Alterations of Hematology and Cardiovascular Systems - Case Study Example

Alterations of Hematology and Cardiovascular Systems To evaluate and manage Mr. P health problem I will employ multidisciplinary approach. According to Stamler (2010) the disorder is a result of incapability of heart’s main pumping chamber. To treat this condition you require a team of experts including social workers, dietary experts, physicians as well as educational support groups among others.Sometimes, this heart problem interferes with the heart rhythm and this leads to abnormal heartbeats.

I will aim at looking for ways in which Mr. P can manage the condition himself whereby I will endeavor to improve his compliance, understanding as well as family support. For me transplantation is the last option and I will do everything possible to avoid it.In order to fully examine the extend of Mr. P’s heart condition, I will take him through the following medical tests namely; cardiac catheterization, pressure-volume loop analysis, X-ray and biopsy (Tung & Chang, 2009). I will use electrocardiogram to examine Mr.

P heart rhythms at while he is at rest in order to understand how irregular they are. I will utilize a cardiac catheterization to measure pressure in Mr. P heart. Cardiac catheterization involves inserting a thin plastic tube via a blood vessel until it reaches the heart whereby a dye is introduced into the blood vessels and then conducting X-rays so as to evaluate the heart’s structure and function. At the same time, I may perform a pressure-volume loop test. This test evaluates the amount of blood flow put out by the heart during each beat.

The results will help me pinpoint what type of cardiomyopathy Mr. P might have. I may also take chest X-rays to see if Mr. P’s heart is enlarged. Further I may take a biopsy of Mr. P’s heart muscle. In this method, I will use anesthesia to insert a small needle into Mr. P’s heart to remove a small bit of tissue for laboratory tests in order know the extent of disease.TreatmentI will recommend the following treatment for Mr. P heart problem namely: a) ACE inhibitors and vasodilators. The purpose of this treatment is to enlarge blood vessels so that blood flows can smoothly which in essence helps the heart to functions more capably b) Beta blockers-this type of treatment enhances the pumping action of heart’s blood pumping chamber-the left ventricle c) digitalis- this kind of treatment increases the pumping action of the entire heart and d) diuretics – which help the body get rid of excess salt and water.

A method for providing both the patient and family with educationOne of the major roles of a nurse is to provide patients and family with relevant information concerning the health problems so that they can better manage it. According to Tung and Chang, (2009) effective education to both the patient and family can enhance health outcomes, lower hospital readmissions, reduce treatment costs, and enhance patient and family satisfaction. For the case of Mr. P and his family I will use a method called closing the loop to educate them about the problem Mr.

P has and how well they can manage it.Closing the loopUsually patient and family education is better carried out in a healthcare setting. The problem is getting the proper way to provide it and examine how effective is the results of the teaching. How well patients understand and remember the information they are taught helps them better manage their health condition. A patient-centered communication teaching approach helps the nurse to evaluate whether the patient has understood and can remember what he or she was told.

The nurse employs the teach-back method which also referred as closing the loop. In this approach the nurse checks whether the patient has understood what he or she has been told by asking questions related to what was taught. One key advantage of this approach is that it closes the communication gap between nurse and patient and hence improving the patient’s understanding. During a teach-back session, after you teach an idea, you confirm the patient understanding by asking patient to elucidate the idea back to you correctly.

Teaching plan – I will teach the patient a concept and then ask him or her questions of what I have taught to examine whether he or she has understood the idea.ReferenceStamler, J (2010). Diet-heart: a problematic revisit. Am. J. Clin. Nutr. 91 (3): 497–9.Tung, Y & Chang, G. (2009). Patient satisfaction with and recommendation of a primary careProvider: associations of perceived quality and patient education. Int J Qual Health Care.21(3):206-13.