The number one killer in the United States today is heart disease or also known as cardiovascular disease (U.S. National Library of Medicine, 2015). As death rates begin to rise due to cardiovascular disease, in 1948 the Framingham Heart Study became a joint project of the National Heart, Lung, and Blood Institute and Boston University to pinpoint the most common factors that play a role in cardiovascular disease and strokes (Framingham Heart Study, 2015). Over several years, the Framingham study has identified several risks factors that are believed to increase the likelihood of a person being diagnosed with cardiovascular disease. These risk factors include high blood pressure, high cholesterol levels, smoking, obesity, diabetes, and physical
The society we live in today has developed drastically, this development has ranged and branched out to a variety of fields, one field that has seen tremendous advancement would be the medical field. Medicine has been documented to be around for 2500 years and has been potent in the lasting of the human race. One major factor that has persisted for a long period of time and has claimed many would be Heart failure; the heart is a complex organ that strives to pump blood through your body through the use of blood vessels such as arteries, capillaries and veins these vessels carry blood throughout your body. Your heart is vital to your health due to the fact that without the heart’s pumping action, blood would not be able to move through your
1.Congestive Heart Failure also known as (heart failure) is a life threatening condition. Heart Failure is caused when someone has a weak heart. It usually happens when the bodies blood pump to the heart is not pumping blood to the heart correctly.
Right-sided heart failure is when the cardiac muscle on the right side of the heart becomes too weak to pump a sufficient amount of deoxygenated blood to the lungs. It is usually a complication of various conditions including lung diseases such as emphysema. This means that less oxygenated blood is taken from the lungs by the pulmonary veins and transported to the left side of the heart to then be pumped around the body. It can also produce a back-up of blood in the vessels within the body. This failure to pump sufficient blood to the lungs results in a build-up of fluid, which is known as oedema. Oedema is when fluid builds up in tissue and causes it to swell. The swelling can be general or in one specific part of the body. It is more common in the ankles and feet. When it is found here it is called peripheral oedema. A leg oedema can be caused by a gradual build-up of fluid. Pulmonary oedema can occur when fluid builds up quickly in the lungs.
The term "congestive heart failure" is somewhat misleading. The heart does not fail, but rather that it does not contract as strongly as before, and does not pump enough blood around the body to meet the body's needs in terms of oxygen. This is caused by a buildup of fluid in the lungs that impedes the breathing or causes disturbances to the lower limbs. Again, these symptoms are not manifested in all cases. Heart failure is a chronic condition, meaning that it lasts long.
My patient, MG was a 72-year-old female who came to the emergency department because of a fall in her bathroom. Her admitting diagnosis was a right hip fracture. Other concurrent health challenges she had were: hypertension (HTN), high cholesterol, chronic obstructive pulmonary disease (COPD), and chronic kidney disease (CKD). MG was a full code status with no known food or drug allergies. They surgery she had undergone was a right hip cannulated screw. My patient contributed in care and believed that partaking as much as possible will get her healthy and home sooner. Also, she believed in independence and doing things on her own if capable. After working with MG, I attained a great amount of knowledge in knowing: the
This particular case study shows the assessment and management of an acutely ill adult who presented to the emergency department. This will explain pathophysiological cause of the illness, the assessment and the treatment given to the patient consent received from the patient and my manager as I am discussing the patients information. I am using mrs.Smith as patients name as I do not want to reveal the patients original name due to the confidentiality(an bord altranais 2012).
Patient is a 55-year-old right-handed white female who does see a neurologist in Florida for multiple issues. She does have a chronic pain issue and has some bradykinesia. Her neurologist down there was concerned about Parkinson 's disease. Also, she was seeing the neurologist for a workup of her episodes of loss of consciousness. She is seeing me today for followup after a concussion. She is from Florida and is expecting to go back in two weeks. The patient does have several episodes of loss of consciousness. She states she usually loses consciousness while she is lying down, but sometimes she will find herself on the floor and not knowing how she got there. On 07/02/2015, she was lying
Heart failure is a health condition affecting millions of people worldwide. Heart failure readmissions for healthcare agencies continues to be an area of concern due to the cost associated with each readmission. Readmissions to the hospital for heart failure is tied to reimbursement and financial penalties. Developing a plan to combat readmission is a difficult task. Therefore, an phenomena of interest is to investigate how a comprehensive heart failure educational follow- up program will aid in decreasing hospital readmissions within 30 days of discharge?
There are certain medications to help treat a congestive heart failure. A few of the medications include ACE Inhibitors (Angiotensin Converting Enzyme Inhibitors). These help to open up arteries that have narrowed to allow better blood flow. If a patient cannot tolerate ACE inhibitors medication, vasodilators are also an option (Macon B.).
Acute Decompensated Heart Failure (ADHF) is a clinical syndrome of worsening signs or symptoms of heart failure requiring hospitalization or other unscheduled medical care (Felker 2014). ADHF formerly known as congestive heart failure is one of the leading cause for hospitalizations in the United States. ADHF accounts for approximately 1 million hospitalizations per year in the United States (Arnold & Porepa 2012). According to the Acute Decompensated Heart Failure National Registry, patients hospitalized with ADHF have a substantial risk of in-hospital mortality and rehospitalization.
A 19 year old black male patient (Siyabonga Nkosi, from Tembisa) was admitted to SBAH Internal medicine with history of syncope (2 episodes on different occasions), now occurring for the third time, it is associated with loss of consciousness and
My patient is an 89 year old male; the patient will be referenced as WP. WP was admitted to Lutheran 3 East for a primary diagnosis of pneumonia. His health history consists of COPD, acute respiratory failure, chronic kidney disease, coronary artery disease, vascular dementia without behavioral disturbance, CAD, carotid artery disease, and hyperlipidemia. My client also has a permanent cardiac pacemaker and use hearing aids. He’s allergic to oxycodone and Vicodin. His current health is with pneumonia being his primary problem, he is using oxygen via nasal cannula, wheezing present in lungs, alert, and HOH.
My current practice setting is primarily based out of the hospital and quality care measures as well as cost analyses are certainly of big concern this day and time. Providers are constantly making sure that all "quality indicators" are present on each and every cardiac consult that is encountered and making sure that the documentation supports the reason why a certain "quality indicator" is not indicated on the individual patient. What I find thought provoking is that although I may discharge a chronic systolic heart failure patient on all the core measure medications and they demonstrated improvement while in the hospital for the 3 to 4 days that they are allowed for that admission, they still bounce right back into the hospital for "congestive
The type of shock John is exhibiting is cardiogenic shock. This type of shock occurs when the heart is unable to pump blood effectively. This is evident to patients who have had myocardial infarction, such as John’s case. In this illness, the heart has decreased contractility resulting to decreased cardiac output. Such decrease will stimulate the sympathetic nervous system to activate the compensatory mechanism by increasing the heart rate as evident in John’s vital sign to increase the peripheral pressure and ventricular