco use that the patient is inhaling into her system as dullness is seen in the chest region.Heart and neck vesselOn inspection of the heart and neck vessel, the cardiac examination indicates that there are no hives or thrills.

The rhythm is regular with an extra heartbeat. The normal s1/s2 is narrowly split. There is a positive s4 gallop. 2/4 systolic injection murmur is being heard at the left sternal border with no radiation. The pulses can be noted for the sharp carotid upstrokes. The pulmonary vessel in the neck indicates that there is normal gag reflex, complete dentures. No dullness in percussion, rhonchi, rubs and wheezes. There is also sign of diminished pulse rate in both legs and feet.Peripheral vascularOn inspection of the peripheral vascular,the skin is smooth and warm apart from the chronic venous statics changes that are in both legs.

There is a brittle shiny skin seen on both legs as well as the feet. Very tender to palpitation and non- pitting. Based on the possible treatment that might be undertaken further analysis on the patient shows that her condition may also have resulted based on her nutrition habits. She admits that she mostly feeds on junk food and rarely eats vegetables and fruits. With regards to the findings based on the symptoms and the results of the test carried out, treatment for her condition may include lifestyle modifications with emphasis on having a proper nutrition as well as majoring on smoking cessation.

There is also need to continue with further aggressive treatment on her diabetic condition. Medications for improving her blood flows as well as those that tend to relax the blood vessels should be prescribed (Rhoads & Peterson, 2014).ReferencesWeber, J., Kelly, J., & Sprengle, A.D. (2014). Lab Manual for Health assessment in nursing (5thed.) Philadelphia, PA: Lippincott Williams & Wilkins.Rhoads, J., & Petersen, S. W. (2014).Advanced health assessment and diagnostic reasoning. Burlington, MA: Jones & Bartlett Learning.