1. According to NYHA, the classification places the individual into different categories based on limitations during physical activity (Classes of Heat Failure, 2015). Due to Ms. Griffin's physical activity description, I would classify her functional capacity assessment as a class four. I chose this class because she has symptoms even at rest. Ms. Griffin would also classify as a class D objective assessment. Also, due to her limitations and symptoms at rest.
2. Ms. Grifflin’s weight loss could be due to reduced blood flow or Lasix medication. According to JACC, a recent studies links weight loss to reduced intestinal blood flow (New Insight Into Weight Loss in Heart Failure Patients, 2014). Unintentional weight loss is a serious complication of heart failure.
3. Ms. Griffin sudden gain of two pounds may be caused by accumulating fluid. This is a sign of exasperation of heart failure. Her medication needs to be altered to stop the weight gain.
4. Ms. Griffin is on oxygen due to fluid in her lungs. Left heart failure causes fluid back up in the lungs (Heart Failure, 2015). Right side heart failure causes swelling in the legs, feet and abdomen (Heart Failure, 2015). Some signs are her dyspnea, hypertension, and angina. All of these are caused by the increase workload
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A physical examination will be done by the doctor. The physician might order additional exams, such as, blood tests, chest x-rays, EKG, echo, and stress test. The chest x-ray will show whether the heart is enlarged or congestion (Common Tests for Heart Failure,2015). Electrocardiogram records the heart’s. rhythm (Common Tests for Heart Failure,2015). Echocardiography is an ultrasound uses sound waves to examine the heart (Common Tests for Heart Failure,2015). The stress test is when the patient walks on the treadmill and speed increases (Common Tests for Heart Failure,2015). The patient will then sit or lie down, and the heart and blood pressure are checked (Common Tests for Heart
right-sided CHF = fluid may back up into your abdomen, legs and feet, causing swelling.
When CHF starts to become worse, fluid can start to fill up in a person’s lungs and sometimes even throughout a person’s body. The fluid could cause a person to feel out of breath even while resting, swelling in the legs, ankles, or feet, weight gain, feeling bloated, and coughing, wheezing, and having to use the bathroom more at night. There is also a possibility that CHF can happen all of a sudden. When it starts to happen, it is called sudden heart failure. It will eventually cause congestion from fluid building up in the lungs. Symptoms can start to happen by having severe shortness of breath, an irregular or maybe even a fast heart beat and it may even cause coughing up foamy, pink mucus (Heart-Failure
A patients history can help determine why they might be feeling the way they are feeling such as shortness of breath or other symptoms of congestive heart failure. A physical exam can help show the abnormal sounds when a doctor have the opportunity to listen. Chest X-Rays can be performed by helping dilated cardiomyopathy produces an abnormally large shadow on a chest x-ray film. Cardiac catheterization is used and during this procedure help to detect blockage in the coronary arteries. A blood test may also be performed to be able to determine a congestive heart failure,, thyroid disease, HIV or other viral infections. CT scans and MRI’s help diagnose in certain situations, also biopsy is performed by having to take a small tissue sample from inside the heart determine the cause. Different treatments can be used to help treat a patient are medications or Medical procedures and surgeries. Some of the medications if cardiomyopathy or another type of heart condition is to blame for ones enlarged heart; a patients doctor may recommend
Those condition will be characterized Concerning illustration over the top spewing requiring hospitalization Also creating extreme drying out , electrolyte imbalance, ketonuria Also weight reduction of more than 5% from claiming body weight (Wegrzyniak et al. , 2012).
A nursing diagnosis that would be attributed to the patient, Karen in the case study would be risk of deficient fluid volume. Karen’s slightly elevated pulse and respirations and additionally the assessment findings of mild oedema and blister formation show that there is a movement of body fluid into the second and third interstitial spacing. Brown and Edwards (2008) states this is caused by increased capillary permeability. Water, sodium and plasma protein move into the intestinal spacing and surrounding tissue. Furthermore Karen states that she has a headache, feels nauseas and chilled after being over exposed to the sun. Karen has a
Stress Testing, one exercises to make the heart work hard and beat fast; if unable to exercise the normal rate (depends on age), the heart is not receiving enough blood.
Aubin, H. J., Farley, A., Lycett, D., Lahmek, P., & Aveyard, P. (2012). Weight gain in
Scans such as a chest x-ray, CT heart scan or a heart MRI are useful for the doctors to get an image of the heart from the outside to see if they can find any problems. Another dynastic tests for heart disease is the blood test. Blood tests are one of the most common types of medical tests for diagnosing out a range of illness, especially heart disease. The test can help doctors assess the health of the individual’s heart, by checking the levels of certain nutrients such as fats, cholesterol, sugar, and proteins in the blood. If the individual has abnormal levels of these nutrients, it may be a sign that they are at risk to heart disease. Therefore this test is crucial for finding problems with the heart early on. For most blood tests, the patient may be asked not to eat anything and only drink water for 9 to 12 hours before having the test to make sure the results show a true representation of the nutrients in the individual’s blood. During the test a sample of blood is taken from a vein in the patients arm using a needle. A tourniquet is sometimes put around the upper arm to cause the vein to swell and fill with blood. This makes taking the sample easier. The needle is usually attached to either a syringe or a special blood collecting container, so once the blood sample has been taken it can easily be sent to a laboratory
There are several ways to test for heart disease that range from simple to more complex. Upon visiting the doctor he/she may check a person’s heart rate, heartbeat, blood pressure, give them a physical exam, and/or run tests for more accurate results. Heart rate is tested by checking the pulse and the purpose is to test the rhythm and regularity of the heart, whereas listening to the heartbeat with a stethoscope allows the doctor to evaluate the valve function (Bryg). Blood pressure is basically how hard the blood is pumped through the arteries by the heart. It is measured in two parts and is written as a fraction; for example, 120/80 is considered the normal reading. Systolic pressure, which is the pressure when the heart beats and is the higher number in the fraction, is one measurement, and diastolic pressure, the pressure when the heart is relaxed and is the lower number in the fraction, is the other measurement (Donatelle). Other forms of checking for CVD are simply running a few tests. Among the most common tests that doctors use are electrocardiograms (ECG or EKG),
Liquid and water maintenance. A feeble heart pumps less blood to your kidneys and causes liquid and water maintenance, bringing about swollen lower legs, legs,
To evaluate other signs and symptoms that may be heart-related, such as fatigue, shortness of breath, dizziness, or fainting
I am studying Manville, Rhode Island, which a village in the town of Lincoln. It is a relatively small mill community in the northern part of the state with a number of mom-and-pop local businesses. While I live in neighboring Cumberland, many of my elderly relatives live here. There are two main residences for the elderly: The Holiday Nursing Home and Rehabilitation Center, Manville Manor housing for the elderly, as well as regular apartment complexes and homes. Currently, RIPTA does not make any stops in the village, so if a person does not drive, it is expensive to take a taxi. Overall, from my initial impressions, it does not appear to be a very age-friendly community and lots of improvement needs to be done.
We hypothesize the nitrate to have significant implication on the post weight loss RMR and possibly cause relapsing of the weight loss.
Managing the capability and capacity of the workforce at Mountain View Middle School (MVMS) has several unique challenges. MVMS is in a rural, agricultural setting and enrollment can fluctuate as the migrant laborers move in and out of the area. Also, there is a well-established charter junior high charter school and a newer community charter school which provide direct competition to MVMS for student enrollment. Due to these key factors, managing capability and capacity of the staff and building can be challenging for administrators. According to the principal of MVMS, Wes Jensen, the middle school is fortunate to have some flexibility in managing staff placement (capability) and the
It is mostly a result from left-sided heart failure. When the left ventricle fails to contract as usual then inside the lungs is an increased fluid pressure. Consequently the right heart side will be damaged due to the elevated pressure. Furthermore blood backs up in the body veins which leads swelling or congestion in the legs.