Key Description Important Health information in patients with

Components chronic stable angina

Biographic Includes Patient’s name, address and Physical limitations and/or symptoms in
data phone number, age and birthdate, patients with chronic angina may have
birthplace, gender, marital status, promoted a change in occupation and/or
religious preference, ethnocultural work status. This change may affect health
background, health care financing, usual care coverage.
and current occupation.
Chief The reason for seeking care as expressed If the nurse asks a patient “What brought you
Complaint or in the client’s own words. to the hospital?”/the patient may reply “I am
reason for experiencing chest pain and shortness of
seeking care breath”.

When multiple complaints or problems are
verbalized, list them all and ask patients the
priority of the problems.

Symptoms of angina can include the
following:
• Substernal chest pain or pressure , possible
radiation to jaw, neck, shoulders, back or
arms (see figure 1.1)
• Indigestion, heartburn, nausea, belching,
vomiting
• Palpitations, dyspnea, dizziness, weakness
• Fatigue, anxiety, feeling of impending
doom
History of This section is usually a chronological This section covers the “PQRST” assessment of
current illness record of the reason for seeking care, angina, as discussed in Nursing Assessment
from the onset of symptoms until now. #2. A patient experiencing stable angina
may state that he/she is experiencing chest
pain and shortness of breath while performing
activities. However, this pain is abated with
rest or nitroglycerin. Angina may also present
itself by atypical symptoms (discussed later).

Past history Past health events may have residual In patients with chronic stable angina or
effects on the current health state. acute coronary syndrome, particular
In additional, the patient’s previous attention should be given to previous history
experience with illness may provide of coronary artery disease, angina,
information of their coping abilities to the myocardial infarction, aortic stenosis, heart
current illness and to the significance of failure, cardiomyopathy, hypertension,
illness to them. Information gathered in diabetes, anemia, lung disease and
this section includes childhood illnesses, hyperlipidemia. Patients with diabetes have
obstetrical history, immunizations, allergies an increased prevalence of silent ischemia
to drugs, animals, or other environmental because they may not experience any
agents, accidents and injuries, subjective symptoms (i.e., chest pain); the
hospitalizations for serious illnesses, and cause of this may be related to the diabetic
medications currently used. neuropathy affecting the nerves that
innervate the cardiovascular system .
Family History This section is to ascertain risk factors for Family history is a critical risk factor of
diseases. Particular attention should be cardiovascular disease.
given to disorders such as diseases of the
heart, high blood pressure, stroke, • With current health history, ask the patient
diabetes, blood disorders, cancer, sickle about family history of heart disease,
cell anemia, arthritis, allergies, obesity, sedentary lifestyle and tobacco use.
alcoholism, and any mental disorders.
Review of The purpose of this section is are 1) to Modifiable cardiovascular disease risk factors
systems assess the past and present health state include hypertension, hypercholesterolemia,
of each body system, 2) to evaluate if physical inactivity, overweight/obesity and
any significant findings were omitted in tobacco use. Changes in diet, increased
the ‘history of current illness’ section, and physical activity, tobacco use cessation and
3) to evaluate health promotion pharmacotherapy (when needed) can
practices. reduce cardiovascular disease risk in the
majority of the population.
Functional In a functional assessment, the patient’s The symptoms of chest pain, fatigue and
assessment/ activities of daily living (ADLs) and dyspnea affect the quality of life in patients
assessment instrumental activities of daily living with chronic stable angina; symptom
of activities (IADLs) are evaluated. ADLs measure a assessment and management are critical to
of daily living patient’s self-care ability in the areas of improve patients’ quality of life and
(ADLs) general physical health (i.e., bathing, independent living. With improper symptom
dressing, toileting, eating, and walking). management, patients with chronic stable
IADLs measure activities required for angina are at an increased risk for depression.
independent living (i.e., shopping, Therefore, it is also necessary to screen for
cooking, housekeeping, managing and/or treat for depression.
finances, nutrition, social relationships,
and resources).