...Educating Congestive Heart Failure Patients Cynthia Jones The University of Texas at Arlington School of Nursing In partial fulfillment of the requirements of N3645 Cynthia Jones, RN October 1, 2012 Online RN-BSN Educating Congestive Heart Patients In comparison to the general population, the quality of life for patients with congestive heart failure is greatly impaired until patients are educated on the signs, symptoms and treatment of congestive heart failure. How can nurses use non-physical aspects of nursing to assist congestive heart failure patients improve their quality of life and decrease hospital visits? Patients with congestive heart failure receive physical aspects for treating the disease with the use of medications and surgery, but if patients were educated on the signs and symptoms at the onset of heart failure, outcomes should improve. When researching articles for information regarding congestive heart patients, I searched for articles in The Journal of American College of Cardiology, The Journal of Family Social Work, and the International Journal of Nursing Technologies and Classifications. I decided on these articles because they were published in reputable journals and provide correlations to the research question. In the first article seventy-six caregivers of patients with congestive heart failure used The McMaster Model of Family functioning (problem solving, communication, roles, affective responsiveness and affective...
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...head: EDUCATION AND CONGESTIV HEART FAILURE How does patient education affect compliance with Congestive Heart Failure? How does patient education affect compliance with Congestive Heart Failure? How does education affect compliance with congestive heart failure? I have chosen this topic because congestive heart failure is a disease process that continues to grow throughout our communities. These patients tend to be readmitted into the hospital frequently due to noncompliance. Problem Identification Education of congestive heart failure is one of society’s largest challenges. The need to focus on compliance of treatment plan, self management, and patient education of this disease process is essential for favorable outcomes. The articles chosen for the information retrieval paper were located on line at the University of Texas at Arlington library in the CINHL database. These articles were written between the years of 2006 and 2009. All three articles were peer reviewed. While searching the data base for articles, information regarding education, compliance, and outcomes was a key focus. The articles were chosen for their content related to the education process of the patient with congestive heart failure and how compliance would affect outcomes. The knowledge of congestive heart failure of the medical professional was also explored. Summary of Articles First article Congestive heart failure is a debilitating and chronic...
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...Congestive Heart Failure Introduction Everyone loses pumping ability in their heart as they age. The serious case of heart failure develops when other health conditions cause the heart to work harder or become damaged due to increased stress. Heart failure is usually a chronic disease. It gradually tends to become worse. By the time someone is diagnosed with it, the heart has most likely begun to lose pumping capacity for quits some time. Nearly five million Americans are living with heart failure and 550,000 new cases are diagnosed each year. This paper will discuss what heart failure is, and what nursing interventions may be of help to patients who suffer from this disease. My grandmother was recently diagnosed with congestive heart failure. By interviewing her and performing a brief assessment, I hope to recognize a few nursing diagnoses and some interventions that may make her disease more bearable. Heart failure can involve the right side of the heart, the left side, or both. Heart failure usually affects the left side first. Each side of the heart is made up of two chambers the atrium and the ventricle. If either of these chambers loses their ability to keep up with the amount of blood flow then heart failure occurs. Custom writing service can write essays on Congestive Heart Failure Left - sided failure involves the left (lower) ventricle. The left ventricle pumps oxygenated blood to the rest of the body. This chamber is the largest and is...
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...Scenario A Acute renal failure: Ms. Jones, a 68-year-old female, underwent open-heart surgery to replace several blocked vessels in her heart. On her first day postoperatively, it was noted that she had very little urine output. 1. What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom? Ms. Jones just had open-heart surgery and her kidneys did not have enough blood flowing to them (possibly because of low blood pressure during the surgery) and are struggling to work effectively now (The Mayo Clinic Staff, 2011). 2. What other symptoms and signs might occur? Confusion, Fluid retention, fatigue, drowsiness, and an ammonia smell to the breath are a few other signs and symptoms that may occur with acute renal failure although some signs may be confused with post-operative complaints (The Mayo Clinic Staff, 2011). 3. What is causing Ms. Jones’s kidney disease? Ms. Jones’s recent open-heart surgery is most likely the cause of her kidney disease. Low blood pressure during the operation caused her kidneys to stop working because of lack of blood to the organ to filter toxins from the body (Leurs, 1989). 4. What are possible treatment options, and what is the prognosis? A variety of medication can be used to treat kidney failure in this case, including temporary dialysis (The Mayo Clinic Staff, 2011). The prognosis for Ms. Jones is good she will most likely recover, and suffer no long term effects. Scenario B Chronic renal failure: Mr. Hodges, a 73-year-old...
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...Acute renal failure: Ms. Jones, a 68-year-old female, underwent open-heart surgery to replace several blocked vessels in her heart. On her first day postoperatively, it was noted that she had very little urine output. What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom? Acute Kidney failure occurs when your kidneys suddenly become unable to filter waster products from your blood.(www.mayoclinic.org). Acute kidney failure fails into three categories such as prerenal, postrenal, and renal. Mrs. Jones suffers from Acute Renal Failure which means that the kidneys itself that prevent filtration of blood or production or urine. Kidneys is what filter the body's blood, it produces roughly about one milliliter of urine a minute and when the urine changes it is expected to shut down of the kidneys. Mrs. Jones body may have went into shock due to the surgery that she underwent, and an abnormal amount of urine is also known as oliguria. What other symptoms and signs might occur? The other symptoms that Mrs. Jones may suffer are breath odor, mood changes, decreased appetite, decreased sensation, fatigue, flank pain, tremor in the hands, high blood pressure, Nausea, nosebleeds, hiccups, seizures, shortness of breath, slow movements, swelling in the ankles, feet, and legs, and Urination changes. What is causing Ms. Jones’s kidney disease? Mrs. Jones's disease is caused by the surgery to fix the blocked blood vessels that were located in her heart. The blood...
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...Introduction The heart is like an engine, pumping blood throughout the body. Over time, when this pump cannot distribute enough blood throughout the body to meet its needs, it develops into a condition known as congestive heart failure. When the right side of the heart fails, the lungs cannot pick up oxygen due to the heart’s inability to pump enough blood to them. In contrast, left sided heart failure is related to the heart’s inability to pump an adequate amount of oxygen-rich blood throughout the body. Only one side of the heart may be affected, although it is possible for both sides of the heart to be involved at the same time. Description of the Condition According to the National Heart, Lung, and Blood institute (NHLBI), 5.7 million...
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...Congestive Heart Failure Armi Gonzales Western Governors University Congestive Heart Failure A. Investigated Disease Process Congestive Heart Failure is a condition in which the heart is unable to pump a sufficient amount of blood for the body to function. If the heart’s ability to pump blood decreases, blood and fluids may start to pool into the lungs and accumulate in the legs, ankles, and feet causing an edema, shortness of breath, and fatigue. (Heart Failure, 2015, para. 2) The American Heart Association and American College of Cardiology defines heart failure as “a complex clinical syndrome that can result from any structural or functional cardiac disorder that impairs the ability of the ventricles to fill with or eject blood” (King, Kingery, & Casey, 2012, p. 1). Heart failure can be seen as a widespread disease, affecting around five million Americans. (Titler et al. n.d.) It is a chronic condition that is disabling and costly and common to our aging population. With the advancement in therapy and early diagnosis, survival increases from previously fatal acute cardiac events to patients feeling better and living longer. Millions of Americans living with heart failure are 65 years of age or older. (Roger et al, 2004) A1. Pathophysiology The Circulatory system focuses on the heart, a muscular organ that pumps blood through a complex network of blood vessels throughout the body. Blood that is pumped from the heart carries oxygen and nutrients that fuel...
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...to make sure the precious time these patients have left is not spent at a hospital. Elderly readmission rate is unusually high, especially when it comes to the readmission rate of elderly patients with congestive heart failure, thus there must be ways to counteract the high volume of readmission rates amongst the elderly and lower it. The research study by Rich and Beckham used a multidisciplinary approach to treat the elderly patients, who are recovering from congestive heart failures, which might be able to significantly reduce the rate of readmission for elderly patients at high risk (Rich and Beckham 1995). Rich and Beckham conducted the study by first gathering the elderly patients who are at high risk for readmission post congestive heart failure which ending up being 1306 patients. The patients were then randomly assigned to whether they will receive the special treatment or the ordinary treatment by use of a computer random selective system. Detailed data were collected at the time of enrollment, 90 days after they were discharged, and whenever a patient was rehospitalized during the 90 time period (Rich and Beckham 1995). The results of this study show that with an effective multidisciplinary approach readmission rates for elderly patients with congestive heart failures will significantly drop. The research conducted by Rich and Beckham can be used in hospitals, and everyday nursing practice. The study indicates that a multidisciplinary approach will drop readmission...
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...The Effect of Telemonitoring in CHF patients Evidence Based Practice Project Sacred Heart University The Effect of Telemonitoring in CHF Patients Evidence Based Practice Project Question (PICOT) Question: In elderly individuals over the age of 65, does the use of a mobile phone-based medication adherence application, compared to a mobile phone texting reminder, increase medication compliance by 25%, within 12 weeks of implementing the program? Evidence Appraisal Matrix Source (APA) | Type of Study design (RCT, phenomenology, etc.)/Purpose | Level of Evidence(According toMelnyk & Fineout-Overholt) | Sample, settingInclusion/ExclusionCriteria | Methods, instruments, data analysis | Findings/Implications | Inglis, S. C. (2011). Structured telephone support or telemonitoring programmes for patients with chronic heart failure. Cochrane Database Of Systematic Reviews, (6), doi:10.1002/14651858.CD007228.pub2 | Systematic Review | Level I | Twenty-five studies and five published abstracts were included. 16 evaluated structured telephone support, 11 evaluated telemonitoring, and two tested both interventions. Inclusion criteria:only peer reviewed, published RCTs comparing structured telephone support or telemonitoring to usual care of CHF patients were included. | Various search engines such as: MEDLINE, EMBASE, CINAHL, and AMED were searched from 2006 to November 2008.Relevant studies and systematic reviews and abstract conference proceedings were hand searched. No...
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...Robert great summarization post of congestive heart failure, my grandfather had congestive heart failure so I know first hand the effects it has on a person’s life. I thought it was very interesting that you pointed out one the first symptoms being not able to exercise without experiencing discomfort because not many individuals think of that as being a symptom they go to the go to symptoms like shortness of breath, coughing, and fatigue. In the beginning, before my grandfather was diagnosed with congestive heart failure he experienced difficulties lying down flat. Lying down flat causes parts of the lung to be in a more ¬¬¬dependent position. Another symptom to keep in mind for an individual with congestive heart failure is waking up with severe shortness of breath, and immediately needing to sit up to get their breath, and this is known as “paroxysmal nocturnal dyspnea”. The reason why there is a fluid build is when the heart’s output decreases; the body tries to compensate for it by releasing hormones that make the heart beat faster and stronger. This reflex though is only a short-term gain, and in the long run it really damages the heart’s function. The kidneys also sense the heart’s decrease in blood output, and they release hormones into the body, which cause sodium and...
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...Congestive heart failure * The inability of the heart to pump enough blood throughout the body (decreased cardiac output) to maintain well-being * Can be caused by a MI Pulmonary edema * A life threatening complication of left-sided congestive heart failure * When large amounts of fluid and blood accumulate in the lungs, causing the alveoli to fill up and air exchange to be nonexistent Heart failure * A syndrome that occurs from the progressive inability of heart to pump enough blood to meet body’s oxygen and nutrient needs * Causes are * Coronary artery disease * MI * Cardiomyopathy * Heart valve problems * Increased fluid Congestive heart Failure * Signs and symptoms * Fatigue, dyspnea, cardiac and respiratory rates increase, stess and anxiety Left sided heart failure * The result of the left ventricle muscle being damaged or its due to overloading * Blood backs up from the left ventricle into the LUNGS and fluid leads from the blood into the air spaces of the lungs * Hypertension the major cause behind left sided heart failure * Because hypertension causes increased pressure in the arteries causing the left ventricle to work harder * LEFT = LUNG * Signs and symptoms * Crackles * Tachycardia * Dyspnea * Tachypnea * **The patient may complain of having to be propped up in order to sleep at night ** Right...
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...following the scenarios. Use at least one reference per scenario and format your sources consistent with APA guidelines. Scenario A Acute renal failure: Ms. Jones, a 68-year-old female, underwent open-heart surgery to replace several blocked vessels in her heart. On her first day postoperatively, it was noted that she had very little urine output. 1. What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom? Since Ms. Jones just had open-heart surgery to replace the blocked vessels in her heart, her kidneys did not have enough blood flowing to them. This may have been a result from low blood pressure during the surgery, and they are struggling to work properly now the surgery is over (Mayo Clinic, 2012, Acute kidney failure). 2. What other symptoms and signs might occur? Some of the other symptoms and signs that might occur to Ms. Jones after she underwent open-heart surgery are headache, gastrointestinal distress, and the odor of ammonia on her breath. More important, high levels of blood potassium can cause muscle weakness and slow the heart to the point it stops (Zelman, Tompary, Raymond, Holdaway & Mulvihill, 2010, p. 242). 3. What is causing Ms. Jones’s kidney disease? Ms. Jones’s kidney disease is most likely because of the recent open-heart surgery she had. As a result, the low blood pressure during the surgery caused her kidneys to stop working properly because of the lack of blood...
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...Health Record Number: 822999 Diagnosis: Congestive heart failure (CHF), Left pleural effusion, pneumonia Related History: The patient has a history of atrial fibrillation, severe regurgitation from the tricuspid and mitral valve dysfunction. Physical Findings: The patient had a difficult fundoscopic exam, with a heart rate of 104, with an irregular gallop, crackles in left lower lobe, right side is dull, red sacral area, 3+ pitting edema to knees, and shortness of breath, difficulty sleeping. Lab/X-ray findings: Chest x-ray: left pleural effusion, CHF, Pneumonia. Course of Treatment: Course of treatment includes admission into the hospital, with the administration of diuretics and IV antibiotics; will also collect blood cultures and sputum if possible. Treatment will also include O2 and bedrest. Medications administered during treatment 25 mg Capoten po tid, 40 mg Furosemide po qd, 10 mg Nortriptyline HCL po qd, and 0.125 mg Digoxin po qod. The patient was also put on low sodium, low cholesterol, and lactose free diet. Condition on Discharge: Patient was discharged to a long term care facility closer to her family. Her strength and endurance improved during her treatment at the facility. Also new x-rays show a slight improvement in the left lower...
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...References Beckerman, J. (Ed.). (2014, September 20). Heart disease and congestive heart failure. Retrieved from WebMD website: http://www.webmd.com/heart-disease/guide-heart-failure This website does a great job of identifying the signs and symptoms of CHF. I think it also does a great job of informing the reader what tests will and should be done if your doctor feels you are at risk or my have the disease. It clearly states the different types of the disease as well as treatments for CHF. I think WebMD is a great source for information because, it breaks down the specific disease and explains it in everyday terms. I think that is important for people to really understand what they are dealing with. I think this Webpage would be extremely helpful to anyone just diagnosed or who has been living with the disease of CHF. Huntington, M., Guzman, A., Roemen, A., Fieldsend, J., & Soloum, H. (2013). Hospital-to-Home: A hospital readmission reduction program for congestive heart failure.. South Dakota Medicine: The Journal of the South Dakota State Medical Association, 66(9), 370-373. This article shows how important, cost wise most importantly, it is to make sure patients with CHF are not readmitted so soon after they are released from their previous hospital stay for the disease. It shows how important it is to stay informed and not to go back to your old habits after your release from a hospital stay. I think the fact that they used follow up home visits after a patients release...
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...Kidney Failure HCA/240 Kalkita Dodson February 2, 2012 * Scenario A: Acute renal failure. Ms. Jones, a 68-year-old female, underwent open-heart surgery to replace several blocked vessels in her heart. On her first day postoperatively, it was noted that she had very little urine output. * * What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom? * Oliguria – is a sudden drop in urine volume, or complete cessation of urine production. * What other symptoms and signs might occur? * Other symptoms that may occur is headache, gastrointestinal distress, and the odor of ammonia on the breath. * What is causing Ms. Jones’s kidney disease? * Her disease can be caused from the blood flow to the kidneys resulting from the surgical shock from her open heart surgery. * What are possible treatment options and prognosis? * Since Mrs. Jones has had open heart surgery it is very important to make sure that they monitor her hyperkalemia to make sure the levels of potassium stay where they need to so it does not cause the heart to weaken. Treatment should include restoration of the blood volume to normal, restricted fluid intake, and dialysis. * * Scenario B: Chronic renal failure...
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