Mr. Bernhard Wolfgang, a 56-year-old German immigrant who works as an engineer,

Question

Mr. Bernhard Wolfgang, a 56-year-old German immigrant who works as an engineer, is admitted with chest pain and shortness of breath. Mr. Wolfgang is admitted to the coronary care unit to rule out myocardial infarction. Immediately after admission, Mr. Wolfgang's wife comes to the coronary care unit with personal items such as family portraits, some roses from the client's garden, and some personal clothing. However, since the coronary care unit is restricted in space, personal items are not allowed and the wife is instructed to take the items home. On admission, Mr. Wolfgang's vital signs are stable and his color is good. He reports that the chest pain is not debilitating and is more or less an occasional dull ache. After 2 days, the diagnosis of myocardial infarction is confirmed, and Mr. Wolfgang remains restricted to bed but is transferred to a semiprivate room in the coronary care step-down unit. After admission to the coronary care step-down unit, the nurse observes that Mr. Wolfgang is anxious, somewhat withdrawn, and unable to express his needs and feelings.

5. Identify factors present in a coronary care unit that could negatively affect spatial behavior.

Explanation / Answer

Spacial behavior -  Reactions of an individual or groups of individuals with relation to the immediate surrounding area.

Coronary care unit some times have some negative impacts on spatial behavior of patient-

- lf behavior of nurses providing coronary care is not good, it will definitely affect the patients behavior.

- lf nurse is over strict, the patient will feel restricted in the environment.

- lf nurse is providing care without any affection and sympathy, patient will not feel free to express his needs.

-he will feel dissociative from his people.

-Sometime he also feels scared.

-lt downs his confidence and also halt the recovery process

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