PATIENT DESCRIPTION Mrs. Liling Cheng is a 62-year-old Asian American female who is admitted to the hospital for observation and management after her implanted pacemaker fired repeatedly. The health care team needs to rule out MI versus device malfunction. Mrs. Cheng was brought to the Emergency Room by paramedics after they responded to a 911 call and found her to be in a dangerous cardiac rhythm. She believes her device is malfunctioning. In the hospital, Mrs. Cheng has been stable and is in sinus rhythm. She has had her cardiac markers drawn, she now needs an assessment and to be placed on telemetry. Can you help Liling?
Mrs. Liling Cheng, a 62-year-old Asian American female, has been admitted to the hospital for observation and management following multiple discharges from her implanted pacemaker. The healthcare team’s primary goal is to rule out myocardial infarction (MI) and assess the functionality of her cardiac device. This essay outlines a comprehensive care plan for Mrs. Cheng, encompassing assessment, diagnostics, and interventions, to ensure her safety and well-being during her hospital stay.
1. Cardiac Assessment: A thorough cardiac assessment will be conducted to monitor Mrs. Cheng’s heart rate, rhythm, and blood pressure. Continuous telemetry will be initiated to monitor her cardiac activity closely.
2. Symptom Assessment: Mrs. Cheng will be assessed for any symptoms of chest pain, shortness of breath, dizziness, or palpitations. Any changes in her symptoms will be documented promptly.
3. Device Functionality Assessment: The implanted pacemaker will be evaluated to ensure it is functioning correctly and not causing inappropriate shocks.
4. Pain Assessment: Assess for any pain or discomfort Mrs. Cheng may be experiencing, as well as her pain tolerance and management preferences.
5. Psychosocial Assessment: Explore Mrs. Cheng’s emotional well-being and her concerns related to the device malfunction and potential diagnosis of MI. Assess her support system and coping mechanisms.
1. Cardiac Enzymes: Monitor cardiac enzymes, including troponin levels, to rule out MI and assess for myocardial damage.
2. Electrocardiogram (ECG): Conduct an ECG to assess cardiac rhythm, identify any arrhythmias, and ensure Mrs. Cheng remains in sinus rhythm.
3. Echocardiogram: Perform an echocardiogram to assess cardiac structure and function, ruling out any structural abnormalities.
4. Device Interrogation: The pacemaker will be interrogated to evaluate its settings, battery status, and to confirm proper function.
1. Telemetry Monitoring: Continuous telemetry monitoring will be maintained to detect any changes in cardiac rhythm promptly.
2. Pain Management: Pain relief measures will be provided as needed, in alignment with Mrs. Cheng’s preferences and healthcare provider’s recommendations.
3. Psychosocial Support: Offer emotional support and education regarding her condition and the device. Address any concerns or fears she may have.
4. Medication Administration: Administer medications as ordered, including antiarrhythmics or pain relievers, to manage symptoms and ensure cardiac stability.
5. Patient Education: Provide comprehensive education on heart health, lifestyle modifications, and the importance of adhering to prescribed medications and follow-up appointments.
6. Consultations: Collaborate with cardiology specialists and device experts to ensure appropriate device management and adjustment if necessary.
7. Discharge Planning: Initiate discharge planning early in the admission to ensure a smooth transition. Coordinate home healthcare services if needed and schedule follow-up appointments.
Mrs. Liling Cheng’s admission following repeated pacemaker discharges necessitates a comprehensive care plan focusing on cardiac assessment, diagnostic evaluations, and tailored interventions. The healthcare team will work diligently to rule out MI, evaluate device functionality, manage symptoms, and provide the necessary psychosocial support to ensure Mrs. Cheng’s safety, comfort, and overall well-being during her hospital stay.
As a renowned provider of the best writing services, we have selected unique features which we offer to our customers as their guarantees that will make your user experience stress-free.
Unlike other companies, our money-back guarantee ensures the safety of our customers' money. For whatever reason, the customer may request a refund; our support team assesses the ground on which the refund is requested and processes it instantly. However, our customers are lucky as they have the least chances to experience this as we are always prepared to serve you with the best.
Plagiarism is the worst academic offense that is highly punishable by all educational institutions. It's for this reason that Peachy Tutors does not condone any plagiarism. We use advanced plagiarism detection software that ensures there are no chances of similarity on your papers.
Sometimes your professor may be a little bit stubborn and needs some changes made on your paper, or you might need some customization done. All at your service, we will work on your revision till you are satisfied with the quality of work. All for Free!
We take our client's confidentiality as our highest priority; thus, we never share our client's information with third parties. Our company uses the standard encryption technology to store data and only uses trusted payment gateways.
Anytime you order your paper with us, be assured of the paper quality. Our tutors are highly skilled in researching and writing quality content that is relevant to the paper instructions and presented professionally. This makes us the best in the industry as our tutors can handle any type of paper despite its complexity.
Recent Comments