Develop a plan of care for youssef using the template

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Reference no: EM133775879

Essentials of Medical Nursing

Youssef Khalil Hamed is a 63-year-old Syrian refugee who lives in a large regional city in New South Wales. He lives with his wife, Fadwa Ahmad Ali, and 21-year-old daughter, Fatima Youssef Khalil. He completed a Bachelor of Engineering (Honours) degree from a Syrian University and currently works as a hydraulic engineer for the local water utility company. He fled Syria at the outbreak of the Syrian civil war in 2011. He will sometimes relive traumatic memories of his experiences at the outbreak of the war triggered by perceived events around him. Youssef is actively involved in his local mosque and is considered a mentor by the young men in his community. Youssef tries to exercise regularly and will walk approximately one (1) kilometre to work each day. His walk to work includes a short but steep hill. He has been an active smoker of tobacco (cigarettes) and has been a pack-a-day smoker for 47 years. Youssef has a medical history of hypertension, hypercholesterolaemia, obesity (BMI 36.3, Weight 105kg, 170cm tall), post-traumatic stress disorder, and depression. He has a family history of cardiac disease, Type 2 Diabetes Mellitus, and lung cancer. He is prescribed the following medications:

Perindopril 4 mg orally daily
Escitalopram 10 mg orally nocte
Atorvastatin 20 mg orally nocte
Aspirin 100mg enteric coated orally mane

Youssef presents to the emergency department (ED) of his local hospital experiencing shortness of breath, central chest discomfort, and left-sided arm discomfort. The triage team provide the following handover:

Youssef is a 63-year-old male who presents with shortness of breath, central chest discomfort, and left-sided arm discomfort. He describes having intermittent central chest discomfort when walking to work for the past few days. About 20 minutes ago he experienced sudden central chest discomfort, shortness of breath and left arm discomfort. His daughter found him in clutching his chest and brought him to hospital. He appears alert and orientated and is speaking in short sentences. Youssef stated that he last took his medications this morning. The following vital signs are recorded at triage:
Consciousness: Alert
Respiratory Rate: 31 breaths per minute SpO2: 95% room air
Heart Rate: 110 beats per minute (bpm) and regular Blood Pressure: 175/93 mmHg
Temperature: 36.7oC Blood Glucose Level: 6 mmol/L
Pain: 4/10 central chest discomfort radiating down the left arm
Skin: Warm and flushed
You are the registered nurse caring for Youssef as he is transferred into a resuscitation bed of the emergency department. Youssef has difficulty moving onto the bed, coughs loudly, and states his chest pain is becoming worse. He is grasping his central chest, and his face is strained with pain. He is visibly distressed. He tells you "My chest... it is so heavy... I.... please help me!" You attend the following vital signs:
Consciousness: Alert
Respiratory Rate: 36 breaths per minute equal rise and fall of chest SpO2: 95% room air
Heart Rate: 120 beats per minute (bpm) and regular. Continuous cardiac monitoring shows sinus tachycardia
Blood Pressure: 195/100 mmHg Temperature: 36.7oC

Blood Glucose Level: 6 mmol/L
Pain: 6/10 discomfort to central chest and radiating to left arm and jaw. Skin: Warm and flushed skin

Identify what actions you would take and develop a plan of care for Youssef using the template provided.

APA7 style referencing.

Reference no: EM133775879

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