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60 The third stage of the nursing process (defining goals aimed at solving the patient’s problems, planning the nurse’s actions) In the case of angina pectoris, the short-term goal  is that the patient will notice a decrease in the intensity and duration of sternal pain in a week; the long – term goal is that by the end of the month, sternal pain will disappear with normal exercise. planning for sternal pain relief: 1. Provide the patient with physical and mental peace 2. use medications as prescribed by a doctor. 3. as prescribed by a doctor – physiotherapy. 4. to prevent complications, conduct dynamic monitoring (pulse, blood pressure, skin color, weighing). 5. to improve the patient’s well-being, observe the ventilation mode of the room, the UFO of the room. 6. Training as the school of health for patients with diseases of the cardiovas- cular system. The fourth stage of the nursing process (practical implementation of the nursing intervention plan) Pain behind the breastbone – dependent intervention : nurse will give medi- cines according to the prescription of the physician; independent intervention : nurse will provide the patient physical and mental rest, will respect the mode of ventilation, UVI premises; conduct dynamic monitoring (pulse, BP, skin color, weighing); interdependent intervention : nurse will carry out doctor’s prescription of physiotherapy, the nurse together with the doctor will conduct School health. The fifth stage of the nursing process (evaluation of the effectiveness of nurs- ing care) the Goal is achieved if the patient notes improvements in the condition. There is no pain behind the sternum during normal physical activity. Standards of nursing care for diseases of the cardiovascular system Standards for measuring blood pressure The sequence of the procedure: 1. Take a tonometer, phonendoscope, temperature sheet, red and blue pencils; 2. Psychologically prepare the patient for manipulation; 3. Ask the patient to lie down on the bed or sit near the table with a bare arm; 4. Put the cuff on the naked shoulder above the elbow bend by 3–5 cm and fix it so that only one finger passes between it and the skin, and the cuff tubes are directed down; 5. Connect the cuff to the tonometer balloon; 6. Palpate the location of the artery pulsation in the elbow bend and apply a phonendoscope to it; 7. take the tonometer can in the palm of Your hand, close its valve clockwise and pump air into the cuff;