Case Study For Chest Pains Assignment Paper

Case Study For Chest Pains Assignment Paper

Please describe how a 32 year old female with chest pain should be evaluated. How would a Past Medical History of Diabetes impact the approach? What evidence-based interventions are available to address smoking cessation?

The 32-year-old patient with chest pains should be evaluated by asking the patient important questions such as the quality of the pain, its onset, duration, the symptoms experienced, and the location. In addition, the healthcare provider should inquire about the aggravating factors, any medications taken to relieve the pain, and if the pain radiates to other parts of the body. Chest pain is associated with cardiac problems, and a proper diagnosis is important to begin early treatment. An assessment of chest pain in terms of quality will help in evaluating its severity using a pain rating scale. It is important to know the onset and duration of the pain that has persisted (Dundas, 2022)Case Study For Chest Pains Assignment Paper.

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Unrelieved chest pain lasting more than 15 minutes is considered significant. Inquiring about a patient’s symptoms will aid in making an accurate diagnosis. Also, knowing whether the pain radiates to other areas can give a clue into visceral pain. Laboratory tests such as myoglobin and cardiac troponin T will help in determining the particular enzymes released and elevated during cardiac injury or chest pain (Rodolico & Mineo, 2020). An ECH can be performed to establish if the chest pains are a result of reduced blood supply to the heart.

Past medical history of diabetes may affect the evaluation. Diabetes is one of the risk factors associated with chest pain, as high blood sugar levels increase blood pressure, putting the patient at risk of damaged blood vessels over time. If blood vessels in the heart are damaged, it increases the risk of heart problems manifested by chest pain. The current evidence-based approaches available for cessation of smoking include behavioral therapy, motivational interviewing, acceptance and commitment therapy, pharmacotherapies, and cognitive therapy (Kotz et al., 2020)Case Study For Chest Pains Assignment Paper. Behavioral therapy helps target behavior change through counseling and addressing historical learning processes and contextual variables, which makes quitting difficult. Motivational interviewing helps individuals resolve any uncertainties they may have about changing their behavior. Acceptance and commitment therapy help alter a person’s interaction with particular events. Cognitive therapy helps improve maladaptive and dysfunctional behaviors.

References

Dundas, K. (2022). Chest Pain Differential Diagnosis. History.

Kotz, D., Batra, A., & Kastaun, S. (2020). Smoking Cessation Attempts and Common Strategies Employed: A Germany-Wide Representative Survey Conducted in 19 Waves From 2016 to 2019 (The DEBRA Study) and Analyzed by Socioeconomic Status. Deutsches Ärzteblatt International, 117(1-2), 7.

Rodolico, A., & Mineo, L. (2020). Distinguishing Cardiac from Psychological Somatic Symptoms. Brain and Heart Dynamics, 181-196. Case Study For Chest Pains Assignment Paper