You are working in a cardiologist’s office with a patient who had an episode of

Question

You are working in a cardiologist’s office with a patient who had an episode of angina and a stent placed for a 90% blockage of the anterior interventricular branch of the left coronary artery, also known as a widowmaker. The patient did not have heart damage but needs to follow a more heart-smart lifestyle to prevent any cardiovascular problems. The licensed practitioner has asked that you spend time doing patient education with this patient before he leaves the office. When you enter the exam room to begin your patient education, the patient makes the following comment: “I know why you are here, and I don’t think you can do anything to help me.” What should be your response?

Explanation / Answer

The nurse, in this case should be calm with the patient. the nurse should tell the patient about the severity of the existing condition. The widowmaker is a condition, in which an important artery is almost blocked. This condition can cause heart attack, and in case of lacking emergency treatment it can cause death.

The nurse should assure the patient that the condition is completely acoidable and curable. The nurse should tell the consequences, if he does not take the advice follow the same routine as before. Also, she should explain the importance about the maintainence of the health of the heart. Once the patient is ready to listen, the nurse can tell him or her to follow the guidlines of the heart smart life style.

The education must include the, which is need to be followed by the patient, such as avoidance of fatty and processed food items, use of healthy vegetables and other products. she should also tell the atient about the exercise, which can be done to keep the heart healthy.

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