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Acute coronary syndrome_CS

Acute coronary syndrome_CS

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Published by MASII
Case study on Acute Coronary Syndrome
Case study on Acute Coronary Syndrome

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Published by: MASII on Aug 09, 2009
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05/11/2014

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Introduction
A heart beat signifies life, from the day it starts to beat in the womb, till it stops,and where death conquers us. The heart beats not only to one tune but it also respondsto the tune of emotions and physical stress. As some of us may have also experiencemoments of joy or sorrow and the heart may feel pain or pleasure.In medicine, an acute disease is a disease with a rapid onset or a short course.The term “Acute” may often be confused by the general public to mean “severe”,however, this has a different meaning. Coronary, may refer to as “the heart” or “relatingto the heart”. While syndrome is defined as a set of signs and symptoms that tend tooccur together and which reflect the presence of a particular disease or an increasedchance of developing a particular disease.Acute Coronary Syndrome is defined as a spectrum of conditions involving chestdiscomfort or other symptoms caused by lack of oxygen to the heart muscle (themyocardium). The unification of these manifestations of coronary artery disease under asingle term reflects the understanding that these are caused by a similapathophysiology (sequence of pathologic events) characterized by erosion, fissuring, or rupture of a pre-existing plaque, leading to thrombosis (clotting) within the coronaryarteries and impaired blood supply to the heart muscle.According to the morbidity rate, taken from the records of the Department of Health for region X, the occurrence of cardiovascular diseases per 100,000 populationsis 3,356. This data is taken from the 2001-2005, a 5 years average record. While theoccurrence rate for cardiovascular disease for region X by 2006 is recorded to be 4,373per 100,000 populations.1
 
OBJECTIVES OF THE STUDY
The study aims to explore the concepts about the condition and the quality of nursing care being rendered to our client Mrs. F that was diagnosed with AcuteCoronary Syndrome.In order to learn more about the health condition of the patient, the study wantsto fathom about the predisposing and precipitating factors, anatomy and physiology andthe pathophysiology of the condition experienced by the client. Basically the main goalof this study in relation to knowledge is to identify the nursing interventions after thecondition of patient Mrs. F.The study aims to critically analyze the qualitative and quantitative data gatheredin order to establish connection between the different manifestations experienced by thepatient with that of the disease process. To be able to improve skills, the students alsoendeavors to come up with nursing care plans that will alleviate Mrs. F.’s condition. Thepresentors also intend to compare and contrast the ideal management for AcuteCoronary Syndrome with that of the actual management. In addition, the study seeks todisseminate essential information to everybody for awareness.Furthermore, by this study, the provider will be able to exercise that attitude of determination and in order to come up with a successful study.2
 
SCOPE AND LIMITATIONS OF THE STUDY
This case study tackles about Acute Coronary Sydrome specifically on the caseof patient Mrs. F. It includes essential concepts in relation to the said condition such asthe patient’s profile and health history, nursing assessment and clinical manifestations,drug study and diagnostic exams done. The anatomy and physiology is also included aswell as the pathophysiology of Acute Coronary Syndrome with its associated factors.The Medical and Nursing Management along with the discharge plans with its referralsare also being covered. The prognosis is also given.The scope of the plan encompasses during the Recovery Phase which was onFebruary 12, 13, 14, 15, 16, 18 and 19 of year 2008 wherein the assigned students whohave assessed the client with cumulative interaction and good rapport to the patient andsignificant others. Nursing Management covers the above mentioned dates whichencompasses the client’s Recovery Phase. Data gathering about the Laboratory resultscovers from February 05 to February 16, 2008.The areas of concerns are limited to the discussions of Acute CoronarySyndrome and the quality of Nursing Care to the patient. The quantity and quality of theinformation are limited to the data gathered from the client, significant others and hismedical records.Immediate family background is limited because the patient has difficulty inrecalling necessary information that would aid in the data gathering. Data gathering waslimited in the confines of Maria Reyna Hospital, Cagayan de Oro City and Aluba,Cagayan de Oro. Generally, the content of the report is limited to the elaboration of thediagnosis given to the patient and the corresponding Nursing Management.3

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