ExcuseTheMonkey

I noticed this the other day, too. A lot of the male nurses I work with are gay. Not all of them, but more than the general population. I thought it was interesting and something to think about, but I'm definately not worried about it. If some study one day does show that a there's a higher percentage of gay men in the health care industry than any other, then should it really be surprising? If a man is born gay, then his brain is probably more "tuned in" to the feminine part, which also typically houses the nurturing part. It shouldn't be surprising that many of them would be interested in a career in nursing.

I was awful at the care plans so I don't know how helpful I will be but here goes: I would make decreased cardiac output the primary since it's the most directly related to the MI. I would say that the Tissue Perfusion issue is a result of the decreased cardiac output, so I wouldn't think it would be necessary to mention it. I guess that's what your teacher meant...They're not really the same thing but they both have the same effects on the body, so there's not much sense in mentioning it twice. Or...maybe you could say Decreased Tissue Perfusion related to decreased cardiac output secondary to MI. I don't know if that would fly or not. Good luck. Just get a good care plan book. One for MI is probably in there. : )