Comprehensive Assessment Of Chest Pain Discussion
Comprehensive Assessment Of Chest Pain Discussion
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Most patients seeking medical care with complaints of chest pain elude clinicians that their problem is cardiac related. However, many other health conditions may cause chest discomfort; therefore, a detailed assessment is imperative. (Dunphy et al., 2019)Comprehensive Assessment Of Chest Pain Discussion.
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Referring to the 32-year-old female patient expressing complaints of chest pain, an intensive history, and physical assessment are essential. Pertinent information in the evaluation should include pain characteristics, localization, time of pain onset, time span, activity when the pain started, any secondary symptoms, and whether this patient had experienced similar chest pain before this event (Dains et al., 2020). Other essential information needed is if the patient’s pain is acute or chronic, if there are any recent injuries to the chest, if the pain is worse with activity, and if she has shortness of breath or palpitations (Dains et al., 2020)Comprehensive Assessment Of Chest Pain Discussion. A focused chest pain evaluation will provide early objective findings, including the patient’s overall appearance, vital signs, lung auscultation, and heart sounds. ECG, chest x-ray, cardiac enzymes, CBC, ESR, and fingerstick glucose are some diagnostic tests to start this patient’s evaluation in determining the cause of her pain and determine if further testing is needed (Dains et al., 2020).
Evidence suggests both men and women experience chest pain. However, their presentation often differs (Vargas & Levy, 2021). For example, women described their chest pain as crushing, tightness, squeezing, and pressure. Also, women are said to have secondary symptoms with their chest pain as upper back pain, flu symptoms, dizziness, indigestion, and palpitations (Vargas & Levy, 2021)Comprehensive Assessment Of Chest Pain Discussion.
The patient’s medical history of diabetes places her at an increased risk for heart disease and stroke. Reports indicate that increased glucose damages blood vessels and nerves in the heart, resulting in individuals developing heart disease at younger ages. Management of diabetes is critical to prevent heart disease complications (National Institute of Diabetes and Digestive and Kidney Diseases, 2021)Comprehensive Assessment Of Chest Pain Discussion.
The American Lung Association describes a program offered to smokers for smoking cessation. Freedom From Smoking is for smokers interested in ways they can stop smoking. The unique design of this program provides individuals with the proper interventions to quit Smoking compared to educating them on why to quit smoking (American Lung Association). Pharmacological and psychological techniques are individually designed to meet the needs of each participant. This rationale allows people to control their behavior and break the habit of tobacco smoking (American Lung Association)Comprehensive Assessment Of Chest Pain Discussion.
References
Association, A. L. (n.d.). About freedom from smoking. American lung association. https://www.lung.org/quit-smoking/join-freedom-from-smoSmokingout-freedom-from-smoking
Dains, J., Baumann, L. C., & Scheibel, P. (2020). Advanced health assessment and Clinical diagnosis in primary care (6th ed.).
Diabetes, heart disease, & stroke. (2021, April). National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/heart-disease-stroke
Lynne M Dunphy, Jill E Winland-Brown, Brian O Porter, Debera J Thomas & . (2019). Primary care the art and science of advanced practice nursing (5th ed.). F. A. Davis Company.
Vargas, K., Messman, A., & Levy, P. (2021). Nuances in the evaluation of chest pain in women. JACC. https://www.jacc.org/doi/epdf/10.1016/j.jaccas.2021.07.035 Comprehensive Assessment Of Chest Pain Discussion
Response
Hello, I agree with you that most healthcare providers associate complaints of chest pain with cardiac disorders. For instance, primary care providers tend to associate chest pain or discomfort with a heart attack or pulmonary embolism (Stepinska et al., 2020). However, this assumption is not true since chest pressure is reported by patients with a wide range of diagnoses, including pleurisy, shingles, pneumothorax, pneumonia, angina, costochondritis, and reflux esophagitis (Stepinska et al., 2020). Therefore, clinicians should focus on conducting a comprehensive health assessment to determine the primary cause of chest pain. Bader et al. (2020)Comprehensive Assessment Of Chest Pain Discussion, reported that imaging studies should be ordered to determine the primary cause of chest pain in patients presented to the clinic with chest pain or discomfort.
Additionally, I concur with you comprehensive health assessment is required in a 32-year-old female who presented to the clinic with chest pain. Thus, the healthcare provider should collect a comprehensive medical history, conduct a physical assessment, and order diagnostics to assist in ruling out the cause of the patient’s chest pain. During health assessment, the healthcare provider should focus on understanding more information about the chest pain such as the location, severity, acceleration, or relieving factors, and if the pain is radiating to other body parts. Furthermore, the healthcare provider should gather details of related symptoms and details of a similar incident experienced previously. Details of the client’s past medical conditions and current medications are also essential. In addition to medical history, the healthcare provider should conduct physical examinations such as palpitations and compression to determine the client’s breathing rate and severity of reported symptoms. The client’s medical history, physical exam results, and diagnostic findings will guide the healthcare provider in making the most appropriate diagnosis for this client, resulting in the development of a correct and an effective treatment plan Comprehensive Assessment Of Chest Pain Discussion.
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References
Bader, A. S., Rubinowitz, A. N., Gange Jr, C. P., Bader, E. M., & Cortopassi, I. O. (2020). Imaging in the evaluation of chest pain in the primary care setting, part 2: sources of noncardiac chest pain. The American Journal of Medicine, 133(10), 1135-1142.
Stepinska, J., Lettino, M., Ahrens, I., Bueno, H., Garcia-Castrillo, L., Khoury, A., … & Huber, K. (2020). Diagnosis and risk stratification of chest pain patients in the emergency department: focus on acute coronary syndromes. A position paper of the Acute Cardiovascular Care Association. European Heart Journal: Acute Cardiovascular Care, 9(1), 76-89 Comprehensive Assessment Of Chest Pain Discussion