What would be the complete Nursing Diagnosis of Impaired Comfort to the given case scenario?   Scenario: Patient X, a 79-year-old male and retired construction worker from Cebu, was taken to the hospital on September 3 due to a two-week progression of episodic shortness of breath. The patient was in good health until two weeks ago, when he discovered he was having trouble catching his breath while walking. He was used to walking 3 kilometers without stopping, but now he was out of breath after only 100 meters. The patient's symptoms were worsening, and he had been complaining of shortness of breath while lying down for the past three days. He had always slept with one pillow, but now he needed two. In addition, the patient reported an 8 to 10 pound weight gain in the previous 6 weeks. He had pitting edema from the feet to the knees on both sides. The patient was diagnosed with Class III Heart Failure by the doctor.  The patient had been referred to Hospital two years prior with a history of worsening dyspnea prompted by less than normal activity, lower-extremity edema, and belly enlargement. He sought medical attention because of belly swelling, which was identified as ascites.  The patient was a former smoker who had quit smoking at the age of 37. He was also an alcoholic who had last consumed alcohol three years prior. In 1990, he was also diagnosed with Diabetes Mellitus, Hypertension, and Dyslipidemia. There are no documented sensitivities to foods, medications, or the environment.

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter39: Phlebotomy
Section: Chapter Questions
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What would be the complete Nursing Diagnosis of Impaired Comfort to the given case scenario?

 

Scenario:

Patient X, a 79-year-old male and retired construction worker from Cebu, was taken to the hospital
on September 3 due to a two-week progression of episodic shortness of breath.

The patient was in good health until two weeks ago, when he discovered he was having trouble catching his breath while walking. He was used to walking 3 kilometers without stopping, but now he was out of breath after only 100 meters. The patient's symptoms were worsening, and he had been complaining of shortness of breath while lying down for the past three days. He had always slept with one pillow, but now he needed two. In addition, the patient reported an 8 to 10 pound weight gain in the previous 6 weeks. He had pitting edema from the feet to the knees on both sides. The patient was diagnosed with Class III Heart Failure by the doctor. 

The patient had been referred to Hospital two years prior with a history of worsening dyspnea prompted by less than normal activity, lower-extremity edema, and belly enlargement. He sought medical attention because of belly swelling, which was identified as ascites. 

The patient was a former smoker who had quit smoking at the age of 37. He was also an alcoholic who had last consumed alcohol three years prior. In 1990, he was also diagnosed with Diabetes Mellitus, Hypertension, and Dyslipidemia. There are no documented sensitivities to foods, medications, or the environment.

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