Donna Hovey’s holistic assessment by the Doctor indicates: Physical: • Weight 95 kg • Height 158 cm • BP 105/65 mmHg • H

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Donna Hovey’s holistic assessment by the Doctor indicates:
Physical:
• Weight 95 kg
• Height 158 cm
• BP 105/65 mmHg
• HR 116 bpm
• Temp 37.2⁰C
• SaO2: 92% (Room Air)
• 12 lead ECG: No new changes (previous ECG showed ST depression in
leads V3-V6, III and aVF)
Past medical history:
• Ischaemic Heart Disease (IHD)
• Hypertension
• Peripheral Vascular Disease (PVD)
Past surgical history:
• Coronary Artery Bypass Graft (CABG) six (6) years ago
• Percutaneous Transluminal Coronary Angioplasty (PTCA) two (2)
years ago
Social:
Mrs Hovey says she no longer smokes. She used to smoke 2 packs per
day, starting at the age of 19 and ceasing at 49 years old when she
was first diagnosed with Coronary Artery Disease (CAD). Mrs Hovey
lives alone in a rented flat and has recently retired on a
superannuation pension as her only source of income. Her only son
lives in Melbourne and due to the pandemic and border closures, has
not seen him for nearly a year which is making her depressed. Mrs
Hovey is also worried about going home as her chest pain has
occurred several times recently when she was doing the housework.
Mrs Hovey states that she hates asking anyone to help.
Question 3:
From Mrs Hovey’s signs and symptoms, there were abnormal findings
including diaphoresis, shortness of breath, cool peripheries, heart
rate, blood pressure and oxygen saturations.
Choose two (2) of these abnormal findings. Analyse these changes in
Mrs Hovey’s clinical presentation and link them to the
pathophysiological processes which are occurring. Justify your
answer and ensure ALL your statements are supported with relevant
recent scholarly literature

Question 4:
There is extensive literature on oxygen administration for patients
with chest pain.
No supplemental oxygen was administered to Mrs Hovey at this stage.
Discuss the latest evidence on supplemental oxygen to patients with
chest pain. Ensure ALL your statements are supported with relevant
recent scholarly literature

Question 5:
Discuss and justify two (2) priority nursing interventions that
should be included in the care of Mrs Hovey taking into
consideration the changes in her condition. Ensure ALL your
statements are supported with relevant recent scholarly
literature

Question 6:
For BOTH priority nursing interventions that have been identified
in Question 5, state the goals in the SMART format. Address ALL
elements of SMART.
NB: No references required for this response

Question 7:
Based on the nursing interventions (Question 5) and the goals
(Question 6) identified in the above questions, discuss two (2)
evaluation criteria that could be used to assess the outcomes.
Ensure ALL your statements are supported with relevant recent
scholarly literature


Question 8:
Discuss two (2) psychosocial issues relating to Mrs Hovey’s current
stage of disease and her life situation. Ensure ALL your statements
are supported with relevant recent scholarly literature