Heart Failure: A Case Study

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

Heart Failure is a progressive heart disease when the muscle of the heart is weakened so that it cannot pump blood as it should; the blood backs up into the blood vessels around the lungs and the other parts of the body (NHS Choice, 2015). In heart failure, the heart is not able to maintain a normal range cardiac output to meet the metabolic needs of the body (Kemp and Conte, 2012). Heart failure is a major worldwide public health problem, it is the end stage of heart disease and it could lead to high mortality. At present, heart failure is usually associated with old age, given the dramatic increase in the population of older people (ACCF/AHA, 2013). In the USA, there are about 5.7 million adults who have heart failure, about half of the people die within 5 years of diagnosis, and it costs the nation an estimated $30.7 billion each year (ACCF/AHA, 2013).

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

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,

Evaluation is the final and often the most critical step in evidence based research and practice. Evaluation of evidence based practice follows a pathway beginning with the selection of the area for improvement, synthesizing the research into a process improvement activity and evaluating both the implementation of the process improvement as well and the outcomes of the intervention (Titler, 2008). To measure the results of process change in the management of heart failure patients a retrospective analysis will be conducted comparing the readmission rates of a pilot and control population over a 6-month period. The pilot population will be evaluated with the LACE index readmission risk assessment upon admission and subsequently receive the recommended interventions based on the risk stratification. In comparison, the control group will receive the current process of telephonic contact only. The pilot group will include patients over the age of 18 residing in zip-codes 45402 and 45403,

In this case study, there is a patient named Mr. Wilson who is a 70 years old man. He stated that he had difficulty in breathing and caught a ‘flu’ a week ago. Currently, he has been observed pitting oedema on his lower legs. In addition, the patient had history of heart attacks, which has been diagnosed with congestive heart failure. The case study will provide a complete care plan for the patient. Its aim is to provide a better quality of care for the patient as well as promoting holistic treatment of the patient. The report will firstly assess the patient’s condition by two nursing assessment tools while offering rationale for choosing these assessment tools. The client’s health problems will then be identified and

37). The Institute of Medicine describes self-care as the degree to which individuals can obtain, process, and understand basic health information and services needed to make appropriate health decisions (Sterne et al., 2014, p. 321). Many literature sources have established that self-care is an important aspect of management of heart failure. Self-care for heart failure includes self-care management, self-care maintenance, sodium, fluid, and alcohol intake restrictions, physical activity, smoking cessation, monitoring signs and symptoms and keeping follow-up appointments (Oosterom-Calo et al., 2012, p. 367). Management of heart failure will continue to be an important component of health care. Identification of self-care processes can help to guide future research and clinical practice (Schulman-Green et al.,

Heart failure (HF) is a chronic progressive disease, arising from structural or functional disorders of the heart, in which incidence increases with age. This review attempts to describe the types and causes of HF while focusing on variable aspects of patient education that have a positive effect on patient outcome and quality of life. Specifically, the potential benefits of this education for a 55 year old male patient diagnosed by transthoracic echocardiogram with chronic systolic heart failure, who has refused physician deemed necessary

currently work on an Interventional Cardiac floor and most of our patients are repeat patients. One of the largest readmission diagnosis is Congestive Heart Failure. In 2009, their were over 750,000 patients admitted for CHF, making it the top 5th reason for admission to the hospital (AARP, 2012, para 3). CHF is al the most common readmission to the hospital (Medscape, 2010, para. 2). This is a topic that has been evaluated many times and is currently one of our Core Measures. Our institution has a very specific protocol for this kind of admission and discharge. Even with this stringent protocol set up for doctors and nurses to adhere too it is still left with the patient to comply after discharge. in my experience, noncompliance has been a

Heart failure (CHF) is a chronic illness of the heart where the heart muscles are not able to pump blood efficiently (Lange, 2011). Mrs. Lee is recently diagnosed with Chronic Heart failure and during her one week stay at the hospital has been getting bedside education by the nurse. As she is getting discharged, it is important for Mrs. Lee to review the

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.

Systolic and diastolic are two different forms of left-sided heart failure. During systolic heart failure, the cardiac muscle loses its capability to contract normally. The opposite happens during diastolic heart failure; the muscle becomes rigid and fails to relax normally (“Types of Heart Failure,” 2015). Angiotensin converting enzyme inhibitors (ACEI) and Angiotensin II Receptor Blockers (ARBs) have been the go to drugs after these life changing events to assist with the quality of life. At times, a diuretic is also prescribed to the client depending on the situation. The plan of action would be different for both the systolic and diastolic heart failure clients.

Amy great post. Acute heart failure after an MI especially left-sided is common (Mattson Porth, 2015). It would be important as providers to know how best to treat this patient. Initially the treatment is going to revolve around making sure that the blood supply to the heart is restored (Epocrates, n.d.). Factors that the provider would want to be watching out for in the H&P are dyspnea, third heart sound (S3), fatigue and weakness, hypotension, tachycardia, jugular venous pressure, cough, and possible wheezing.

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.

Congestive heart failure (CHF) is a degenerative disease process that continues to increase in incidence in the United States. According to the American Heart Association (2013), approximately 5.7 million Americans are living with CHF today, and of the 5.7 million, 10% of them are suffering from advanced heart failure. Patients who experience an exacerbation of heart failure present with definitive, impairing symptoms including shortness of breathe upon rest and exertion, swelling of their extremities, fatigue, confusion, lack of appetite and a persistent cough or wheeze. Patients are treated in the hospital with medications, procedures and strict measurement of diet and fluid intake. They are sent home once the symptoms are under control.