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Subjective assessment- Subjective clinical data is generally presented by the patient in his own wordings and as per his own perception and understandings (Ha 2016, pp. 11-17). For carrying out an extensive cardiovascular assessment for a 55-year-old male, following questions can be asked from the patient under the below-mentioned sub-headings.
This is to make sure that the patient is not having current primary concerns. This aspect can cover following question to be asked from the patient:
Is anyone in your family having a history of heart disease or any underlying cardiovascular issue?
Objective assessment- This comprises of the clinical assessment carried out by a professional nurse to note for the adverse clinical signs and symptoms present in the patient (Hunt 2020, pp. 102-179). Objective assessment can be inclusive of the following points:
Blood pressure reading
SOAP assessment is an acronym for Subjective, Objective, Assessment and Plan (Sando 2017, pp. 576-584). This is one of the most effective methods which is used by the healthcare professionals to document the details of the patient through a detailed and structured manner. The data for the patient included as per various sub-headings include as follow:
The patient in the give case study is a 65-year-old female. She appears alert and oriented to the time and place. She is visiting the clinical setting as she is experiencing shortness of breath on exertion. The patient has been experiencing these symptoms over the last few days. This is accompanied with increased chest pain and cough with green coloured sputum. Patient mainly feels breathless while lying flat. Patient is also having anxiety and hopes to see her son very soon.
Patient is having a diagnosis of cardiorespiratory symptoms. The patient is having a diagnosis of Chronic Obstructive Pulmonary Disease and overall cardiac insufficiency.
The patient intervention planning has to be drafted in sync with both cardiac and pulmonary aspect. Following intervention planning can be carried out for the patient:
Auld, J.P., Mudd, J.O., Gelow, J.M., Lyons, K.S., Hiatt, S.O. and Lee, C.S., 2018. ‘Patterns of heart failure symptoms are associated with self-care behaviors over 6 months’. European Journal of Cardiovascular Nursing, vol. 17, no. 6, pp.543-551. DOI https://doi.org/10.1177%2F1474515118759074
Behr, C.A., Denning, N.L., Kallis, M.P., Maloney, C., Soffer, S.Z., Romano-Adesman, A. and Hong, A.R., 2019. ‘The incidence of Marfan syndrome and cardiac anomalies in patients presenting with pectus deformities’. Journal of Pediatric Surgery, vol. 54, no. 9, pp.1926-1928. DOI https://doi.org/10.1016/j.jpedsurg.2018.11.017
Connolly, S.B., Kotseva, K., Jennings, C., Atrey, A., Jones, J., Brown, A., Bassett, P. and Wood, D.A., 2017. ‘Outcomes of an integrated community-based nurse-led cardiovascular disease prevention programme’. Heart, vol. 103, no. 11, pp.840-847. DOI http://dx.doi.org/10.1136/heartjnl-2016-310477
De Souza, J., de Almeida, L.Y., Moll, M.F., Silva, L.D. and Ventura, C.A.A., 2016. ‘Structure of the social support network of patients with severe and persistent psychiatric disorders in follow-ups to primary health care’. Archives of Psychiatric Nursing, vol. 30, no. 1, pp.70-76. DOI https://doi.org/10.1016/j.apnu.2015.10.001
Dzikowicz, D.J., 2020. ‘The Unintended Consequences of Subjective Assessments and the Need for Objective Measurement in Emergency Departments’. Journal of Cardiovascular Nursing, vol. 35, no. 5, pp.9-10. DOI 10.1097/JCN.0000000000000724
Flower, R.W. and Kling, R., 2017. ‘A clinical method for quantification of tissue microvascular blood perfusion in absolute terms [blood-volume/(time· tissue-area)]’. Microvascular Research, vol. 114, pp.92-100. DOI https://doi.org/10.1016/j.mvr.2017.05.009
Gkaliagkousi, E., Anyfanti, P., Lazaridis, A., Triantafyllou, A., Vamvakis, A., Koletsos, N., Dolgyras, P. and Douma, S., 2018. ‘Clinical impact of dipping and nocturnal blood pressure patterns in newly diagnosed, never-treated patients with essential hypertension’. Journal of the American Society of Hypertension, vol. 12, no. 12, pp.850-857. DOI https://doi.org/10.1016/j.jash.2018.08.004
Grossman, D.C., Bibbins-Domingo, K., Curry, S.J., Barry, M.J., Davidson, K.W., Doubeni, C.A., Epling, J.W., Kemper, A.R., Krist, A.H., Kurth, A.E. and Landefeld, C.S., 2017. ‘Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults without cardiovascular risk factors: US Preventive Services Task Force recommendation statement’. JAMA, vol. 318, no. 2, pp.167-174. DOI 10.1001/jama.2017.7171
Ha, E.H., 2016. ‘Undergraduate nursing students' subjective attitudes to curriculum for Simulation-based objective structured clinical examination’. Nurse Education Today, vol. 36, pp.11-17. DOI https://doi.org/10.1016/j.nedt.2015.05.018
Hunt, L., Ramjan, L.M., Daly, M., Lewis, P., O’Reilly, R., Willis, S. and Salamonson, Y., 2020. ‘Development and psychometric testing of the 10-item satisfaction with Nursing Skill Examination: Objective Structured Clinical Assessment scale’. Nurse Education in Practice, p.102-179. DOI https://doi.org/10.1016/j.nepr.2020.102779
Kiefer, T.L. and Bashore, T.M., 2019. ‘Infective endocarditis: a comprehensive overview’. Reviews in Cardiovascular Medicine, vol. 13, no. 2, pp.105-120. DOI 10.3909/ricm0633
Miguel Padilha, J., Sousa, A.P. and Pereira, F.M., 2016. ‘Participatory action research: A strategy for improving self-care management in chronic obstructive pulmonary disease patients’. Action Research, vol. 14, no. 3, pp.240-256. DOI https://doi.org/10.1177%2F1476750315606196
Moon, M.K., Yim, J. and Jeon, M.Y., 2018. ‘The effect of a telephone-based self-management program led by nurses on self-care behavior, biological index for cardiac function, and depression in ambulatory heart failure patients’. Asian Nursing Research, vol. 12, no. 4, pp.251-257. DOI https://doi.org/10.1016/j.anr.2018.10.001
Rungvivatjarus, T., Kuelbs, C.L., Miller, L., Perham, J., Sanderson, K., Billman, G., Rhee, K.E. and Fisher, E.S., 2020. ‘Medication reconciliation improvement utilizing process redesign and clinical decision support’. The Joint Commission Journal on Quality and Patient Safety, vol. 46, no. 1, pp.27-36. DOI https://doi.org/10.1016/j.jcjq.2019.09.001
Sando, K.R., Skoy, E., Bradley, C., Frenzel, J., Kirwin, J. and Urteaga, E., 2017. ‘Assessment of SOAP note evaluation tools in colleges and schools of pharmacy’. Currents in Pharmacy Teaching and Learning, vol. 9, no. 4, pp.576-584. DOI https://doi.org/10.1016/j.cptl.2017.03.010
Tran, D.M.T., Zimmerman, L.M., Kupzyk, K.A., Shurmur, S.W., Pullen, C.H. and Yates, B.C., 2017. ‘Cardiovascular risk factors among college students: Knowledge, perception, and risk assessment’. Journal of American College Health, vol. 65, no. 3, pp.158-167. DOI https://doi.org/10.1080/07448481.2016.1266638
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