Peripheral Arterial Disease (PAD) JoAnn Smith, 74 years old STUDENT-PAD-PVD RAPID Reasoning Completed.

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JoAnn Smith is a 74-year-old woman who has a history of myocardial infarction and systolic heart failure secondary to ischemic cardiomyopathy with a current ejection fraction (EF) of 15 percent. Over... the last two weeks she has noticed achiness in her right leg and tingling in her toes after walking short distances. When she stops walking, the pain and tingling resolve in 10–15 minutes. Now the pain/cramping in her right leg has been lasting longer–-up to 30 minutes the last two days. Over the past month her right great toe has developed a black tip that is painless to the touch. JoAnn was seen in the clinic today and her physician decided to directly admit her to the medical unit where you are the nurse responsible for her care. Personal/Social History: JoAnn is a retired math teacher who has struggled with depression since her husband of 52 years died unexpectedly two years ago from a myocardial infarction. She lives alone in an assisted living apartment. [Show More]

Last updated: 1 year ago

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