A 48 year old male is admitted to the interventional holding area after having a cardiac cath. the patient received a cardiac stent in the right coronary artery (rca) and the insertion site was angiosealed. the insertion site is soft, no bruising noted, or active bleeding. pulses are palpable in bilateral lower extremities. a sandbag in on the site which has to stay for another 1.5 hours per md orders. the patient is complaining of discomfort in the groin area and rates his pain 8 on 1-10 scale. in addition, the patient and his wife have verbalized they desire (but feel they will not be able to) to manage the new medication regime and post-op care and are having difficulty understanding why it is so important to take these new medications and quit smoking since he already “has his problem fixed with the stent placement”. he states he is going to have problems integrating these new “rules” into his daily life because he works around people who smoke all the time and does not want these medications to interfere with his life. interventional holding area after having a cardiac cath. the patient received a cardiac stent in the right coronary artery (rca) and the insertion site was angiosealed. the insertion site is soft, no bruising noted, or active bleeding. pulses are palpable in bilateral lower extremities. a sandbag in on the site which has to stay for another 1.5 hours per md orders. the patient is complaining of discomfort in the groin area and rates his pain 8 on 1-10 scale. in addition, the patient and his wife have verbalized they desire (but feel they will not be able to) to manage the new medication regime and post-op care and are having difficulty understanding why it is so important to take these new medications and quit smoking since he already “has his problem fixed with the stent placement”. he states he is going to have problems integrating these new “rules” into his daily life because he works around people who smoke all the time and does not want these medications to interfere with his life