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Congestive Heart Failure Case Study

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Congestive Heart Failure Case Study
Congestive Heart
Failure

Christina Cabrera
Mayra Cortez
Serina Markham
Irina Peters

Prevalence & incidence of CHF



Mortality Rate: 4.1%



5.1 million people in the US have CHF



National Cost is $32 billion each year



550,000 are diagnosed each year.

Congestive heart failure (CHF):
Clinical Presentation


Also known as Heart Failure



Impaired cardiac pumping and/or filling action



Associated with


Cardiovascular diseases


Chronic hypertension



Coronary artery disease



Myocardial infarction

Right Sided Heart
Failure

Left Sided Heart
Failure

Signs:
Murmurs
Jugular Venous
Distention
Edema
Weight Gain
Increased Heart Rate
Ascites
Anasarca
Hepatomegaly
Symptoms:
Fatigue
Anxiety, Depression
Dependent Edema
Anorexia, GI Bloating
Nausea

Signs:
…show more content…


Patient Goal: Patient will establish a balance of rest and activity to decrease episodes of fatigue that may severely impact lifestyle choices.



Outcomes: Patient will have fewer days of reported fatigues as measured by self report from baseline.



Interventions:



Adjust patient’s daily activities and reduce intensity level. Stop activities that cause adverse physiological changes: Rationale: To prevent overexertion and strain. 

Identify activity needs versus desires to evaluate appropriateness for patient.
Rationale: Patient is unable to ambulate to restroom but desires to run a marathon. 

Encourage the patient to maintain a positive attitude. Rationale: To enhance a sense of well being

Community Resources


American Association of Cardiovascular and Pulmonary Rehabilitation
(AACVPR), www.aacvpr.org



The Mended Hearts. www.mendedhearts.otg.



Mended Little Hearts. www.mendedlittlehearts.org.



Congestive Heart Failure Online Support Group.
http://www.mdjunction.com/congestive-heart-failure

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