Evaluation and Management of Cardiovascular Disorders
Please apply if you can access the readings. there should be 3 or more citations with reference Cardiovascular Conditions CASE STUDY: CHEST PAIN Patient is a 62-year-old male visited the clinic stating, “I’ve been having pain in my chest off and on”. “I think it might be indigestion but still want it checked out”. It started 2 weeks ago about 10 to 15 minutes when raking leaves and tries to ignore it but will not go away. He rates his pain at 5 or 6. Got better when stopped and rested for about 10 minutes. The pain feels “heavy like there is a weight on it”. Denies pain radiating to shoulder or arm but it sometimes feels like a squeeze to the throat. The pain is worst with activity. It occurs every 3-4 times a week. His has past medical history of hypertension and hyperlipidemia. He is worried because he recently lost his job. THE ASSIGNMENT TO BE COMPLETED Write up the a good HPI for this case study. Provide evidence from the literature to support diagnostic tests that would be appropriate for differential diagnosis. List five different possible conditions for the patient’s differential diagnosis. Your primary diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence-based guidelines. Justify why you selected each. Create management plan for your primary diagnosis which includes pharmacological and nonpharmacological, patient education. Support your work with least three different references within the last five years (one or two reference from current evidence-based literature from your search and one or two different references from this week’s Learning Resources). SEE LEARNING RESOURCES BELOW THE ASSIGNMENT GRADING RUBRIC: Create documentation or an episodic/focused note in SOAP format about the patient. Provide evidence from the literature to support diagnostic tests that would be appropriate for your case. Tests that are ordered are appropriate for patient and cost effective. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each. Primary diagnosis identified. Clearly written differential diagnoses. Clearly written plan covering all critical components for patient’s final/primary diagnosis. Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list. Learning Resources Buttaro, T. M., Trybulski, J., Polgar-Bailey, P., & Sandberg-Cook, J. (2021). Primary care: Interprofessional collaborative practice (6th ed.). Elsevier. Part 4, “Office Emergencies” (pp. 180–229) o Chapter 25, “Bradycardia and Tachycardia” o Chapter 30, “Hypotension” Part 11, “Evaluation and Management of Cardiovascular Disorders” (pp. 526–646) o Chapter 103, “Heart Failure” o Chapter 104, “Hypertension Part 21, “Evaluation and Management of Hematologic Disorders” (pp. 1336–1387) Carey, R. M., Muntner, P., Bosworth, H. B., & Whelton, P. K. (2018). Prevention and control of hypertension: JACC Health Promotion Series. Journal of the American College of Cardiology, 72(11), 1278–1293. https://doi.org/10.1016/j.jacc.2018.07.008 Jeemon, P., Gupta, R., Onen, C., Adler, A., Gaziano, T. A., Prabhakaran, D., & Poulter, N. (2017). Management of hypertension and dyslipidemia for primary prevention of cardiovascular disease. In D. T. Jamison, R. Nugent, H. Gelband, S. Horton, P. Jha, R. Laxminarayan, & C. N. Mock (Eds.), Cardiovascular, respiratory, and related disorders (3rd ed.). The International Bank for Reconstruction and Development/The World Bank. https://www.ncbi.nlm.nih.gov/books/NBK525163/ Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Jr., Colvin, M. M., Drazner, M. H., Filippatos, G. S., Fonarow, G. C., Givertz, M. M., Hollenberg, S. M., Lindenfeld, J., Masoudi, F. A., McBride, P. E., Peterson, P. N., Stevenson, L. W., & Westlake, C. (2017). 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA guideline for the management of heart failure: A report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines and the Heart Failure Society of America. Circulation, 136(6), e137–e161. https://doi.org/10.1161/CIR.0000000000000509 National Heart, Lung, and Blood Institute. (n.d.). High blood pressure: Also known as hypertension. https://www.nhlbi.nih.gov/health-topics/high-blood-pressure Nurse.org. (2020). How to read an electrocardiogram (EKG/ECG). https://nurse.org/articles/how-to-read-an-ECG-or-EKG-electrocardiogram/ Healio: Learn the Heart. (n.d.). ECG basics. https://www.healio.com/cardiology/learn-the-heart/ecg-review/ecg-interpretation-tutorial/introduction-to-the-ecg
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