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Congestive Heart Failure (CHF): The Treatment Plan

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Congestive Heart Failure (CHF): The Treatment Plan
Congestive heart failure (CHF) is a situation where the heart is not able to pump adequate blood to the other organs of the body. Causes of CHF are coronary artery disease, past myocardial infarction, hypertension, heart valve disease, cardiomyopathy, congenital heart defects, endocarditis and myocarditis (American heart association, 2013) .In the case scenario of Mr. P 76 year old man comes with the history of cardiomyopathy and CHF and in the past repeatedly admitted for the management of CHF symptoms. This essay discusses about approach to care, treatment plan, patient and family education and teaching plan that is given to Mr.P.
Approach of Care
In this given case scenario, Mr.P not only has medical problem he also has some psychological and social problems as well. The client present with difficulty in breathing, pulmonary crackles and pitting edema, depression, hopelessness and in addition non-complaisance with treatment and face some financial problems. To manage Mr. P’s condition well, comprehensive approach of care is very important which includes medical, psychological, social and financial support. Mr. P needs must be transferred to an acute care setting where his clinical symptoms will be taken care of. Detailed education about the patient’s prognosis and treatment plan, emotional support and dietary counseling will help the patient to stick to health treatment and life style recommendations. In addition social worker referral to be made to aide with financial issues for Mr.P. Moreover considering Mr.P to cardiac rehabilitation program reference is very important for emotional support and psychological well being. Arranging for home visiting nurse would be highly recommended for Mr.P which could facilitate him to be complaint to his medications management and an issue of polyphamacy (Paul, 2008).
Treatment plan
The main goal of the treatment plan is to remove the accumulation of excessive body fluids which causes myocardial contraction due to

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