Coding for Congestive Heart Failure (CHF) Essay

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 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).

Congestive cardiac failure, also known as heart failure, occurs when the heart is weak and unable to sufficiently supply blood the body needs to function. Heart failure can often be successfully treated with

Systolic heart failure is characterized by enlarged ventricles that are unable to fully contract to pump enough blood into circulation to adequately perfuse tissues. The enlargement in ventricles is due to an increased end-systolic volume. If the heart is not able to sufficiently pump the expected volume of blood with each contraction, which in a normal healthy heart is 50-60%, there will be a residual volume left in the heart after every pump (Heart Healthy Women, 2012). With the next period of filling, the heart will receive the same amount of blood volume from the atria combined with that residual volume from the previous contraction. This causes the ventricles to have to dilate to accommodate this increase in volume. The dilation causes the walls of the ventricles to stretch and become thin and weak. Also the myocardium, the muscle layer of the heart, will stretch and not be able to adequately make a full and forceful enough contraction to push blood from the ventricles (Lehne, 2010).

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,

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

Heart failure, HF, is a result of one’s heart inefficiently pumping blood out to the body (Lewis, Dirksen, Heitkemper and Bucher, 2014, p.766). A healthy heart will pump blood out of the left and right ventricles rhythmically and simultaneously, creating an even flow of blood from the heart to the pulmonary arteries and the aorta (Lewis et al., 2014, p.769). Someone with heart failure has a ventricular dysfunction in either one or both ventricles; the ventricles are not filling or contracting properly. The failure of one ventricle to properly function leads to an overcompensation of the opposite ventricle as well as a disruption in normal blood flow that leads

Congestive heart failure is a progressive condition that worsens over time, especially if it goes unchecked. With congestive heart failure, the heart is weakened due to a number of conditions — ranging from high blood pressure to coronary artery disease. Due to this weakness, the heart can’t pump blood throughout the body at a normal rate, building pressure in the heart and reducing the flow of oxygen. As a result, fluid builds in the lungs, kidneys, and other areas of the body.

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 is an older name for heart failure. Congestive heart failure takes place when the heart is unable to maintain an adequate circulation of blood in the bodily tissues or to pump out the venous blood returned to it by the veins (Merriam-Webster). The heart is split into two distinct pumping structures, the right side of the heart and the left side of the heart. Appropriate cardiac performance involves each ventricle to extract even quantities of blood over intervals. If the volume of blood reimbursed to the heart develops more than both ventricles can manage, the heart can no longer be an efficient pump.

I. Description: Congestive Heart Failure is more of a syndrome than a disease. Heart failure may be classified according to the side of the heart affected, (left- or right-sided failure), or by the cardiac cycle involved, (systolic or diastolic dysfunction). (Schilling-McCann p. 176). The word "failure" refers to the heart's inability to pump enough blood to meet the body's metabolic needs. (Schilling-McCann p. 176). When the heart fails to deliver adequate blood supply edema may develop. (Cadwallader p. 1141). Where edema occurs depends on what side of the heart is failing.

Congestive Heart Failure, is also known as heart failure cardiac decompensation, cardiac insufficiency, and cardiac incompetence, all having the same meaning; that the heart is failing and is unable to do its work. The heart has lost its pumping efficiency, meaning the heart is decompensating.

CHF occurs when the heart is no longer able to adequately pump blood causing a decrease in nutrients and oxygen to the body. The term CHF has widely been replaced by the terms acute failure and chronic failure because not all types of heart failure are accompanied by pulmonary congestion. However, in this pt’s case, she suffered from severe edema and fluid build-up in the lungs due to the failure. CHF is generally precipitated by other cardiac related conditions including, HTN, CAD, and past MIs, all of which are present in this pt’s history (Lewis, Heitkemper, Dirksen, Bucher, & Camera, 2014).

A congestive heart failure is a chronic condition in which the heart doesn’t pump blood as well as it could.

The second problem is the patient is suffering from congestive heart failure. This means the patient's heart is not able to pump sufficient amounts of blood to meet the body's needs. Congestive heart failure can be caused by coronary artery disease or hypertension.