Nursing - David - Case Study - Assessment Answer

Nursing Assignment

Assignment Task

Introduction

The problem of David is angina. The evidence of such a medical condition is chest tightness. Additionally, the patient’s obese condition has a direct relationship to the angina condition. Moreover, the medic’s recommendations and cholesterol and triglyceride tests point to the angina condition.

Evidence of the problem

The best evidence of the David problem was established through thorough research on the chest tightness. The evidence established will provide reliable guidance on resolving David’s problem. The research carried out covered the causes of chest tightness and pain. Additionally, the research focused on similar scenarios to David’s initial behavioral changes. For instance, it was established from the case study that David had experienced such chest tightness in the past. The problem of chest pain and tightness is usually associated with the limitation of blood supply to the heart muscles (Allen et al., 2013).The muscles get exhausted because of the inadequate supply of oxygen, which will enhance the functioning of the heart. The evidence relating to David’s problem was based on the diagnostic testing done on David. When the general practitioner tested David he realized that the problem associated with angina medical condition. The fact that David experienced the effect when he was undertaking strenuous activity including walking in the garden, was adequate evidence that he was suffering from Angina. The use of empirical analysis confirms that David has the problem of angina. The medic advised David to stop using alcohol prior to the test. The test was aimed at establishing David’s lipid profile. According to Tonetti & Dyke (2013) obesity exacerbatesangina condition. The cholesterol level testing was vital because of David’s obese problem. According to Rydénet al., 2013), the high cholesterol level is directly related to David’s angina problem because the fat patches in the inner lining of the coronary arteries limit the adequate supply of blood to the heart muscles. Consequently, David’s heart muscles are deprived of adequate blood and oxygen even when he is involved in strenuous activity. The angina condition may lead to cardiac arrest because of the sensitivity of the heart (Jespersen et al., 2011). The fasting session was also vital because of the need to establish the s and actual fats and glucose levels. The age of the patient is also a factor, which makes him vulnerable to angina disease. For this reason, David’s age is also evidence to angina diseases. The general practitioner’s verdict should be relied upon because of the medical experience, professionalism, and expertise in medical partitioning.

Appraisal ofevidence

The testing of the low-density lipoprotein and high-density lipoprotein is an attestation corroborated the evidence on David’s angina condition. This notwithstanding, there is need for further tests on David. The general practitioner’s findings and recommendations underscore the steps required to respond to David’s situation. Obesity is a common cause of the blockage of the arteries supplying the heart. For this reason, chest tightness, and subsequent pain are directly related to angina. The ischemic heart condition, angina, is associated with oxygen demand and oxygen supply mismatch in the heart muscle. The atherosclerotic narrowing of the arteries leads to a decreased flow of oxygen to the heart. The evidence was also appraised on the basis of the pathophysiological processes leading to the condition. The obese condition of a patient enhances chronotropy (Shudeet al., 2012). Chronotropy exacerbates the problem because of the increased risk to David. The fact that David is not aware of the effect of his obese condition on his health is also a justification of the angina problem. The severity of pain is also an attestation of the condition. The obese also increases blood pressure. The increase of blood pressure leads to a high heart activity. Consequently, there is a strain on the heart muscle due to unsustainable pressure to perform. The age of David is also a risk to his health. The age factor is also a justification of the evidence collected on angina condition. The adults are usually less active compared to children. For this reason, there is a high likelihood of accumulation of fat patches on the linings of their arteries. This puts them at a high risk of contracting angina disease and subsequent heart attack. The fact, that David is an obese person indicates that he is at risk of cardiac disease like angina. The taking of alcohol is also a confirmation that David is trying to burn extra calories and shed-off extra fats. Therefore, the evidence is credible pertaining to attribution of his chest tightness to angina. The recommendation of the medic is also evidence of the medical condition because the avoidance of strenuous activity is the temporary solution to David’s case.

Recommendations

The reduction of strenuous activity will avoid the experience of pain associated with the limitation of blood to the heart muscle. Consequently, David’s condition will normalize to avoid subsequent complications. The warning provided by the medic that persistence of the condition will be a manifestation of a heart-attack is also a credible evidence of David’s current angina condition. The persistence of angina condition culminates in a heart-attack. The stressful situations also exacerbate the problem because stress increases the heartbeat rate hence a high requirement of blood flow into and out of the hart. Consequently, the heart muscles will be highly engaged in activity while they have allow supply of blood and oxygen. The reduction of fast foods is indispensable in the reduction of the angina risk. David should also participate in aerobic activities. There is need for participation in aerobic activities, which will reduce the excess calories and shed-off excess fats. The lack of activity among adults leads to accumulation of fats and calories.

Conclusion

The problem of angina is manifest in David’s case. There is adequate evidence on angina. First, David has obesity and his cholesterol levels are high. There is a close relationship between high cholesterol level in the body and angina. Angina condition is attributed to the occurrence of fat patches on the inner linings of coronary arteries, which leads to inadequate supply of blood and oxygen to the heart muscles. Such a condition causes pain for the patient.