Question

Hi, I'm starting a course really late. I'm not sure if this is where I go for help. Anyway, if you can assist me with the following discussion question, that would be great.

The nurse is working with a new client at the community clinic. The client is a 59-year-old African American female. The client’s mother was diagnosed with coronary artery disease at the age of 60. The client has a sedentary job but walks for 30 minutes every day on the weekend. Her waist circumference is 38 inches (96.52cm). Her blood pressure on this visit is 140/90 mm Hg. She stopped smoking six months ago.

Laboratory results are:

Triglycerides 250 mg/dL

HDL 45 mg/dL

LDL 150 mg/dL

Total cholesterol 300 mg/dL

The nurse establishes a NANDA -I nursing diagnosis of Deficient Knowledge related to coronary artery disease.

Initial Discussion Post:

Develop a teaching plan that addresses one of the client’s risk factors for coronary artery disease.

The teaching plan should consider cultural influences and must include:

a measurable patient centered outcome.

two (2) nursing interventions to help the client achieve the outcome.

an explanation of how each intervention will help the client achieve the outcome.

Answer 1

Risk factor for Coronary Artery Disease (CAD) - High Cholestrol levels, sedantary life, obesity, family history of CAD, hypertension etc.,

Teaching Plan:

Outcome: The clients makes lifestlye modification to reduce CAD risk as evidenced by reduction in blood cholestrol levels

Interventions:

• Assess the clients' dietary habits, rituals and practices (Rationale: To plan and educate about diet)
• Educate about low fat and low salt diet (To promote healthy diet)
• Encourage intake of garlic (Reduces blood cholestrol)
• Encourage to do regular exercise 30 minutes x 5 days (To burn excess calories and reduce weight)
• Educate about stress management (To reduce the impact of stress on body)