hypertensive heart disease/1000
Diseases Process
SN instructed about arteriosclerotic heart
disease (ASHD), also called coronary artery disease (CAD) or coronary heart
disease (CHD), refers to arteriosclerosis of heart
or coronary arteries. Arteriosclerotic heart
disease can also be caused by calcium deposits (calcification) on the walls of arteries that harden them, or thickening of the artery walls due to chronic high blood pressure.
SN instructed patient on Paget disease. Paget disease is a chronic bone disorder. Most people who have Paget disease of bone have no symptoms. When symptoms occur, the most common complaint is bone pain. Paget disease can cause pain in the bones or joints, headaches and hearing loss, pressure on nerves, increased head size, bowing of limb, or curvature of spine. Because this disease causes your body to generate new bone faster than normal, the rapid remodeling produces bone that's softer and weaker than normal bone, which can lead to bone pain, deformities and fractures. To reduce your risk of complications associated with Paget disease of bone, try these tips, prevent falls by using assistive devices like a walker or cane, fall - proof your home. Remove slippery floor coverings, use nonskid mats in your bathtub or shower, eat well. Be sure your diet includes adequate levels of calcium and vitamin D, which helps bones absorb calcium and exercise regularly. Regular exercise is essential for maintaining joint mobility and bone strength.
SN instructed patient about the heart
is a muscle that pumps oxygen-rich blood to all parts of the body. When you have heart
failure, the heart
is not able to pump as well as it should. Blood and fluid may back up into the lungs (congestive heart
failure), and some parts of the body don’t get enough oxygen-rich blood to work normally. These problems lead to the symptoms of heart
failure. Follow a heart
healthy diet. And make sure to limit the salt (sodium) in your diet. Salt causes your body to hold water. This makes your heart
work harder as there is more fluid for the heart
to pump.
SN educated patient/caregiver about CKD. Chronic kidney disease (CKD) means your kidneys are damaged and can’t filter blood the way they should. The main risk factors for developing kidney disease are diabetes, high blood pressure, heart
disease, and a family history of kidney failure. You can take steps to protect your kidneys. The most important step you can take to treat kidney disease is to control your blood pressure. Healthy habits can also help you manage your kidney disease.
SN to instruct patient/caregiver regarding self-management of atrial fibrillation, is an irregular and often rapid heart
rate that can increase your risk of strokes, heart
failure and other heart
-related complications, to prevent atrial fibrillation, it's important to live a heart
-healthy lifestyle to reduce your risk of heart
disease. A healthy lifestyle may include:eating a heart
-healthy diet, increasing your physical activity, avoiding smoking, maintaining a healthy weight, limiting or avoiding caffeine and alcohol, reducing stress, as intense stress and anger can cause heart
rhythm problems, using over-the-counter medications with caution, as some cold and cough medications contain stimulants that may trigger a rapid heart
beat. Patient verbalized.
Patient was instructed on diabetes symptoms. People with diabetes also are at increased risk of cardiovascular disease caused by atherosclerosis (thickening and hardening of the artery). Atherosclerosis can involve the heart
(coronary heart
disease), with symptoms of chest pain or heart
attack. Brain (cerebrovascular disease), causing stroke. Arteries supplying the legs (peripheral vascular disease), causing leg pain while walking or exercising that stops quickly with rest.
SN instructed that gastroesophageal reflux disease ( GERD ) is a normal phenomenon, typically occurs transiently after eating. Gastroesophageal reflux disease ( GERD ) is a condition where the degree of exposure of esophageal mucosa to gastric contents is greater than normal. Most common symptom is heart
burn, but patients may have other symptoms. Treatment of gastroesophageal reflux disease (GERD ) not only causes improvement in symptoms like heart
burn, but early recognition & treatment of clinically significant gastroesophageal reflux disease ( GERD ) may prevent the development of further complications. Bleeding obstructions, even malignancy may complicate matters in the long run. Most peptic strictures can be effectively dilated by gastroenterologists without resorting to surgery. Perforation is a known complication of surgical procedures. Patient / caregiver verbalized understanding to the instruction regarding gastroesophageal reflux disease ( GERD ), stated the etiology, 2 s / sx of exacerbation and 2 preventive measures.
Patient instructed in Coronary Artery Disease (CAD) is when the heart
vessels become narrow, which decreases the blood flow to the heart
muscle. The narrowing of the heart
vessels can be caused by plaque build-up from high cholesterol, fat, and calcium. The decrease in blood flow decreases the oxygenation of the heart
muscle and leads to heart
damage.
The patient was instructed in coronary artery disease the importance of no smoking or using tobacco products, the effect nicotine has on the cardiac system causing the heart
to work faster, constricting blood vessels, and decreasing the amount of oxygen delivered to the heart
, and in the presence of coronary artery disease, increasing the probability of chest pain. The patient was advised that the role that stress plays in aggravating coronary artery disease. The patient was recommended the benefits of exercise, increase in high-density lipoproteins, which lowers blood pressure, weight loss, improved cardiovascular status.
SN did head to toe assessment and vital signs monitoring done. Received patient sitting on the chair with elevated blood pressure. SN instructed patient on the disease process, and management of CHF. Heart
failure occurs when the heart
muscle doesn't pump blood as well as it should. When this happens, blood often backs up and fluid can build up in the lungs, causing shortness of breath. Certain heart
conditions gradually leave the heart
too weak or stiff to fill and pump blood properly. SN instructed patient to have a healthy lifestyle. Try to lose weight, exercise, use less salt and manage stress. SN will continue to assess and instruct the patient.