Congestive Heart Failure Case Study Examples

525 Words2 Pages

Congestive Heart Failure
Over 670,000 people a year are informed that they have congestive heart failure, also known as CHF. At first it may be pretty scary too hear these words, so let me explain a little bit about CHF. Congestive heart failure does not mean that the heart has failed to work, it simply has started pumping weaker than normal. There are a large number of signs & symptoms including: congested lungs, edema, irregular heartbeats, dizziness, and fatigue. Numerous things can cause CHF like coronary artery disease, a heart attack, hypertension, and diabetes. In this paper I will give a case scenario about a patient I cared for, a thorough assessment, and come up with two nursing diagnosis that apply to this patient. Taking the diagnosis into account I will create two goals and two interventions for each goal.
Case Scenario …show more content…

He also has history of chronic obstructive pulmonary disease, muscle weakness, type 2 diabetes mellitus, coronary artery disease, hyperlipidemia, and dementia. He has been a widow for 5yrs now and has one daughter. He currently takes 10 different scheduled medications. These include: Augmentin, Lasix, Aricept, Aspirin, Potassium, Aldactone, Zoloft, Prednisone, Flonase and Seroquel. My patient was diagnosed with congestive heart failure by labs and diagnostic procedures. Lab results: White count 3.7, hemoglobin 11.3, platelet cunt 164, Sodium 140, potassium 3.9, chloride 95, bicarb 28, BUN 19, creatine 0.9, glucose 108. Chest x-ray showed accumulation of fluid around heart and lungs. He also had an electrocardiogram and a cardiac catheterization done to rule that coronary artery disease was the cause of his

Show More
Related

  • Case Study Of Myocardial Infarction

    1061 Words  | 3 Pages

    The primary concern for Mr. Miller would be preventing further ischemia and necrosis of the myocardial tissues, preventing serious complications such as cardiac dysrhythmias and heart failure, as well as relieving his chest pain that radiates to his left arm. Preventing further ischemia and necrosis of the myocardial tissue will help prevent the development of heart failure due to myocardial infarction, whereas relieving his pain will help reduce his episodes of shortness of breath, and will also help to reduce any anxiety and restlessness he may be having from being in pain and short of breath.

    Read More

  • The Nhs Outcomes Framework Has Five Standard Domains

    1415 Words  | 3 Pages

    The NHS Outcomes Framework has five standard domains which is set out to improve the quality and outcome of care and services that is being delivered to the patients and service users (National Quality Board, 2011). As such, this project plan is focused on domain 2 as it has been mentioned before, is based on improving the quality of people with long term conditions. Nurses will give cardiac discharge advice to patients on self care, thus identifying how to improve and manage their condition so that they can continue with their normal lifestyle. Furthermore patients will be advised on how to overcome stress and depression which will help them in maintaining the activities of living (DoH, 2013).

    Read More

  • Chronic Heart Failure: Annotated Bibliography

    1932 Words  | 4 Pages

    The systematic review indicated (1) ‘Case management interventions were associated with reduction in all-cause mortality at 12 months follow up, but not at six months’. (Takenda, et al, 2012) The systematic review also went on to state that while case management interventions were not associated with reduced mortality, case management interventions were indicated to reduce the occurrence of patients presenting to hospital with exasperations of chronic heart failure. The benefits of case management based interventions were apparent after 12 months had lapsed. Six of the twenty five studies assessed (2) heart failure clinics, and the evidence for this intervention was less convincing with the review stating ‘there was no real difference in all-cause mortality, readmissions for HF or between patients who attended a clinic and those who received usual care’. (Takenda, et al., 2012)

    Read More

  • Assignment For My Brown Bag

    717 Words  | 2 Pages

    For my Brown Bag Assignment my participant, JR, was found within my family. I was aware JR took daily medications due to his recent heart bypass surgery in June 2015 and met with him. JR is 62 years old and takes seven medication daily. My participant, JR had heart bypass surgery, exactly 4 bypasses, on June 1, 2015, due to 90% of his coronary arteries being blocked. For about two weeks prior to the surgery, he could not walk, felt very dizzy, fatigue, and weak. His legs even gave out and he fainted. He then decided to go to the doctors, got lab work done and found out about his coronary arteries were blocked. If he did not have this surgery, he would have died. This eight-hour surgery was a huge reality check for him. After this surgery, he completely changed his lifestyle by not smoking, not drinking, eating healthy and going on walks. Prior to this surgery, JR had and still has type 2 diabetes, high blood pressure, and high cholesterol for about five years now. As I was talking to him, it was clear that he knew all his medication very adequately especially when to take it, why he takes it and how to take it. He is also fully aware of healthy lifestyle choices. As we were talking I gave some advice to help continue his healthy lifestyle.

    Read More

  • Medical Case Study: Cardiac Catheterization

    2907 Words  | 6 Pages

    Client Profile: Lane Bronson is a 55 year old male with a history of angina, hypertension, Type 2 diabetes, COPD, and sleep apnea. He comes to the physican’s office complaining of worsening shortness of breath. His skin tone is grey, and his angina is worsening. Previously stable, he now does not get relief from rest or nitroglycerin. The physician called 911 and had Mr. Bronson directly admitted to the hospital.

    Read More

  • Myocardial Infarction Case Study

    4095 Words  | 9 Pages

    This assignment is a case study that aims to explore the biospychosocial impacts of a myocardial infarction on a service user. It will focus on the interventions used by healthcare professionals throughout the patient’s journey to recovery. To abide by the NMC’s code of conduct (2015) which states that all nurses owe a duty of confidentiality to all those who are receiving care, the service user used in this case study will be referred to as Julie. Julie is a 67 year old lady who was rushed to her local accident and emergency following an episode of acute chest pain and was suspected to have suffered from a myocardial infarction. Julie who lives alone reported she had been experiencing shortness of breath and

    Read More

  • Overview of Congestive Heart Failure

    1371 Words  | 3 Pages

    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 failure, and they are Coronary artery disease, Heart attack, Cardiomyopathy, and conditions that overwork the heart.

    Read More

  • Patient Deterioration In Nursing

    966 Words  | 2 Pages

    One of the pivotal roles of a nurse is the ability to recognise patient deterioration. The skill of identifying crucial elements of deterioration and acting appropriately is fundamental for positive patient outcome. A vital skill performed primarily by nurses is the act of respiratory rate measurement. This skill is performed in addition to five other physiological parameters, which form a basis for a scoring system. The scoring systems commonly used are known as NEWS (National Early Warning Score) and EWS (Early Warning Score). As many adverse events are preceded by a period of time where by the patient exhibits physiological dysfunction, there is often time to correct abnormalities. This has significance for nurses, as they are responsible

    Read More

  • Medication Compliance in Elderly

    1310 Words  | 3 Pages

    Within this research I would disseminate the new scientific knowledge with the help of the pharmaceutical company that makes the congestive heart failure medication. With the help and support of the pharmaceutical maker, I would provide a full in-service to the nursing staff of hospitals and doctor’s offices alike. In doing this, this would provide a friendly and educational atmosphere in a nursing practice setting to get complete understanding of the research findings and how they as nurses can make a difference in the consumption of prescribed medication.

    Read More

  • Summary: The Impact Of Using Nursing Presence

    339 Words  | 1 Pages

    The purpose of the article, “The impact of Using Nursing Presence in a Community Heart Failure Program”, is to describe the concept of nursing presence and how it can positively influence patient outcomes. Key points mentioned were that presence as the basis of intervening builds trust, which is key to developing and maintaining self-care behaviors; nursing presence is a tool for the patient to experience physical and spiritual healing; committing to true presence means the nurse will willingly listen to the patient and supporting decisions. In a way being presence, is advocating for the patient; the nurse needs to be there mentally in order to effectively and safely care for the patient. According to Anderson, some key attributes of presencing

    Read More

  • Nursing Reflection Essay

    1476 Words  | 3 Pages

    D. standing near her room, breathing sharply. While asked what has just happened, she answered, ‘I feel dizzy and can faint!’ Mrs. D. then explained that she rose up from her chair in the television room and felt lightheaded. I decided to bring her to the room hoping she would feel less dizziness if she could sit. After consultation with my mentor and third year unit nursing student, I decided to perform measurement of her vital signs. Since only electronic sphygmomanometer was available for me that time, I had to use it for my procedure. Gladly, I discovered that I have already used such equipment in my previous nursing practice. Using the standard sized calf, I found that her blood pressure was 135/85, respirations were 16, and her pulse was 96 beats per minute (bpm). However, I decided to recheck the pulse manually, founding that it was irregular (78 bpm). The patient stated that she felt better after rest. Immediately after the incident I made a decision to explore carefully the medical chart of Mrs. D., along with her nursing care plan. That helped me to discover multiple medical diagnoses influencing her

    Read More

  • Patient With Acute Appendicitis

    2110 Words  | 5 Pages

    Cardiovascular System: He does not experience any chest pain or palpitation. He does not have dyspnea or leg swelling.

    Read More

  • Concept Analysis: Adaptation In Nursing

    1247 Words  | 3 Pages

    The following case will describe the importance of the process of adaptation. John is a 70 year old male newly diagnosed with CHF. He lives with his wife and has been retired for five years. The doctor has given the discharge orders. I will teach him about the disease before he leaves the hospital. The education started three days ago on admission. As the nurse I educate him on the six bullet points of CHF and describe the importance of this information. This begins to give John the awareness about the need for change. Next is motivation. John is very willing to take in all the information and asks questions about the low salt diet. Case management is involved to make sure John is able to buy the new medications prescribed and sets up a visiting nurse to make sure John succeeds at home. I ask John to tell me what he remembers about CHF. He does very well, with his wife’s help recalling many of the important facts. He is reminded he will have the written material to refer back to. John was called a couple days after discharge and is doing well. He takes the medications as prescribed and is weighing himself every day. John has remained out of the hospital and it has been over six months. This is a case of positive adaptation. John was able to incorporate a low salt diet; he is losing weight, and has stopped smoking. John

    Read More

  • Depression Case Study

    1061 Words  | 3 Pages

    In our case, the patient is Sean, a 36-year-old who runs his own IT business. He is single and has a distant relationship with his parents and sister. The patient had a good relationship with his grandparents. His grandfather died when Sean was 23 and his grandmother has been recently diagnosed with a terminal illness. Sean has been experiencing low mood, irritability, weight gain, sleep disturbance and fatigue. The symptoms were present for more than 6 months. He has been prescribed Citalopram 40mg but his symptoms have not improved. He has a BDI-2 score of 27, HADS anxiety of 10 and HADS depression of 15. He describes himself as mildly depressed. His goal seems to be improving his situation and returning to

    Read More

  • Myra Estrin Levine Essay

    853 Words  | 2 Pages

    Schaefer, Karen M., & Shober Potylycki, Mary J. (1993). Fatigue associated with congestive heart failure: Use of Levine’s conservation model. Journal of Advanced Nursing, 18, 260-268.

    Read More

More about Congestive Heart Failure Case Study Examples

Open Document