Case Study 2: CHF
Congestive heart failure (CHF) is a disease process in which the cardiac function as a pump cannot meet the body requirements resulting in fluid buildup in tissues such as arms, abdomen, limbs, and lungs. Symptoms can include fatigue, edema, dyspnea, and reduced tolerance to activities. Causes of CHF are cardiomyopathy, hypertension, and atherosclerosis, etc. Cardiomyopathy is an illness that affects the myocardium (heart muscles) and includes three types: dilated, hypertrophic, and restrictive cardiomyopathy. Managing a patient with this condition requires a proper treatment plan, techniques for education, and an all-inclusive teaching strategy.
Approach to Care
This patient has two incapacitating cardiac diseases that require
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P should be taught concerning his heart condition and about other cardiac diseases. The wife should also be given adequate information on the disease as she may also be at risk of developing heart diseases. She should be taught on how to take care of the husband at home. (Poe & White, 2010) The patient must make life changes to assist him to cope with this chronic illness. He must also be educated on the appropriate ways of taking his drugs. A teach-back teaching technique should be used to provide education to both the patient and the wife as it is easy to prove their level of understanding through teaching back what they have learned from the caregivers (Poe & White, 2010). This teaching technique allows for better and more natural comprehension and communication. It also ensures that both the patient and the wife retain all information that they are taught which enables them to improve the patient's safety and lowers his chances of being readmitted to the hospital.
Teaching Plan
A teaching program is necessary for both the patient and his wife. Both should discuss with the doctors to know about heart diseases. They should then listen to audio recordings and watch videos that talk about heart conditions including warning signs, prevention methods, the treatments, and the complications that may arise from them (Ignatavicius & Workman, 2013). Picture illustrations may further better their knowledge on these heart issues. Finally, a recap or review may assist to know whether
By shadowing a cardiologist, Dr. Chaim Gitelis, I learned about the anatomy and pathophysiology of the cardiac system. While shadowing, Dr. Gitelis taught me the fundamentals of reading an EKG and echocardiogram as well as the basic management of cardiac disease. I interacted with the patients on the inpatient wards and well as the clinic. Dr. Gitelis impressed upon me the importance of giving each patient the time they need. He clarified the patient’s problem, discussed his thoughts with respect to the patient’s disease, and explained how he planned to treat each patient.
The main aim of every study is to find solutions to a certain problem in the society. It is through the understanding of certain challenges in the nursing profession and society in general that long lasting solutions can be realized. The purpose of this paper is to critically analyze and summarize the results of a qualitative and quantitative peer reviewed articles discussing the issue of hospital readmission and patient education. Qualitative study Congestive Heart Failure (CHF) is a chronic, serious and pricey health condition with a huge medical, social and economic impact. Caring for patients with heart failure is not only about treating the disease’s physical symptoms; it involves educational, supportive, emotional, and cooperative care
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?
Staples & Earle (2008) used a phenomenology research design, where they used a convenience sample of CHF patients to determine effective technologies for monitoring patients with heart failure admissions and mortality. The effectiveness of CHF patients through the use of telephonic assessments and interventions was implemented. Congestive Heart Failure study participants (n=591) were managed by a team of registered nurses and nurse practitioners. Data was collected using a telephone log and appropriate medical protocols were provided. Data was analyzed; determining frequency of calls, level of care required and scope of practice needed to ensure proper care of the patients.
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.
“Su Corazón, Su Vida” curriculum was developed by the National Heart, Lung and Blood Institute to target cardiovascular
Diagnosing heart conditions, prescribing medications, and developing treatment plans are also part of a PA specialized in cardiology that's why they must be knowledgeable about the different heart conditions. They will also monitor patients' progress, and adjust treatment plans as necessary. All of this has to be done under the supervision of a physician specialized in cardiology to avoid any false report delivering optimal care to
Provide an example of how a “health coach” can help bridge the gap in the coordination of care for a patient with complex medical problems, and two reasons stated in the article why a patient may be more receptive to a health coach vs. a healthcare provider. A “health coach” can help bridge the gap in the coordination of care for a patient with complex medical problems in many ways. These health coaches can provide knowledge and support for patients who do not know how to properly manage their diseases/medical conditions. These coaches can also encourage patients to cut out bad habits (ex. Smoking) that cause their medical conditions to escalate. Health coaches can be extremely helpful in providing preventative care for patients that need guidance and assistance.
She also used motivational interview techniques to assess D.E.’s readiness for smoking cessation. Although D.E. was not ready to quit smoking yet, she did not seem to be resistant to the recommendation either. The revaluation of smoking cessation could be followed up on next visit. The student also used the “teach back” technique when she educated D.E. about heart-healthy lifestyle. D.E. was able to name a few activities and types of healthy food that she enjoyed.
Through the information given in the presentation I now have ideas to improve these two areas. For heart health I plan to focus on building my relationships with others. Specifically, my family and friends. I believe that over the last few year i have been so wound up in school that I have distanced myself from the people that I love the most. I plan to built these relationships by making small efforts that will eventually grow into an improvement in our relationship.
Investing my time in the care of my patient gives the opportunity to not only assist them in a difficult situation, but also to learn more about their diagnosis and the treatment, while comparing it to what we have learned in class. For example, I had a patient that suffered from Sickle Cell Disease and came to the ER during a crisis. Correlating this case to the books and the content learned in class, these patients receive at least 1000 mL of fluids, pain medication, and oxygen. Additionally, I had a patient with meningitis. This individual presented with common symptoms such as nuchal rigidity, muscle pain, fever, and chills.
There is a vast amount of education to be introduced to the patients suffering from this
Pharmaceutical Care Patch Adams is a 1998 semi-biographical comedy-drama film based on the life story of Dr. Hunter "Patch" Adams and his book, Gesundheit: Good Health is a Laughing Matter, by Adams and Maureen Mylander. (Wikipedia) The movie is all about a medical school student, Patch Adams who is eager and passionate in helping patients in a way which his dean disagreed on. Despite being warned by his dean and lecturers, he still holds on his principle in treating the patient as a person, not treating the disease.
My long-term goal is to run a preventative medical clinic and conduct education sessions for patients with regards to hypertension, diabetes, obesity, and smoking. In the beginning of my personal statement, I had mentioned about my uncle’s death due to lack of awareness about diet, lifestyle changes, the proper way of taking medication and consequences of the disease. My goal, same as it was when I was a 12-year-old girl, is to make sure that each of my patients understands the importance of their medical issues and make the correct health