Advanced Health Assessment And Clinical Diagnosis in Primary Care Essay

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Most patients seeking medical care with complaints of chest pain elude clinicians that their problem is cardiac related. However, many other health conditions may cause chest discomfort; therefore, a detailed assessment is imperative. (Dunphy et al., 2019). Advanced Health Assessment And Clinical Diagnosis in Primary Care Essay

Referring to the 32-year-old female patient expressing complaints of chest pain, an intensive history, and physical assessment are essential. Pertinent information in the evaluation should include pain characteristics, localization, time of pain onset, time span, activity when the pain started, any secondary symptoms, and whether this patient had experienced similar chest pain before this event (Dains et al., 2020). Other essential information needed is if the patient’s pain is acute or chronic, if there are any recent injuries to the chest, if the pain is worse with activity, and if she has shortness of breath or palpitations (Dains et al., 2020). A focused chest pain evaluation will provide early objective findings, including the patient’s overall appearance, vital signs, lung auscultation, and heart sounds. ECG, chest x-ray, cardiac enzymes, CBC, ESR, and fingerstick glucose are some diagnostic tests to start this patient’s evaluation in determining the cause of her pain and determine if further testing is needed (Dains et al., 2020). Advanced Health Assessment And Clinical Diagnosis in Primary Care Essay

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Evidence suggests both men and women experience chest pain. However, their presentation often differs (Vargas & Levy, 2021). For example, women described their chest pain as crushing, tightness, squeezing, and pressure. Also, women are said to have secondary symptoms with their chest pain as upper back pain, flu symptoms, dizziness, indigestion, and palpitations (Vargas & Levy, 2021).

The patient’s medical history of diabetes places her at an increased risk for heart disease and stroke. Reports indicate that increased glucose damages blood vessels and nerves in the heart, resulting in individuals developing heart disease at younger ages. Management of diabetes is critical to prevent heart disease complications (National Institute of Diabetes and Digestive and Kidney Diseases, 2021). Advanced Health Assessment And Clinical Diagnosis in Primary Care Essay

The American Lung Association describes a program offered to smokers for smoking cessation. Freedom From Smoking is for smokers interested in ways they can stop smoking. The unique design of this program provides individuals with the proper interventions to quit Smoking compared to educating them on why to quit smoking (American Lung Association). Pharmacological and psychological techniques are individually designed to meet the needs of each participant. This rationale allows people to control their behavior and break the habit of tobacco smoking (American Lung Association). Advanced Health Assessment And Clinical Diagnosis in Primary Care Essay

References

Association, A. L. (n.d.). About freedom from smoking. American lung association. https://www.lung.org/quit-smoking/join-freedom-from-smoSmokingout-freedom-from-smoking

Dains, J., Baumann, L. C., & Scheibel, P. (2020). Advanced health assessment and Clinical diagnosis in primary care (6th ed.).

Diabetes, heart disease, & stroke. (2021, April). National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/heart-disease-stroke

Lynne M Dunphy, Jill E Winland-Brown, Brian O Porter, Debera J Thomas & . (2019). Primary care the art and science of advanced practice nursing (5th ed.). F. A. Davis Company.

Vargas, K., Messman, A., & Levy, P. (2021). Nuances in the evaluation of chest pain in women. JACC. https://www.jacc.org Advanced Health Assessment And Clinical Diagnosis in Primary Care Essay