Collaborative Partnership Model

Introduction The aim of this paper is to gather information about a patient or client in a holistic assessment and use this data to determine the two priority issues that a nurse would address using the Collaborative Partnership Model and the McGill Model. The client, who also may be referenced as “she”, is an independent female client. She uses a walker, is not on oxygen and is very outgoing and social. She has had a stroke/cerebrovascular incident (CVA), and has been diagnosed with coronary artery disease (CAD), hypertension, hypothyroidism, syncope episodes, degenerative disk disease, right brachycardia, heart block and has had a dual chamber pacemaker inserted. The client admittedly smokes about 3 to 6 cigarettes per day, and is on various
By focusing on helping the patient stop smoking, it will help decrease the client’s risk for coronary artery disease (CAD), it will help prevent the likelihood of another cerebrovascular accident (CVA) or stroke, and it will help decrease her hypertension/high blood pressure, as well as reduce the likelihood of that she will have another syncope episode. The client is also currently on perindopril erbumine to manage her coronary artery disease. This assessment of the client shows that around half of her symptoms are caused by smoking, and that the clients’ cessation of smoking will help increase her overall health. According to Kelley, Sherrod and Smyth (2009), “Smokers have a greater than two-to-four-fold chance of developing cardiovascular disease than non-smokers partly because of smoking's contribution to increased atherosclerosis” (p.
The client had a few recent notes in her chart where the nurses and/or her doctor indicated that the client was having intermittent left chest pain that felt like pins and needles. There were no noted labs that were done in her chart, so the nurse should order some to check her B-type natiuretic peptide (BNP), to measure her heart’s hormonal response to pressure, and her Troponin I levels, to see if there are any proteins in the blood that indicate that her heart is damaged. The doctor did note, however, that the client most likely has not developed congestive heart failure (CHF) but that it may be a possibility. The nurse should also collaborate with the client to help find appropriate times to monitor her vital signs on a regular basis, especially her blood pressure. This will help the client and the health care team as if there is a sudden discrepancy as compared to the norm, it will be noticed rather quickly. The nurse should also encourage the client to participate in some form of recreational or physical activity, as it may help to increase the amount of blood circulation, therefore helping to strengthen her heart muscles. The client had also made a request to the doctor about stopping or decreasing the dosage amount for the gabapentin that she is currently taking for neuropathic pain. The nurse may want