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Family Health Assessment
Alvareene
St.Thomas University
Nrs-430v-Professional Dynamics
Billie Gabbard
April 4, 2021
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A 63-year-old patient with acute decompensated heart disease and COPD exacerbation
was admitted to the ICU. Shortness of breath, palpitations, nasal crackles, jugular vein distention,
reduced breath sounds, productive cough with frothy blood-tinged sputum, hepatomegaly, and
flu-like symptoms such as headache, nausea, and malaise have all is observed in Mrs. J. Mrs. J
denies having discomfort, but she is anxious and talks about being tired and as though she isn’t
getting enough oxygen.
Upon admission, the nursing interventions were sufficient—the administration of oxygen
aids in the rise in O2 circulation. Mrs. J is nervous upon entry, so maintaining a low-stimulus
condition is particularly critical for her. To minimize edema and improve ventilation, TED hose
and SCDs are used. This patient will need to get up regularly to use the bathroom while she is on
diuretics. Mrs. J can wear non-slip socks and use a bedside commode, so she is in danger of
