Mr. Frank Jura is a 54 year

Mr. Frank Jura is a 54 year old male, currently admitted to the cardiac unit in response to an exacerbation of his unstable angina. Mr. Jura also presents with uncontrolled Type II diabetes, hypertension, and is currently obese. As a pregraduate PN student on the unit, you are assigned to Mr. Jura’s care for the duration of your shift. You have negotiated the plan of care with your RPN preceptor (who is also assigned to Mr. Jura), and divided the responsibilities of his care for the remainder of the 12-hour shift. After completing your AM vitals, you notice that Mr. Jura’s blood pressure has been hovering just above high-normal range (around 145/90) as long as he has been admitted. Curious at this trend, you examine his medication administration record and note that he is currently prescribed the following cardiac and diabetes related medications/treatments: ï‚· Ramipril 2.5mg PO OD ï‚· Metoprolol 100 mg PO BID ï‚· Hydrochlorothiazide 20 mg PO OD ï‚· Transderm nitropatch 0.2 (0.2 mg/hour) – apply patch at 0800 and remove at 2000 ï‚· Nitrospray, 1 spray (0.3-0.6mg) SL q5 mins up to 3 times; use at first sign of angina ï‚· Metformin 500 mg 2 tablets PO BID ï‚· Gliclazide MR 30 mg 3 tablets PO OD ï‚· Empagliflozin 25 mg PO OD You inform your preceptor of your findings regarding his elevated blood pressure. In response, your preceptor states: “Ah well, the poor guy is probably nervous….you know, being in the hospital and all. I’ll just pop a PRN Ativan into his AM meds and that should help with his elevated blood pressure.” Review the case scenario (read it multiple times). Explore the scenario from both the nursing, health, and psychosocial perspectives. 2) Generate relevant and timely actions and recommendations to assist the patient (and their family) in the situation to obtain the highest level of wellness possible. 3) Discuss your process of finding, retrieving, and analyzing best practice information to develop an approach to a care plan for the patient and their family in the given case narrative (the assignment is not a Nursing Care Plan). 4) Include discussion of at least one College of Nurses of Ontario Practice Standard or Guideline (http://www.cno.org/learn-about-standards-guidelines/publications- list/standards-and- guidelines/), and how the Standard or Guideline is relevant to the case scenario. RUbric : provides a summary of the situation in own words.  Includes background information and key issues related to the selected case.  Describes and prioritizes the presenting issues that are most important in the care of the patient and their family.  Content is evidence based.  Reflects application of critical thinking throughout.  Information is pulled from credible sources and referenced.  Information is well laid out and constructed in a logical pattern for optimal readability.  Includes a description of an approach to developing a care plan for the patient and the family.  Describes the major/significant issues in the situation that require immediate attention.  Describes other issues that should be addressed later in the care of the patient.  Discusses how the CNO Practice Standards or Guidelines are relevant to the case scenario and provides specific examples.  Content is evidence based.  Reflects application of critical thinking throughout.  Information is well laid out and constructed in a logical pattern for optimal readability.  Presents a review of the literature and best practice guidelines that support actions described in the previous Criteria 2 – Development of Therapeutic Goals.  Describes the process of the literature search and resource collection.  Content is evidence based.  Reflects application of critical thinking throughout.  Information is well laid out and constructed in a logical pattern for optimal readability SCIENCE HEALTH SCIENCE NURSING NURSING NURS23921

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