Problem: Nicholine is an 80-year-old female that presented to her Primary Care Provider with intermittent, bilateral calf pain, mild dyspnea on exertion and Angina that has been going on for the past six months. She reports climbing steps makes it worse, walking makes it worse. She reports that she does not take her weekly walks anymore due to the pain associated with walking. She reports rest makes the pain better. A few weeks ago, she was diagnosed with Peripheral Vascular Disease. Use the above information to answer the following questions:
What assessment tool would you recommend as a screening tool for this patient? Why did you pick this tool? Considerations if any for picking the assessment tool? Provide references to support your answer.
Identify tool recommended in the EB article e.g https://medlineplus.gov/lab-tests/heart-disease-risk-assessment/Links to an external site.
Is there another tool/s that can be used to assess this problem? – if so, list alternate evidenced based tools which may be considered
Background of selected tool:
Define or Describe your selected tool
Indications for use/ who needs to be assessed
Rationale for this selection. Why is the tool the best selection for the problem compared to the other (not selected)?
Include Reliability and validity of the use
How is it scored
How are the scores obtained with the tool interpreted and how does the tool provide guidance to the treatment plan and improve patient outcomes. Ex. statin therapy indicated. expected outcomes. Additional therapies to support the prevention of MI, etc