clinical_2.docx latest 2023

Peripheral Arterial Disease (PAD) History of Present Problem: JoAnn Smith is a 74-year-old woman who has a history of myocardial infarction and systolic heart failure secondary to ischemic cardiomyopathy with a current ejection fraction (EF) of 15 percent. Over the last two weeks she has noticed achiness in her right leg and tingling in her toes after walking short distances. When she stops walking, the pain and tingling resolve in 1 15 0 0 minutes. Now the pain/cramping in her right leg has been lasting longe -up to 30 minutes the r r last two days. Over the past month her right great toe has developed a black tip that is painless to the touch. JoAnn was seen in the clinic today and her physician decided to directly admit her to the medical unit where you are the nurse responsible for her care. Personal/Social History: JoAnn is a retired math teacher who has struggled with depression since her husband of 52 years died unexpectedly two years ago from a myocardial infarction. She lives alone in an assisted living apartment. What data from the histories is RELEVANT and has clinical significance to the nurse? RELEVANT Data from Present Problem:  Pain and cramping in her right leg, and it has been last longer up to 30 minutes.  Right great toe has develop a black tip and painless when touching. Clinical Significance:  It indicates of a lack of perfusion to lower extremity on pt right leg.  Possibility of diabetes RELEVANT Data from Social History:  She is a retired teacher  She has been struggling with depression for 2 years after her husband passed away.  Now she lives by herself in assisted living apartment. Clinical Significance:  The client may not have any sort of supportive system.  The client may not be taking good care of herself.  The client may not taking her medications as prescribed.