financially. Congestive heart failure (CHF) is one chronic disease that is progressive and difficult to manage. Patients diagnosed with congestive heart failure have a critical learning curve to maintain health and to manage and live with this disease. Physicians and nurses are in the frontline to providing patient education‚ which will interpret the degree of compliance by the patient. Heart failure begins when the heart is not able to pump blood efficiently out to the body. In left-sided heart failure
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September Reason for Consult: Emphysema and congestive heart failure. HISTORY: This 87 year old Caucasian male patient‚ has been diagnosed as having emphysema and congestive heart failure. He is referred for cardiac evaluation and 2-D echo. In January of this year‚ he had an exercise test‚ which the family understands was negative. He has no history of myocardial infraction. His only other cardiac testing has been exercise testing. He has never had a heart cath. He had atrial fibrillation‚ diagnosed
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George Brown‚ 72 years of age‚ is a male patient who is admitted with the diagnosis of acute pulmonary edema secondary to acute left ventricular heart failure. The patient has a history of coronary artery disease that has been treated medically. The patient is anxious‚ pale‚ cold‚ clammy‚ and dyspneic. The vital signs are: blood pressure 88/50 mm Hg‚ heart rate 110 bpm‚ respiratory rate 32 breaths/min‚ and temperature 97°F. There are bubbling crackles and wheezing throughout the lung fields and the
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Pathophysiology of Congestive Heart Failure I. Description: Congestive Heart Failure is more of a syndrome than a disease. Heart failure may be classified according to the side of the heart affected‚ (left- or right-sided failure)‚ or by the cardiac cycle involved‚ (systolic or diastolic dysfunction). (Schilling-McCann p. 176). The word "failure" refers to the heart’s inability to pump enough blood to meet the body’s metabolic needs. (Schilling-McCann p. 176). When the heart fails to deliver adequate
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common chronic illness in our society and it causes over half the deaths in the US each year. It affects all aspects of the heart. It affects the arteries that supply blood to the heart‚ the valves which pumps the blood and the heart muscles‚ itself. People who don’t take care of themselves can develop cardiovascular disease‚ which can cause heart attacks‚ congestive heart failure or strokes. A patient’s risk of cardiovascular disease increases if they smoke‚ don’t exercise or eat unhealthy food. These
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intestine = normal‚ hyperactive bowel sounds Braden Scale = assessment tool to determine if a person is at risk for developing pressure ulcers. The lower the number‚ the higher the risk for pressure ulcer development Bradycardia = abnormally slow heart rate‚ pulse rate below 60 beats per minute Bradypnea = abnormally slow breathing‚ respiratory rate below 10 per minute‚ regular rhythm Bruit = a sound or murmur heard in auscultation (abnormal) Cheyne Stokes respiration= apnea-then gradual increase
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videotelephone or regular telephone reminders would increase the quantity of prescribed cardiac medication taken in a sample of elderly individuals who have congestive heart failure (CHF) (Peteva‚ 2001). 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
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Report: Just over about a year ago‚ a beloved elderly women past‚ due to complications from a medical error. Tootsie lived very independently and managed her underlying congestive heart failure and one kidney. She had bilateral cataracts and also used a portable oxygen tank. One day Tootsie was found short of breath and her heart racing. She visited a local hospital and found that‚ due to a medical error‚ she had been overdosing on Synthroid for the previous two weeks. Somewhere between her doctor’s
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for the last ten years and obesity. Lab results: triglycerides 350‚ and LDL 280 with Total Cholesterol: 250. HgbA1c 8.5 .No MI changes in EKG and Chest X ray that shows hyperinflation of lungs. Weight: 230 pounds‚ height 5 feet 8 inches.BP 160/88‚ heart rate 6 and respiratory rate 16. No fever‚ T 98.0
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if the benefit to the dying is minor in comparison then there is a duty to die to relieve loved ones of this financial burden. Hardwig provides two compelling examples: the case of Captain Oates and the case of the 87-year-old woman with congestive heart failure. Captain Oates was a member of an expedition to the South Pole when he became too sick to continue on the mission. It became apparent that he would not be able to make the rest of the journey and that he also would not be capable of making
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