Nursing Case-Study

Nursing Case-Study
J.K has a history of hypertension having been diagnosed with the condition in 1988. Additionally, she has previously been diagnosed by peptic ulcer that was easily resolved after three months of being subjected to cimetidine. J.K has further been diagnosed with pulmonary congestion and cardiovascular heart condition. J. K’s illness patterns include the fact that she consumes either one or two beers each weekend alongside a martini before each dinner night (Jiang et al., 2017). Moreover, her smoking may be contributing to her illness with J.K consuming two packs daily over the previous four decades although she quite two years ago. The health promotion patterns in the case-study include the fact that J.K sees her primary care provider annually with an appointment with the cardiologist being scheduled each three months. Additionally, J.K often takes the time to eat well.
The three conditions that J.K might be suffering from based on the case-study and the laboratory work are congestive heart failure, depression and early-stage liver failure. CHF is likely to be responsible for the ankle edema that JK has been complaining of and the depression is attributed to the fact that she resides alone. Early-stage liver failure may be responsible for the retention of fluid in the lower legs and the inability to walk for a long period (Mordi et al., 2020). CHF can be effectively managed through the administration of angiotensin-converting enzyme (ACE) inhibitors such as Vasotec and Capoten. To manage the depression, J.K should be encouraged to engage in more interpersonal therapy by interacting with friends and loved ones. The early-stage liver disease can be managed through recommending a healthy lifestyle that involves eliminating any aspects that are likely to make J.K consume unhealthy foods. Undertaking the interventions is critical in ensuring the long-term well-being of the patient.
 
References
Jiang, L., Sun, L., Edwards, G., Manley, M., Wallace, D. P., Septer, S., … & Apte, U. (2017). Increased YAP activation is associated with hepatic cyst epithelial cell proliferation in ARPKD/CHF. Gene Expression The Journal of Liver Research, 17(4), 313-326.
Mordi, N. A., Mordi, I. R., Singh, J. S., McCrimmon, R. J., Struthers, A. D., & Lang, C. C. (2020). Renal and cardiovascular effects of SGLT2 inhibition in combination with loop diuretics in patients with type 2 diabetes and chronic heart failure: The Recede-CHF trial. Circulation, 142(18), 1713-1724.