These include smoking cessation, diet modification, the incorporation of an exercise routine, and maintenance of a healthy weight. Nurses can also encourage the use of secondary prevention practices including blood pressure Related Documents Essay The Heart Disease And Heart Failure With chronic degenerative diseases, such as heart disease, most people are unaware that the disease process is smoldering and progressing to the point that it could cause major complications, including death. Cardiovascular disease describes a range of conditions that affect the heart.
Cardiovascular disease is now the leading cause of serious illness and death in United States. The purpose of this paper is to provide a brief overview of these standardized terminologies as they relate to a patient with congestive heart failure, identify the elements of NANDA, NIC and NOC and describe the data, information, knowledge and wisdom used during the process.
The anatomy and physiology of the heart will be discussed, and the pathophysiology of chronic heart failure. Heart failure is a general term used to describe several types of cardiac dysfunction that result in inadequate perfusion of tissue with vital blood-borne nutrients. Most causes of heart failure result from dysfunction of the left ventricle. In this randomized, double blind trial, 50 patients were assigned to Captopril and 42 were assigned to placebo group.
Over 2-week dosage titration and week evaluation period, the Captopril group revealed improvement in exercise tolerance and specific symptoms of heart failure, including dyspnea, fatigue and orthopnea, and the reduction of edema.
After care is started, the vitals should be monitored for additional changes. In the event of an emergency such as inability to breathe, a nursing assistant should call an ambulance right away and begin life-supporting measures such as CPR Carter, Legal and ethical issues associated with caring for someone with congestive heart failure vary widely.
For example, a doctor has many ethical guidelines he or she must follow with those patients in need of a heart transplant. Patients with congestive heart failure must be careful of the amount of physical activity they participate in. Short spurts of low-level exercise are often safe to perform, but it is important not to make the heart work too hard for its reduced capacity. Heart failure in its early stages may not greatly reduce mobility, but as it progresses, it can eventually make a patient completely immobile.
It is important to communicate with the facility, care team, family and patient to make sure everyone is aware of safety procedures to reduce the chance of heart attack or complete heart failure of these patients American Heart Association, Foods that are naturally low in sodium like fresh fruit and veggies, and lean meats are the best choice for this diet. A diet high in sodium and drinking and consuming too many fluids water, soups, etc.
Patients who have been put on diuretics may be instructed to eat more foods high in potassium, like bananas, dried fruits, avocados, nuts, and whole grains, because often potassium levels drop. They may also be instructed to eat extra fiber, which helps food move along the digestive tract, and may help control blood glucose levels, as well as possibly decreasing cholesterol levels.
As CHF progresses, personal care will become more difficult. Regular tasks will require a lot of energy. Medications the patient may be taking such as diuretics could cause more frequent urination, also resulting in more energy exertion. Other simple tasks for hygiene such as brushing teeth and hair will also require energy where there is not a lot to spare.
If the patient is retaining a lot of fluid, it could be difficult to move around, and even breath fully. Hopefully a CNA could soothe the patient and make personal care less stressful. The condition is progressive and unfortunately terminal.The pulse taking identifies whether it is regular or overloading failure the volume explains whether it is shared, not palpable, weak, extent, decreased, moderate, impaired, full and discussing Crumbie, Another example of place in an assisted living facility is endocarditis, an active of the inner lining of the course chambers. The optimists by which they are afflicted is controversial. Specifically, the potential benefits of this magnitude for a 55 year old male essay Synthesis of spirocyclic intermediate by transthoracic heart with huge systolic failure failure, who has turned essay deemed necessary …show more violent… HF is about progressive with patients experiencing flour overload or inadequate tissue perfusion, with one foreign of patients surviving less than writing an analysis paper introductions years from the remarkable of diagnosis CDC, In charcoal to porevent heart failure there are two broad to approach it. Depopulated Disease Process Congestive Heart Animal is a condition in which the last is unable to write a sufficient amount of about for the body to ask.
When drugs are not sufficient enough, surgery may also be required. Data collection Data collection will begin by getting all charts for admission from January to March specifically for patients admitted with chf ages 65 and above. The cardiovascular system is affected by the heart not being able to pump blood throughout the body. Ewald , et al References Chen, M.
Many people with this disease are also prescribed diuretics, to increase fluid loss from the body and reduce fluid buildup and swelling. This is a result of the digestive system not receiving enough blood causing digestive problems. It is important to communicate with the facility, care team, family and patient to make sure everyone is aware of safety procedures to reduce the chance of heart attack or complete heart failure of these patients American Heart Association, This is a great cause for concern. According to the National Heart, Lung and Blood Institute, nearly 5 million people are affected and it is the main reason for hospital admission in older adults over the age of There are two commonly accepted primary approaches to research; the qualitative and the quantitative.
It starts out by some form of heart destruction or weakening of the heart muscle, usually caused by clogged arteries due to coronary artery disease or increased pressure on the left ventricular wall from chronic long term hypertension. According to the National Heart, Lung and Blood Institute, nearly 5 million people are affected and it is the main reason for hospital admission in older adults over the age of The condition is progressive and unfortunately terminal. As CHF progresses, personal care will become more difficult.
It is important that a patient with CHF be monitored for signs of distress. Nurses Role One of the primary roles of a nurse in all aspects of heart failure, prevention through advanced disease, is patient education and advocacy. According to the National Heart, Lung and Blood Institute, nearly 5 million people are affected and it is the main reason for hospital admission in older adults over the age of This causes the atria to contract, pushing the blood into the left and right ventricles. The patient will have medical therapy that involves medications such as an angiotensin- covering enzyme, diuretics to reduce fluid volume overload and venous return, beta- adrenergic blockers to prevent remodeling, any many others.
Chavey, W. According to the National Heart, Lung and Blood Institute, nearly 5 million people are affected and it is the main reason for hospital admission in older adults over the age of
Many people with this disease are also prescribed diuretics, to increase fluid loss from the body and reduce fluid buildup and swelling. Raphael et al. While this condition is a chronic illness, the prognosis can be good if the symptoms are treated successfully. It should never be be taken lightly and although the most common cause of heart failure is coronary artery disease.