Comprehensive Management of Myocardial Infarction: A Case Study of Leslie Collins

This case study presents the evaluation and management of Leslie Collins, a 48-year-old retired army officer presenting with myocardial infarction (MI). The paper explores the pathophysiology of MI, examines the cultural, financial, and environmental factors influencing the disease process, and identifies key nursing interventions and diagnostic tests essential for optimal patient care. Additionally, it discusses the role of the interdisciplinary team in providing holistic, patient-centered care.

You are caring for a 48-year Leslie Collins, retired army officer, He arrives to the emergency department after experiencing chest pain and shortness of breath. His EKG indicated he had a myocardial infarction (MI). He has a history of hypertension and high cholesterol. He states he used to smoke about 15 years ago, he has no other reported risk factors.

Leslie Collins 

Age: 48

DOB: April 16

Gender: M

Height: 6’0”

Weight: 198 lbs

Language: English

Medical History/Risk Factors:

·  History of HTN

·  High Cholesterol

·  Ex-smoker

Personal/social: Veteran

Based on this information, respond to the following prompts:

1. Thoroughly explain the pathophysiology of myocardial infarction (MI). Use a scholarly or authoritative source to support your answer.

2. Examine each of the following three factors related to this disease process. Support all three with a scholarly source.

• cultural

• financial

• environmental implications

3. Identify 3-5 priority nursing interventions for the client while in the emergency department.

4. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators? Support with a scholarly source.

5. What members of the interdisciplinary team need to be included for holistic patient- centered care? Provide a rationale and support with a scholarly source.