(Group 4 - B)

Dimaandal, Zyrex
Mata, EJ
Material, Vincent
Palaganas, Janine
Sandoval, Hanna
Tirazona, Princes
I. Introduction IV.Planning

V. Intervention/
II. Assessment Implementation

III. Diagnosis VI. Evaluation

 I. Introduction

What is Angina Pectoris?

• Angina is also called angina pectoris.
• Angina pectoris is the medical term for chest pain or
discomfort due to coronary heart disease. It occurs
when the heart muscle doesn't get as much blood as it
needs. This usually happens because one or more of
the heart's arteries is narrowed or blocked, also called
ischemia.
 I. Introduction

• Angina pain is often described as squeezing, pressure,

heaviness, tightness or pain in the chest. It may feel
like a heavy weight lying on the chest. Angina may be a
new pain that needs to be checked by a health care
provider, or recurring pain that goes away with
treatment.
• According to research, approximately 9.8 million
Americans are estimated to experience angina
annually, with 500,000 new cases of angina occurring
every year.
 II. Assessment

Subjective Data
• The client stated, “Madalas po sumakit ang dibdib ko at
nanghihina rin po ako lalo na kapag heavy activities ginagawa
ko kaya ako'y tinatamad na maggaga-galaw."
• Chest Pain Scale of 7/10

Objective Data
• Electrographic changes reflecting arrythmias/or ischemia
• Abnormal HR/BP in response to an activity
 II. Assessment

Vital Signs:
- T: 37.5°C
- PR: 63 bpm (irregular rate seen)
- BP: 120/70 during rest & 140/90 during Level II
of Functional Level Classification
- RR: 20 bpm
 III. Diagnosis

Activity Intolerance related to imbalance cardiac

output and cardiac workload as manifested by
generalized weakness and dysrhythmias
 IV. Planning

Short Term Goal:

After 24 hours of nursing interventions, the client
will be able to identify negative factors affecting
activity intolerance and use identified techniques to
contradict them.

Long Term Goal:

After 3 weeks of nursing interventions, the client will
demonstrate a decrease in physiological signs of
intolerance.
 V. Intervention/Implemenation

INDEPENDENT:
1. Note presence of factors contributing to fatigue.
2. Evaluate client's actual and perceived limitations/degree
of deficit in light of usual status.
3. Assess cardiopulmonary response to physical activity,
including vital signs before, during, and after activity.
4. Ascertain ability to stand and move about and degtee of
assistance necessary/use of equipments.
5. Monitor vital signs; watch for changes.
6. Plan care to carefully balance rest periods with activities.
7. Provide positive atmosphere.
 V. Intervention/Implemenation

INDEPENDENT (RATIONALE):
1. Fatigue affects both the client's actual and perceived ability to
participate in activities.
2. Provides comparative baseline and provides information about
needed education/interventions regarding quality of life.
3. Symptoms may be result of/or contribute to intolerance of activity.
4. Determine current status and needs associated with participation
in needed activities.
5. To assist clients in dealing with contributing factors and manage
activities within individual limits.
6. To reduce fatigue.
7. To enhance ability to participate in activities and help minimize
frustration and rechannel energy.
 V. Intervention/Implemenation

DEPENDENT:
1. Provide supplemental oxygen as ordered by the attending
physician.
2. Administer medications and note changes in treatment
regimen

INTERDEPENDENT:
1. Provide referral to other disciplines.
2. Adjust activities, increasing activity levels gradually,
depending on the client's reaction to each of them and as
perceived by physical therapists.
 V. Intervention/Implemenation

DEPENDENT (RATIONALE):
1. To assist in performing activities and normal physiological
needs.
2. To attain changes in the body's response and assist in
providing therapeutic regimen.

INTERDEPENDENT (RATIONALE):
1. To develop individually appropriate therapeutic
regimens.
2. To conserve energy, reduce fatigue, and prevent
overexertion.
 VI. Evaluation

Short Term Goal:

After 24 hours of nursing interventions, the client was able to
identify negative factors affecting activity intolerance and use
identified techniques to contradict them as evidenced by
noted activities that contributes to fatigue have reduced
effects seen during activities because the client participates
willingly in necessary activities.

Long Term Goal:

After 3 weeks of nursing interventions, the client
demonstrated a decrease in physiological signs of intolerance
as evidenced by vital signs that remain within normal range.
THE END