Cardiac Failure

Hi Roseann. Good Job. Your Unit 7 Initial Post is very informative. Her verbal report of fatigue, bilateral lower lobe crackles, skin is cool to touch, +2 edema in bilateral ankles, and heart rate of 112 are signs and symptoms of congestive heart failure. Her medical history of high blood pressure and coronary artery disease could also lead to heart failure. My focus would be is to teach her with CHF symptom management and to prevent exacerbation. To avoid hospitalization I would educate and give her a list of preventable measures such as avoiding salts, measuring her weight every morning, and fluid restrictions. I would advise S.P to notify her doctor with weight gain over 2 pounds. Medication compliance is also important in managing her

Heart failure is a chronic, progressive condition in which the heart muscle is unable to pump enough blood through to meet the body 's needs for blood and oxygen. Basically, the heart can 't keep up with its workload. American Heart Association Statistics (2016) reveals that heart failure accounts for 36% of cardiovascular disease deaths. Projections report a 46% increase in the prevalence of Heart Failure (HF) by 2030 by affecting over 8 million people above 18 years with the disease. Healthy People 2020 goals are focused on attaining high quality longer lives free of preventable diseases, promotion of quality of life, healthy development and healthy behaviors across all stages of life (Healthy People 2020, 2015).

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.

“The usual clinical manifestation of heart failure is left ventricular dysfunction that occurs after some index event, such as myocardial infarction” (Chapa et al., 2014, p. 16). With the aging adults, like S.P., we have to be concern when they have presenting signs of heart failure, especially if they have not been diagnosed with one. Questions I may have to ask S.P. are what time of the day her fatigue and swollen ankles are worse. This is to determine if her fatigue and edema are cardiac related. Cardiac related fatigue is “worse in the evening, whereas fatigue from anxiety or depression occurs all day or is worse in the evening” (Jarvis, 2016, p. 472). Does her fatigue is accompanied with shortness of breath on exertion? Patient education

2. What are the clinical manifestations of chronic heart failure which are evident with Linda’s case?

Our patient Mr. P has been hospitalized for cardiomyopathy and congestive heart failure (CHF) symptoms. This paper will discuss the approach to care for the patient. In addition, it will recommend a treatment plan. Lastly, it will offer education and a teaching plan for both the patient and his wife to help cope with his condition.

Dealing with Mrs. Smith’s nursing diagnosis of decreased cardiac output related to cardiac dysfunction, I would educate her on common signs and symptoms of heart failure exacerbations and appropriate actions she must take if she becomes symptomatic again. Common symptoms of a heart failure exacerbation may include fatigue, shortness of breath, swelling in legs, ankles, and feet, reduced ability to exercise, persistent cough/wheezing, three to five pound weight gain overnight, and chest pain. I would explain to Mrs. Smith the importance of daily exercise, because in a study performed it showed that 91% of women did not exercise for fear that they would hurt themselves or increase their symptoms (Stamp, 2011). It is important to exercise daily to reduce living a sedentary lifestyle, while also knowing your limitations with your heart failure. Mrs. Smith who lives by herself and mostly eats TV dinners is at risk for exacerbating her factors related to her high sodium intake. It is important in this step to get a TV dinner box and a couple canned foods and educate her on the importance of looking at the sodium content in each meal that she

The U. S healthcare system undergone major changes in the past 100 years. Scientific advancement coupled with increased sophistication of the health care workforce including physicians and nurses have given an international reputation to U.S health system. Even though weakness can be found like lack of primary health access, high infant mortality rate and increased numbers of uninsured people in U.S. A growing demand of patients with chronic illness over the age of sixty-five, is challenging to the health system.

The article that we read/ researched was about the effects of exercise on people that have had heart failure. The age of the participants varied between the mid to early sixties and they were checked for other conditions that could affect the experiment such as respiratory problems beforehand. The experiment took 41 stable heart failure patients that had evidence of left ventricular disease and placed them into one of three groups. The first group was a control group to get a standard of how no training would affect a heart failure patient. The second group trained for half an hour three times a week for twelve weeks along with doing some interval training. Interval training is pushing yourself to work hard for a minute then taking a small rest. The third group was also put

Protein is probably considered the most important nutrient when it comes to determining the dietary needs of cats. Due to their unique metabolism and being strict carnivores, high quality proteins are a must. Quality protein is dependent on what amino acids are involved and in what quantity. The required amino acids for felines are PVT TIM HALL with special attention to the amino acid taurine as cats cannot synthesize sufficient quantities of it for maintenance. This is partially why they require so much protein in their diets to stay healthy. Since taurine is found in animal based sources it explains why one should not feed a diet of plant based proteins as it is not of the right quality and a cat could still become deficient. Without proper

Abate, Zucconi, and Boxer (2011) acknowledge that chronic heart failure is very common and a costly disease. The American Heart Association (n.d.) states that heart failure is one of the most common reasons people 65 and older go to the hospital, therefore, promoting ways to manage the disease and live a better life. Abate et al. (2011) knowing that early ambulation has been proven to have a positive impact on patients; lead them to combine it with canine assisted ambulation to further increase chronic heart failure patients outcomes in a study. They were looking to improve patient’s social and emotional states, shorten their length of stay in the hospital, and get them moving more. Sixty-nine hospitalized patients diagnosed with heart failure

Research by the American Heart Association (2014) states that heart failure effects an estimated 5.1 million Americans and it is predicted to increase 25% by 2030. Heart failure is a pathophysiological condition that indicates the heart is unable to promote enough cardiac output causing insufficient blood supply to the body. Pharmacological treatment for cardiac failure is dependent upon the ability to decrease rate of blood flow and blood pressure. Survival after heart failure diagnosis has improved with medication but the death rate remains high with over half of the people diagnosed with heart failure will die within 5 years. (Go et al., 2014)

Sudden cardiac death (SCD) accounts for approximately one half of all cardiac deaths [Zipes and Wellens, 1998], and, although coronary artery disease (CAD) underlies most SCD events, SCD may be the first manifestation of CAD in many individuals, especially women [Albert et al., 2003]. Coffee and other caffeine-containing beverages such as tea, colas, and guarana, a soft drink made from the caffeine-rich seeds of a South American fruit pass certain kind of diseases. Many ills have been ascribed to caffeine, but few have been substantiate [Frost et al., 2005].The effect of caffeine on a disease often associate with caffeine namely, disruption of cardiac rhythm. Arrhythmias are often due to structural heart disease caused by atherosclerosis, hypertension,

As we continue on with Canada’s healthcare system, we wanted to go into their system within specifically to see what do they cover when treating a disease compared to the United States of America. Since, everyone had presented the topic of most concern, heart disease, knowing that it is a huge epidemic within each country. In Canada, their top ten causes of death include, from the highest to the lowest are ischemic heart disease (13.8%); Alzheimer’s and other dementias (9.5%); trachea, bronchus, lung cancers (8.1%); stroke (5.4%); chronic obstructive pulmonary disease (4.5%); colon and rectum cancers (3.7%); diabetes mellitus (2.7%); lower respiratory infections (2.3%); breast cancer (2.2%); and falls (1.9%) (World Health Organization,

The heart is the most essential biological structure in the body system; nobody can live without the heart. The major role of the heart is to pump blood throughout all the organs in the body; blood transported by the heart carries oxygen and nutrients around the body and removes all the dangerous wastes. We need oxygen to breath and nutrient to maintain our health. All muscles in the heart need oxygen to function properly. When there is a restriction of blood flow to the heart, the coronary arteries become blocked or narrow. “The blood clot that causes the heart attack usually forms at the site of rupture of an atherosclerotic, cholesterol plaque on the inner wall of a coronary artery” (Kushner, 2013). We need to protect our heart from damage by keeping the heart healthy. If the heart is damaged, then the damage will happen which can lead to death. Based on what we know, heart attack patient can have a second heart attack after the first one. Most of people do not know that the early Egyptian who had discovered heart attack and disease. Nowadays, we learn about heart attack by watching television, research on the internet, or talk to another person who has a heart attack.