Nursing Process for PVD (Peripheral Vascular Disease)

Nursing Process for PVD (Peripheral Vascular Disease) Name: Instructor: Date of submission This is a medical report of William Sharpe a male patient who is seventy years old weighing 72.6 kilograms and 70 inches tall with a body mass index of 22.9. He was booked in the clinic two days ago in room number 520. He is a married man who confesses the Hindu religion and is in the company of his wife. The patient has had a medical history of hypertension, benign prostatic hyperplasia and has been smoking for the last 30 years. In addition, the patient undergoes a skin test after every 8 hours and is able to rise from a chair in a single movement. This therefore made the following tests to be done to diagnose the patient. A cardiovascular test showed the following: BP 110/80; Pulse 76 regular; Pedal pulses strong/equal, toes warm, cap refill less than 3 seconds, movement and sensation present in feet. A respiratory test on the other side showed the following results: respiratory rate 24; breath sounds crackles at bases; small amount white sputum; Pulse oximetry 94% on room air. The patient was also found to be having no problem mentally and a genitourinary test showed he had clear yellow urine with an appetite of eating half lunch tray. He has a stable vital sign with pain at 2 to 8 on 0 to 10 verbal scale relieved by hydrocodone 5 mg every 4 to 6 hours. It is after the above tests that the patient was diagnosed to be having an abdominal aortic aneurysm. A “stomach trouble” 7cm aortic aneurysm found on a CT scan made the patient to be admitted. In the following page is a nurse care plan to ensure the patient recovers in time. Nursing Care Plan Form Student Name: Date: Patient Identifier: Patient Medical Diagnosis: Abdominal Aortic Aneurysm Nursing Diagnosis (use PES/PE format): Assessment Data (Include at least three-five (subjective –is what the patient states and/or objective—is what is observed ) pieces of data that lead to the nursing diagnosis)Goals & Outcome (Two statements are required for each nursing diagnosis. Must be Patient and/or family focused; measurable; time-specific; and reasonable.) Nursing Interventions (List at least four nursing or collaborative interventions with rationale for each goal & outcome.)Rationale (Provide reason why intervention is indicated/therapeutic; provide references.)Outcome Evaluation & Replanning (Was goal met? If so how was it met1.Abdominal discomfort 2.Acute pain and local tenderness in the abdomen 3.Easyfatigability,nausea,vomiting and generalized body malaise Statement #1 History of bacterial infections e.g. syphilis. And familial history of congenital aortic aneurysms Within one hour, pain to be reduced by administering the antibiotics. After the medication, the patient was...