ashd

hello everyone, i'm a second semester nursing student and just discovered this great site! anyways, i need help finding a good diagnosis for a patient that i had which i am doing a care plan on. basically this pt came in because of chest pain, medical dx: CHF risk of MI. this pt was actually very well and was awaiting to be discharged that day the only thing that this pt was waiting for was their external defibrillator to come in. hx: pt had a triple bypass 1 month ago and came back because of chest pains, they also developed edema around their feet and ankles. at my time of assessment their vitals where within a good range, the edema was going down and had no pitting. they also had a stage I ulcer that was healing. this pt is able to walk and is Alert and oriented x4. pt also has a history of smoking. I had a diagnosis for readiness for enhanced therapeutic regiment management, because there was an order for diabetic teaching since after their surgery their blood sugar was, "going out of control" this pt and spouse are both diabetics and were willing to learn more and how to control it. my teacher questioned that diagnosis and suggested thinking about doing something on end stage cardiac disease, since they were waiting for their defibrillator and unexpected outcomes. thanks for the help!