Case Study Congestive Heart Failure

ECG: sinus tachycardia with waveform abnormalities consistent with LVH, Pronounced Q waves consistent with pulmonary edema.

6. What laboratory tests should be ordered for M.G. related to the order for furosemide (Lasix)? (Select all that apply)

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The heart is an organ that pumps oxygenated blood to the body and deoxygenated blood to the lungs. Heart failure is when the heart can’t pump blood very well. If the heart fails to work properly, a major system called the circulatory system won’t work properly and therefore the whole human body will fail to work properly because the cells won’t be able get oxygenated blood and use the oxygen to undergo cellular respiration and make energy.

Congestive Heart Failure, also known as "cardiac decompensation, cardiac insufficiency, and cardiac incompetence," (Basic Nursing 1111) is an imbalance in pump function in which the heart is failing and unable to do its work pumping enough blood to meet the needs of the body's other organs. To some people, heart failure is defined as a sudden and complete stoppage of heart activity—i.e. that the heart just stops beating. This is an inaccuracy. Heart failure usually develops slowly, often over years, as the heart gradually loses its pumping ability and works less efficiently. CHF is a syndrome that affects individuals in different ways and to different degrees. It is usually a chronic disease. It gradually

History: Martha Wilmington, a 74-year-old woman with a history of rheumatic fever while in her twenties, presented to her physician with complaints of increasing shortness of breath ("dyspnea") upon exertion. She also noted that the typical swelling she's had in her ankles for years has started to get worse over the past two months, making it especially difficult to get her shoes on toward the end of the day. In the past week, she's had a decreased appetite, some nausea and vomiting, and tenderness in the right upper quadrant of the abdomen.

Congestive Heart Failure is when the heart's pumping power is weaker than normal. It does not mean the heart has stopped working. The blood moves through the heart and body at a slower rate, and pressure in the heart increases. This means; the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart respond by stretching to hold more blood to pump through the body or by becoming more stiff and thickened. This only keeps the blood moving for a short while. The heart muscle walls weaken and are unable to pump as strongly. This makes the kidneys respond by causing the body to retain fluid and sodium. When the body builds up with fluids, it becomes congested. Many conditions can cause heart

The amount of strain that congestive heart failure puts on Mary's body does not allow her to perform regular tasks like feeding with ease. Since her heart struggles with providing her body enough blood and oxygen, she cannot eat properly and obtain the necessary nutrients she needs to develop and grow.

Heart failure is a serious medical condition that is brought by the failure of the heart to pump sufficient blood throughout the body at the right pressure. Generally, this condition is a progressive and chronic disease in which the heart muscle is incapable to pump adequate blood for all blood and oxygen needs of the body. Since the heart cannot keep up with its workload under this condition, it attempts to make up for the failure through enlarging, developing more muscle mass, and pumping faster. Enlarging involves stretching the heart chamber more in order to pump more blood while developing more muscle mass occurs because of increase in size of the contracting cells and pumping faster helps to enhance the heart’s output (“About Heart Failure”, n.d.). As a major health problem, potential solutions for heart failure is a nursing focused plan that incorporates identifying nursing goals, monitoring the patient, and specific nursing interventions.

Case Study 2 involves a geriatric patient, Mr. P., who is having difficulty managing his congestive heart failure (CHF) and cardiomyopathy (GCU, 2013). For one to find the best way to help him, one must have an understanding of his disease processes. This paper will briefly describe congestive heart failure and cardiomyopathy. It will look at the nurse’s approach to care and define a treatment plan. The treatment plan will include methods for educating Mr. P. and his wife. Furthermore, a teaching plan will be included with language the patient and the wife will understand.

Diagnosed with Congestive cardiomyopathy implies that the patient’s heart muscle has been debilitated by ailment and cannot sufficiently pump blood through the heart, which can lead to heart failure (“Columbia University Medical Center”, 2016). In this case study, the current situation of a male patient Mr. P., who is 76 years old, and frequently hospitalized with CHF is given. The purpose of this paper is to describe an approach to care with treatment plan recommendation, provide education to both the patient and his family, and a teaching plan.

Congestive heart failure is a chronic disease that requires daily monitoring and life style management. Congestive heart failure usually affects the greatest number of adults who are age 65 years or older (Alspach, 2014). Congestive heart failure patients often times end up in the hospital due to their symptoms such as shortness of breath, edema, and lack of energy. These same patients are often times readmitted to the hospital and the readmissions create a hardship for the patient and their finances (Gerdes & Lorenz, 2013). Patient education and developing self-management skills are key interventions to help the patient develop confident decision making skills and improve health outcomes (Gilmour, Strong, Chan, Hanna, & Huntington, 2014).

Elderly Heart Failure patients would be the most appropriate researchable population for use in the research project. Firstly, they are the ones suffering the most; hence understanding their problems would be the best approach towards yielding competent results (Fraley & Hudson, 2014). Secondly, both research questions revolve around the challenges facing the patients. In such case, understanding the level of care the population gets would help to know whether or not the nurses are equipped with competent as well as necessary knowledge, attitudes, and skills. Further, data collected from the population would help to implement effective evidence-based techniques for the efficient Transitional Care program for the patients rather than when relying on another population (Fraley & Hudson, 2014).

CHF is a condition with the heart and it can be otherwise known as heart Failure. “Heart Failure is not a disease, but rather a complex clinical syndrome evidenced by ventricular inability to fill or eject blood, generally as a result in structural or function impairment”(Matz & Sherman, 2015, p. 296). This can be said that the heart can’t pump enough blood to supply and meet the cellular needs of the body. This can and does led to deprived organ perfusion and vascular congestion in the pulmonary and systemic circulation. Some of the most common structural and functional changes that can cause heart failure are hypertension, cardiomyopathy, valve stenosis, myocardial infarction and coronary disease (Sommers, 2011, p. 427). I work on a telemetry floor and other modifiable risk factors that I’ve encountered are smoking, alcohol, diabetes and diet.

Congestive heart failure is a chronic disease that requires daily monitoring and life style management. Affecting the elderly, and their family the adjustment is a challenge. Daily life skills include the monitoring of daily weights, intake and output, and a low sodium diet. The person with congestive heart failure is generally admitted to the hospital for medication adjustments when their symptoms increase. The patient is often times short of breath, with a decrease in energy and an increase in their weight. The patients are generally elderly 60-65 years of age or older, and when comparing African Americans to Caucasians the African Americans have a 1.5 greater chance of developing heart failure ("Heart Failure," 2017). The