Need help with nursing diagnoses and intervention for a COPD patient complaing of che

[noni06]

My client is a 74 year old male. Diagnosed with chronic obstructive pulmonary disease a couple of years ago. 30+ years of smoking. The COPD has been sucessfully controlled with meds. He also has a history of arthritis and hypertention. Came to the hospital complaining of chest pains. All Cardiac tests are normal, but patient is still experiencing intermitant chest pains. Bp 122/64. temp 97, pulse 80 respirations 30, O2 sat 97% at 3l via nasal canula.

I want to write a nursing dx for the chest pain. How do I phrase it and what should the interventions be? I'm comfused because he hasn't been dx with anything relating to the chest pain.

[SuesquatchRN, BSN, RN]

Anxiety r/t chronic pain

Anxiety r/t insufficient knowledge

Hopelessness, risk for, r/t chronic pain

Has the guy been checked for reflux and stuff?

[Daytonite, BSN, RN]

the biggest mistake that (student) nurses make is always trying to make a connection between the patient's medical diagnoses in searching for nursing diagnoses. the only time medical diagnoses become significant in this process is the symptoms the patient is having. the choice of any nursing diagnosis is based upon the symptoms the patient is having. your patient has the following symptom: chest pain. you have listed no other symptoms to work with. there is only one appropriate nursing diagnosis that fits with this symptom or problem: acute pain r/t undetermined reason aeb patient's verbal statements of chest pain. what do you do for someone who is complaining of pain? if pain medication is ordered, you medicate them. you also note and document the time, location and character of the pain being experienced. did any activity bring the pain on? does anything make the pain better? these are all interventions that can be included under the diagnosis of acute pain. it is very appropriate to have interventions that evaluate the problem when it occurs as well as to instruct the patient on this plan of action. another intervention would be to advise the patient's physician of the findings of this investigation of the pain.

[noni06]

Thank you Miss Daytonite. You always have great responses to all my questions. I really appreciate your help. God Bless.

Suesuatch, thank you also. To answer your question, I don't remember seeing any tests for acid reflux.