Question

Mr. Patterson is a 68-year-old experiencing bilateral leg pain that began about 2 years ago but has been significantly worse over the past 2 months. The pain is precipitated by exercise and relieved with rest. Mr. Patterson shares that he can barely walk across his yard. He is diagnosed with peripheral artery disease (PAD). vital signs: T:98.4; p:82 BPM: B/P163/91 mm/hg, RR:18; o2 sat: 98% on RA

1. Describe the objective findings the nurse would anticipate when assessing MR. Patterson's lower extremities. What subjective data should also be collected?
2. Understanding the relationship between PAD and cardiovascular disease. Describe 3 educational points that should be provided to MR. Patterson and the rationale for each
3. Based on the following nursing diagnosis: ineffective peripheral tissue perfusion related to impaired arterial circulation, identify 2 nursing interventions that should be provided for Mr. Patterson, and provide the rationale for each.
4. Understanding the pathophysiology of chronic venous insufficiency (CVI). Describe how the manifestations and interventions differ from PAD? Explain why patients with PAD should place their legs in the dependent position while patients with CVI should elevated their legs

Answer 1

A, by observation pain in the buttock area,pain occur in the leg and improved with rest,loss of hair on the legs,thinning of skin.

b,People with peripheral arterial disease have a higher rik of coronory artery disese,heart attack or stroke,if untreated so take proper treatmet, do the follwoups.

c,assess the conditons of the patient,

Analgesics should be administer for pain management

light exercises to improve the circulation and reduce the symptoms

Claudication medications

d, in chronic venus insufficiency are,

swelling on the ankles or legs

itchy painfull legs,tight feeling in the calves

pain when walking

leg ulcers

Vericose vein

where as in peripheral arterial disease

Pain in buttoks,cool skin,loss of hair on legs,ulcers,thinning of skin