Essays on Congestive Heart Failure

Approaches in configuring Clinical Decision Support (CDS) System

The development of an effective CDS system to facilitate the healthcare delivery of a chain of hospitals and outpatient clinics warrants the systematic incorporation of clinical guidelines, documentation templates, patient summaries, HPI and medication history recording tools, condition-specific orders and diagnostic support system across the electronic health record (EHR) (CMS, CLINICAL DECISION SUPPORT:More Than Just ‘Alerts’ Tipsheet, 2014). The association of these approaches in EHR is warranted in the context of incorporating the entire aspects of patient care to facilitate the patient outcomes across the clinical settings. The EHR across clinical settings requires the effective incorporation of the research ...

The client, Mr. P has been diagnosed with cardiomyopathy and congestive heart failure. The client, Mr. P has 4+ oedema, laboured breathing and moist crackles throughout lung fields. He is 76 years old and faces difficulty in maintaining diet restrictions and managing polypharmacy. He has only his wife in his family who herself is weak and cannot go outside house due to her own poor health. Patient is hopeless and blames God for his miserable life.

Approach to Care for Mr. P

Care plan for Mr. P is developed taking into consideration that now he is an in-patient. Approach to care will include several interventions ...

Introduction

Each patient that is in need of care have varying needs. Similarly, there are also patients with varying preferences. This means that while the standard health care provided by a health institution may readily satisfy the needs of a patient, there are bound to be shortcomings for some patients. This is because in terms of health care, one strategy does not fit all. This is the same reason why there patients with the same illnesses, but undergo different treatment options. Furthermore, the hospitals should likewise be able to provide the health needs of their patients to the best of ...

M.K is a female, 45 years old with 5.5” height and 225 lbs. weight and has a history of smoking for 22 years and poor diet. The history of Type II diabetes mellitus and primary hypertension is also observed with the recent diagnosis of chronic bronchitis. She has been observed with chronic cough with sputum, light headedness, excessive peripheral edema, distended neck veins and increased urination during the night. She has been using the medications comprising of Lotensin and Lasix to treat hypertension and Glucophage for diabetes mellitus.

Vitals and Lab Results

The patient is observed chronic cough with sputum and the cough ...

Abstract: The present paper focuses on the examination and presentation of the study conducted by one of the most influential medical institutions – the University of Michigan Medical Center. Thus, the study with its results, including statistical data, is summarized. However, the paper goes beyond the summary in the sense that it explores the significance of it and tries to project its future applicability. Furthermore, some key medical concepts are also discussed in regards to the study in question. The research that will be dwelt upon in the paper dealt with the medical condition known as congestive heart failure. Congestive ...

1. The patient is diagnosed to have congestive heart failure. This is a heart disorder resulting to pulmonary vascular congestion with a reduced cardiac output. Among the diagnostic symptoms of the disorder include pulmonary complications, such as pulmonary edema, obstructive sleep apneas and pleaural effusions (Figueroa and Peters 2006). It is also characterized by the main symptoms of orthopnea, fatigue, dyspnea, paroxysmal nocturnal dyspnea and peripheral edema (Grimshaw, Khunti and Baker, 2001), which are all present in the clinical symptoms presented by the patient Mabel. During the exacerbation of the congestive heart failure, the patient will benefit from continuous ...

Explain how you would prioritize care of these clients in order of importance, and why

I will triage these patients with regard to their needs. The one with the immediate and most pressing needs is Mr. Richard. He takes first priority since he is in severe pain and nursing care dictates that the nurse should ensure that the patient is comfortable and one way to achieve is this is through pain relief. I would administer moderate analgesia such as morphine or pethidine. The fact that Mr. Richards was experiencing difficulty in breathing affirms me making him my first priority. Dyspnea translates to the fact that there is inadequate tissue perfusion. This in itself is ...

This is a case of a 60 year old elderly with complaints of persistent coughing for at least the past three months with pulmonary secretions. The patient’s name is A.D. (initials used for confidentiality purposes). She lives with her family and it was her daughter, D.F., who brought her to the hospital for medical consult. The doctors from the hospital conducted a comprehensive physical examination and found out what the main problems are; they also laid out an initial plan of action and the parties agreed with a course of action. I encountered numerous challenges when I got ...

The reasons behind persisting health disparities across socioeconomic class in America are not fully understood. A 1.2:4.0 mortality rate ratio exists among people in the lowest socioeconomic class and those in the highest socioeconomic class (Cohen, Farley, & Mason, 2003). The difference in mortality ratios indicates that socioeconomic status plays a significant role not only in mortality rates, but also in the quality of life across socioeconomic classes. In the year 2012, a report by the New York City (New York City Health Department, 2012))Health Department indicated that hospitalization rates in neighborhoods with high poverty levels more than tripled ...

Heart failure is one of the major conditions proven to compromise the well-being of many individuals. This condition has in many cases led to tissue imperfusion. An individual having this condition has their heart not working efficiently since it struggles to pump blood around the body. In this direction, therefore, there is the need for making sure that the condition of Mr. P is restored which will eventually result in him functioning properly physically, mentally and socially (Whang, 2013). As such, the approach of care that will adequately address Mr. P’s condition should entail combining medication, dietary therapy ...

Part 1

Compromised levels of safety in her house During the nurses’ visit to Ms. Fisher’s house, a couple of factors were observed to expose her to dangers that were likely to impact on her wellbeing. The level of lighting in the house is low; therefore, her chances of tripping and falling over are very high which may result in her breaking bones. Secondly, she is wearing slippery shoes. This aspect added to the realization that the rug in the house is not placed appropriately may result in her falling and hurting herself. In this direction, there is the need ...

The patient developed respiratory complications which led to severe anasarchia, no corneal reflexes and no papillary responses. She was later pronounced dead on the fourth day of hospitalization. Mrs. M’s mother succumbed to death from congestive heart failure at the age of 65 years while the father died from myocardical complications at the age of 48 years. One of Mrs. M’s sisters died at the age of 46 years from cardiompathy which is a complication that had developed from a heart failure which she had harbored for two years prior to her death. Mrs. M’s other ...

Heart failure is the condition in which the heart pumps blood at a lower rate than the normal function rate. In this state, the blood moves through the heart and the body at lower rates. The most common and the leading form of heart failure is the Congestive Heart failure (CHF). The cases of family members and patients, admitted with congestive heart, represent a nursing case that requires immediate response. Effective self-management of CHF has become an ongoing problem. Psychosocial issues are one of the important variables that need to be addressed in patients with CHF. Congestive Heart Failure ...

PHYSICAL EXAM:

You will be expected to write up your response as follows: List of Differential Diagnoses [rank ordered] A. Congestive Heart Failure B. Angina C. Hypercholesterolemia D. Myocardial Infarction

E. Diabetes Mellitus

F. with Grade II diastolic heart failure.

G. Hypertriglyceridemia

H. GERD I.

J. Hypertension

Leading hypothesis : Congestive Heart Failure Active Alternative hypotheses Must not miss diagnoses [critical rule outs] Congestive Heart Failure Angina Hypertriglyceridemia Hypercholesterolemia Most common diagnoses [reasonable alternatives] GERD Hypertension Diabetes Mellitus Presumptive Diagnosis [assumption] Congestive Heart Failure

Treatment Plan

Non-pharmacologic / lifestyle interventions (provide rationale) • Modify Diet. - Advance to a low-sodium, low-cholesterol, low-fat, solid diet as tolerated R: to minimize metabolic demands ...