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NURS FPX 6011 Assessment 1 Evidence-Based Patient-Centered Concept Map

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    NURS FPX 6011 Assessment 1 Evidence-Based Patient-Centered Concept Map

    Student Name

    Capella University

    NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health

    Prof. Name

    Date

    Evidence-Based Patient-Centered Concept Map

    Patient Scenario:

    Winnie is a 45-year-old Asian American Woman. Winnie was diagnosed with heart disease 4 years ago. She reported that she was diagnosed with coronary heart disease when she went to the hospital with complaints of pain in the shoulder, heavy breathing and pain in the back. She reported when she was diagnosed with heart disease, she was in shock and thought her life had ended. Winni got too serious regarding her health and started monitoring her diet and used to take all of her medication on time to avoid anything happening to her. Recently, Winni’s husband had a stomach issue due to which she had to go to the hospital with him and she started having anxiety associated with being ill and being admitted to the hospital again.

    After being discharged, Winnie got anxious regarding her husband’s health and got too preoccupied with taking care of him. She said she “used to manage all the work by herself without asking for anyone’s help”, and “had to take care of her husband’s health”. Due to being too preoccupied with her husband’s medication and care, she often forgets her medication and at times eats excessive junk food as she does not have the energy to cook diet food for herself. She also stated that “I feel so overwhelmed that I eat whatever is in front of me as I don’t have the energy to cook” and “I get too tired taking care of my husband therefore, I often oversight my health”

    NURS FPX 6011 Assessment 1 Evidence-Based Patient-Centered Concept Map

    As per her medical records, Winnie has missed her last two appointments has not administered her pending blood tests that were requested by the doctor, and is avoiding her hospital appointments as she feels too anxious. She also reported that she feels too tired and often feels breathless and has shared this with her husband and now he’s very concerned and has led her to visit her doctor but due to her daily routine she is unable to. Her medical records have indicated high levels of stress, high blood pressure, and muscle ache. She is being treated for her constant high blood pressure and has been given medication to manage her blood pressure.  The last time she visited the hospital, doctors advised her to reduce her stress or else it would be harmful to her. 

    References 

    Chauvet-Gelinier, J. C., & Bonin, B. (2017). Stress, anxiety, and depression in heart disease patients: A major challenge for cardiac rehabilitation. Annals of physical and rehabilitation medicine, 60(1), 6-12. https://doi.org/10.1016/j.rehab.2016.09.002

    Hersberger, L., Dietz, A., Bürgler, H., Bargetzi, A., Bargetzi, L., Kägi-Braun, N., … & Schuetz, P. (2021). Individualized nutritional support for hospitalized patients with chronic heart failure. Journal of the American College of Cardiology, 77(18), 2307-2319. https://doi.org/10.1016/j.jacc.2021.03.232

    Hotopf M. (2002). Psychological stress and cardiovascular disease. Rose’s questionnaire is not what it seems. BMJ (Clinical research ed.), 325(7359), 337.

    NURS FPX 6011 Assessment 1 Evidence-Based Patient-Centered Concept Map

    Jaarsma, T., Hill, L., Bayes‐Genis, A., La Rocca, H. P. B., Castiello, T., Čelutkienė, J., … & Strömberg, A. (2021). Self‐care of heart failure patients: practical management recommendations from the Heart Failure Association of the European Society of Cardiology. European journal of heart failure, 23(1), 157-174.  https://doi.org/10.1002/ejhf.2008

    Pah, A. M., Buleu, N. F., Tudor, A., Christodorescu, R., Velimirovici, D., Iurciuc, S., Rada, M., Stoichescu-Hogea, G., Badalica-Petrescu, M., Georgescu, D., Nutiu, D., Iurciuc, M., & Dragan, S. (2020). Evaluation of Psychological Stress Parameters in Coronary Patients by Three Different Questionnaires as Pre-Requisite for Comprehensive Rehabilitation. Brain sciences, 10(5), 316. https://doi.org/10.3390/brainsci10050316