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Congestive Heart Failure Case Study

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Congestive Heart Failure

Heart failure, also known as congestive heart failure, occurs when the heart no longer pumps blood as it should. With heart failure, the blood moves through the heart and the body at a slower rate. When this happens, the heart's pressure increases, and the heart could no longer pump oxygen and nutrients that the body needs. To avoid further damage, heart failure must be treated immediately. In line with this assertion, this paper will discuss the objective data, current treatments, diagnosis, social history, medical history, diagnostic studies, care plan, and client teaching of congestive heart failure.

Objective Data

A person with congestive heart failure must be cautious of his diet and nutrition intake.

Reduction …show more content…

Decreased Cardiac Output

Vera (2013) asserted that decreased cardiac output may be related to valvular defects, altered myocardial contractility, and alterations in a person's heart rate and rhythm, and electrical conduction. This may also be evidenced by diaphoresis, extra heart sounds, increased heart rate, chest pain, edema, and decreased urine output (Vera, 2013). Ultimately, the patient is expected to display vital signs with acceptable limits, and he is also expected to have decreased episodes of dyspnea and angina, and a reduced cardiac workload (Vera, 2013).

Deficient Knowledge

Vera (2013) believed that deficient knowledge may be related to how a patient lacks understanding about the relationship of cardiac function and failure. This is evidenced by questioning and recurrent episodes of heart failure. In addressing this problem, the nursing care plan is expected to determine the relationship with how therapies reduce recurrent episodes and complications of heart failure, and list all the signs and symptoms which require immediate intervention (Vera, …show more content…

It is through this that an appropriate nursing plan care is used. For example, in the decreased cardiac output, heart sounds and blood pressure should be monitored. Veri (2013) asserted that murmurs in the heart sounds may indicate a valvular incompetence. Further, chronic blood pressure may be elevated and as a result, profound hypotension may occur (Vera, 2013). In the case study, I have observed that barriers to teaching and learning include a lack of knowledge about the disease itself. To make sure that I am able to give an appropriate intervention, I have observed the patient's situation properly. In teaching the patient, I have explained his situation thoroughly and the things he must do and avoid to his situation. I evaluated the patient's learning by asking him questions and observing if he has avoided activities that may worsen his situation. If in any case a future situation requires another teaching strategy, I would change my approach. This is to ensure that my patient recovers from his heart disease. The discharge plans include giving the patient an instruction to call 911 if he feels discomfort or pain in his back, neck, jaw, stomach and arm and if he experiences nausea, vomiting and difficulty in breathing. Also, he should seek care immediately if he observes that he has gained 1.4kg in a day and that is heartbeat is uneven all the

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