A Comprehensive Explanation Of The Underlying Physiology Of Annie O ' Sullivan 's Condition

The prevalence of congestive heart failure is on the increase both in the United States and all over the world, and it is the leading cause of hospitalization in the elderly population. Congestive heart failure is a progressive disease generally seen in the elderly, which if not properly managed, can lead to repeated hospital admissions or death. Heart failure means that the heart muscle is weakened. A weakened heart muscle may not be strong enough to pump an adequate amount of blood out of its chambers. To compensate for its diminished pumping capacity, the heart may enlarge. Commonly, the heart's pumping inefficiency causes a buildup of blood in the

Heart failure can be attributed to either right sided, left or both. Left-sided heart failure is of two types, systolic failure and diastolic failure. Systolic failure is the when the left ventricle loses its ability to contract normally. The heart cannot pump with enough force to push enough blood into circulation. Diastolic failure is when the left ventricle loses its ability to relax normally. Which results in the heart not being able to fill with blood during the resting period. Both result in a decrease in cardiac output. (AHA, 2012). A decrease in the cardiac output into the systemic circulation causes blood to accumulate in the left ventricle, left atrium, and pulmonary circulation. This increase

Heart failure affects nearly 6 million Americans. It is the leading cause of hospitalization in people older than 65. Roughly 550,000 people are diagnosed with heart failure each year (Emory Healthcare, 2014). Heart failure is a pathologic state where the heart cannot pump enough blood to meet the demand of the body’s metabolic needs or when the ventricle’s ability to fill is impaired. It is not a disease, but rather a complex clinical syndrome. The symptoms of heart failure come from pulmonary vascular congestion and inadequate perfusion of the systemic circulation. Individuals experience orthopnea,

Working on a cardiac unit for seven years has given me the opportunity to become familiar with congestive heart failure. This is a complicated condition that is sometimes difficult to manage. Your first questions is an excellent question, one that is extremely important when caring for these individuals with congestive heart failure. Without complete understanding of congestion heart failure, patients are frequently readmitted due to poor medical management. Caring for these individuals usually focus on treatments including the delicate balance of intake and output, medications and diagnostic testing. Your question regarding how CHF has impacted a person’s life focuses on the psychological aspect of this condition. Although

Heart Failure (HF) is the inability of the heart to meet the peripheral demands under rest or exercise conditions caused by either muscular dysfunction or mechanical disorder or a combination of these factors (Scottish Intercollegiate Guidelines Network, 2007; McDonagh et al., 2011).

CHF starts with no symptoms and slowly the patient experiences increasing difficulty breathing. With that, heart rates and respiratory rates increase and the patient becomes anxious. As CHF progresses, edema (retention of fluids) is found in the legs, feet, and ankles and the veins in the neck are distended. When the left side of the heart fails, there is more lung congestion and more respiratory issues. When the right side of the heart fails, the liver and spleen enlarge. With CHF, patients usually complain of chest discomfort, shortness of breath, and swelling of their limbs.

CHF stands for congestive heart failure. There are several types of congestive heart failure. There is left sided heart failure which may cause fluid to back up into your lungs which will cause shortness of breath. Right sided heart failure may cause fluid to back up into your abdomen, and other body parts. Systolic heart failure causes the left ventricle can’t contract vigorously, which causes problems with the heart pumping blood. The final type is diastolic heart failure means the left ventricle can’t relax or fill up adequately.

Heart failure is the inability of the heart to efficiently pump blood to the rest of the body. In left-sided heart failure, it is the faulty left ventricle that is not pumping blood effectively due to anatomical abnormalities or secondary factors that decrease its functionality. The purpose of this research paper is to inform the reader of statistical data on the disease as well as risk factors, usual signs and symptoms, diagnostic procedures, treatment and nursing implications.

Congestive heart failure (CHF) is a condition where the heart is unable to efficiently pump blood to supply the body with adequate blood flow and it can cause fluid to build up in the lungs. There are several disease processes and risk factors that predispose an individual to this condition. CHF can be chronic or acute and life threatening, and most of these patients are in the older adult population. Some symptoms of CHF include fatigue, shortness of breath, edema, and diminished exercise capacity. There are several medical management techniques for this condition including lifestyle modifications, medications and surgical intervention. Below, I will summarize two articles on two different medical treatments for CHF.

This case study will discuss in detail about the heart failure, pathogenesis, medical management and nursing measures for a patient diagnosed with heart failure.

Cardiovascular function results from the interplay of the heart, systemic vasculature, blood volume, and tissues in their functions as pump, transporting pathways, and oxygen carrying and consuming end-organs, and problems with structure or function of the filling and ejection mechanisms of the heart will lead to failing oxygen delivery and compensatory attempts, a complex disease condition known as heart failure (Porth, 2015). Dysfunction may involve initially primarily one ventricle only, though over time both sides may become affected. In left ventricular failure decreased cardiac output and outflow into the periphery leads to pulmonary congestion, evidenced by pulmonary edema and impaired gas exchange (Porth, 2015). As a result,

Intro- Heart Failure is a multifactorial disease due to significant diminishing of heart pumping action. This is occurs in response to many underlying disease such as diabetes, hypertension, myocardial infarction and cardiac myopathies. These conditons lead to hemodynamic instability, neuroendocrine imbalances and structural remodeling of cardiac myocytes. Early less sever hf allows for compensatory mechanisms such as neuroendocrine stimulation- (beta adrenbergic r endothelin norepinephrine r), and hypertrophy which allow for sufficient left ventricular pumping action. However as hf develops these mechanisms become unable to compensate for the progressive underlying disease which results in further loss of contraction and relaxation efficiency and loss of regulation.

Congestive heart failure (CHF), also called chronic heart failure or congestive cardiac failure (CCF) is a clinical condition where heart muscle is weakened and cannot pump the blood as well as the normal heart. The ventricle, also known as main pumping chamber of the heart become larger or thicker which leads to inability to contract or relax as it should. “There is no universally agreed definition of heart failure (Denolin et al., 1983). It is the consequence of cardiac disease, diagnosis is clinically based on sign and symptoms manifested due to circulatory and neuro-hormonal response to cardiac dysfunction is heart failure (Poole-Wilson). The major and escalating public health problem in developed and industrialized country with aging population is congestive heart failure. According to Gaves (1991), the indication for hospitalization among adult over 65years of age is congestive heart failure. Over the past two decades admission rate to treat this condition have exponentially increased (Ghali et al., 1990). The quality and quantity of life of the patient of CHF is robbed (McMurry et al., 1998; McMurry & Stewart, 2000; Petrie & McMurry, 2001; Murdoch & McMurry, 2000). The epidemiology of the heart failure remain vast and inadequate. The rate of cardiovascular disease in Australia is highest comparison to rest of the world, despite of its significant advancement and progress in health industry, out of this sizeable portion of group is represented by heart

Heart failure occurs when structural or functional cardiac disorders cause one or both ventricles of the heart not to pump effectively to meet the demands of the body (Lopez-Pazos, et al., 2011). Some symptoms of heart failure include: dyspnea on exertion, cough, fatigue, edema/weight gain, chest pain, palpitations, right upper abdominal pain or fullness, orthopnea, hemoptysis, bibasilar crackles, nocturnal dyspnea, pallor, cyanosis, tachycardia, weakness, exercise intolerance, murmur, S3 gallop, and hepatomegaly (Cash & Glass, 2014).

Congestive heart failure is a condition that increases in incidence as people advance in age. With congestive heart failure, the muscles in the heart weaken and render the heart unable to pump adequate blood supply to the rest of the body organs. As a result, blood moves at a lower rate through the heart and the body. Therefore, the heart becomes unable to pump adequately. Classic symptoms are not always apparent with CHF (Southern Care University, 2013). The elderly patient may demonstrate an atypical presentation of this condition. He or she may not display the classic symptoms of paroxysmal nocturnal dyspnea or coughing (Rehman & Qazi, 2013). The typical onset of the condition may be overshadowed by change in function, fluid and food intake deprivation, or confusion. The affected person may not experience shortness of breath (Southern Care University, 2013). The effected person may experience symptoms of low cardiac output like hypotension and tachycardia. The affected person may also experience weakness, falls, non-productive cough, and insomnia. Another atypical presentation of CHF is weight loss and muscle wasting. The patient may experience basilar rales, elevation of Jugular Venous pressure, and S3 gallop (Southern Care University,