Pearl is a 45 year old lady with a history of Bipolar Affective Disorder. In the past ten years she has gained a considerable amount of weight (10 years ago she weighed 80kg and now she weighs 130kg). She has been complaining of chest pain and describes it as tightness in her chest. A)    Explain your understanding of the cardiac system. B)    Why might Pearl's diagnosis of Bipolar Affective Disorder and the weight gain be important to consider in explaining her current presentation? C)    What interventions would you suggest in this situation? Please justify your answer.

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Stress

Stress is defined as the feeling of being overwhelmed or unable to cope with emotional or mental pressure. Any event or action that makes a person annoyed, furious, or nervous can trigger it. Chemical changes in the body caused by stress can cause blood pressure, blood sugar levels, and heart rate to rise.