Congestive Heart Failure Occurs.
n a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.Congestive Heart Failure Occurs.
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Case Study 2
Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.Congestive Heart Failure Occurs.
Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following:
• Describe your approach to care.
• Recommend a treatment plan.
• Describe a method for providing both the patient and family with education and explain your rationale.
• Provide a teaching plan (avoid using terminology that the patient and family may not understand).
Case Study 2
Cardiomyopathies refer to a group of diseases affecting heart muscle and eventually result in heart failure or cardiovascular death. Congestive heart failure occurs when the muscles of the heart are not able to pump blood to other parts of the body (Azad & Lemay, 2014). The focus of this essay is on Mr. P, a 76-year-old male with cardiomyopathy and congestive heart failure. The approach of care will be described and a treatment plan recommended. Finally, a method for patient and family education will be described and a teaching plan provided.Congestive Heart Failure Occurs.
The approach of care will focus on facilitating tolerance to activity for the patient because activity intolerance is common for patients with congestive heart failure. Accordingly, in order to lower cardiac workload, a bed rest for Mr. P is recommended. Mr. P will also be provided with rest to decrease oxygen consumption. The impaired gas exchange will also be included in the approach to care. Mr. P has edema, and hence fluid volume excess should be considered and he will be put on edematous fluid. Additionally, to improve cardiac output, Mr. P will be put on digitalis (Inamdar& Inamdar, 2016).
The treatment plan will focus on palliative care for the patient. Therefore, it will focus on maintaining the patient’s functional capability and reducing hospitalization rate due to disease deterioration. Accordingly, the treatment plan will consist of cardiac rehabilitation, education, increasing accessibility to health care, cardiac intervention as well as non-pharmacological treatments. Cardiac rehabilitation will focus on helping the patient to achieve and maintain the utmost physical and emotional health and welfare. Aspects such as strategies to lower modifiable risk factors for heart failure, appropriate diet, physical activity, and stress management(Azad & Lemay, 2014).
Education for both the patient and the family will be essential to ensure that the patient is adhering to the treatment regimen. The education will also ensure increased collaboration and cooperation by the patient, family and the healthcare provider and hence ensure the efficacy of the treatment plan. Therefore, patient and family education will focus on dietary practices, physical activities, and adherence to medication/treatment regimen (Maron et al, 2017). The wife will also be educated about the rehabilitation program and to encourage the patient to complete the taught simple activities during the rehabilitation program, for instance, weight recording and performing other simple physical activities. Since family support influences lifestyle changes in patients, the wife will be advised to offer moral support to the patient(Inamdar & Inamdar, 2016).
The teaching plan for Mr. P will focus on lifestyle change, adherence to the treatment regimen, as well as moral support to the patient and the family. The patient and the caregiver (wife) are the key targets of the teaching plan. Mr. P will be encouraged to talk about any concerns regarding the recommended diet, physical activities, and medications. The wife will be educated on the importance of being there for the patient. Since the wife is the caregiver, dietary aspect will target the wife. The wife will be taught about the benefits of giving Mr. P foods with low sodium and cholesterol foods, as well as avoiding carbonated and caffeinated drinks. Mr. P will be educated on the importance of reducing water intake in order to control the edema(Azad & Lemay, 2014). Both the patient and the wife will also be advised to ensure regular weight assessments for the patient and the importance of adhering to the medication. Mr. P will then be referred to a support group to ensure he has emotional support from patients going through the same (Maron et al, 2017).Congestive Heart Failure Occurs.
Mr. P has cardiomyopathy and congestive heart failure. The approach of care for Mr. P will thus focus on facilitating activity tolerance due to the weakened heart muscles. The treatment plan will focus on palliative care for the patient in order to improve and maintain his functional capability and reduce disease deterioration and complications. Education for the patient and family education will focus on dietary practices, physical activities, and adherence to medication/treatment regimen. Similarly, the teaching plan for Mr. P will focus on lifestyle change, adherence to the treatment regimen, as well as moral support to the patient and the family.Congestive Heart Failure Occurs.