Patient’s Illness Patterns
The patient’s conduct, which contributes to the emergence of complications and leads to an unhealthy lifestyle as a whole, is primarily related to her inappropriate eating patterns and mostly sedentary lifestyle. The former is connected to the existing preferences of local Thai and Chinese foods in corresponding restaurants, which are known for the high contents of spices. This factor might have been crucial in the emergence of liver problems, as can be seen from the woman’s high levels of triglyceride, cholesterol, alkaline phosphatase, and aspartate aminotransferase. These indicators are normally caused by poor eating habits, which allows a conclusion on their prevalent role in these results (Perdomo et al., 2019). In turn, the reported lack of exercise is explained by knee pain.
Health Promotion Patterns
In turn, the patient’s healthy behavioral patterns are connected to her willingness to cooperate with the medical specialists to combat her problems. Thus, the example, the facts of being on well-controlled diuretic therapy in the past alongside the effective treatment of the peptic ulcer disease with cimetidine attest to her willingness to accept the proposed measures. The subsequent refusal of tobacco consumption and the set limitations regarding alcohol also added to the woman’s chances for recovery. What is more important, the patient regularly visits medical specialists, more specifically, her Primary Care Physician and Cardiologist. In this way, the positive patterns are connected to the attention to emerging issues and the perceived responsibility for the outcomes.
Three Types of NANDA Nursing Diagnosis
The three types of NANDA nursing diagnoses corresponding to the case are acute pain, imbalanced nutrition, and moderate anxiety. The first condition implies the knowledge of the patient about the problem and the need for assistance for its elimination (Vera, 2021). The second issue is reflected by unhealthy eating patterns, which can adversely affect both heart and liver concerns revealed during examinations and a number of different tests (Vera, 2021). In turn, the third factor is of a psychosocial nature, and it indicates feelings of confusion due to the lack of understanding (Vera, 2021). Their combination leads to the necessity to develop suitable plans to address them.
Problems and Nursing Interventions
The principal problem, which should be considered in this case, is the similarity of the current situation with the patient’s symptoms in 2005. At the time, she was admitted to the hospital with intermittent mid-sternal chest pain, but no possible complications in the form of myocardial infarction or other conditions were detected. Nevertheless, the state has changed, and this fact requires additional health checks and analyses, especially considering her unfavorable family history of heart attacks and the probable effects of hepatitis B infection on such events. This outcome is confirmed by high levels of troponin and creatine phosphokinase and abnormality in premature ventricular contractions indicating the presence of this issue (“Troponin test,” 2017). Alongside this event, liver disease and infection were detected, and their consideration should be added to further examination. Hence, the rationales for the proposed interventions, which are additional tests and the change in treatment, are the explicit signs of the mentioned conditions and the need to realign the patient’s medications accordingly.
Expected Outcomes
In the end, it is expected that the solutions used for the woman in the past will be corrected with attention to her present state. Therefore, they will be complemented by the general treatment of liver disease and the change in the methods of eliminating the risks in the case of heart failure. From this point of view, the outcomes should incorporate all the essential issues, both past and present, to readjust medical specialists’ efforts.
References
Perdomo, C. M., Frühbeck, G., & Escalada, J. (2019). Impact of nutritional changes on nonalcoholic fatty liver disease.Nutrients, 11(3), 677. Web.
Troponin test. (2017). UCSF Health. Web.
Vera, M. (2021). Nursing diagnosis guide and list: All you need to know to master diagnosing. Nurses Labs. Web.