Congestive Heart Failure
Heart failure is a progressive and chronic condition that occurs when the heart muscle is weak and unable to pump adequate blood in order to meet the need of the body for blood and oxygen (AHA, 2014). There are two types of Heart failure namely Left sided and right sided heart failure. According to Moore & Roth (2015), left-sided heart failure occurs when the left ventricle failed to pump proficiently. It prevents the body from receiving adequate oxygen-rich blood. The blood backs up into the lungs causing fluid to build up and causes shortness of breath. ventricular septal defect cardiomyopathy, anterior myocardial infarction cardiac tamponade, etc. are causes of left-sided heart failure. Right-sided heart failure …show more content…
Angiotensin II receptor blockers such as Diovan and digitalis such as digoxin could be useful. Pacemakers through invasive procedures also will be of help in stabilizing the heart, as it can only improve the existence and not the quality of life (Quaglietti, 2000). Vesnarinone therapy is beneficial in improving life quality for Mr. P as he is anticipating suicide. Cardiac pacemakers and automatic implantable cardioverter defibrillators (AICD) are the procedures that he can benefits from it as it prevent death from lethal arrhythmias. AICD deactivation issue could be of concern in Mr. P. as he is suicidal. Preferences of survival or quality of life will be vital while deliberating the treatment options the patient. Existence along with educating Mr. P. will be significant since his biggest concern is the adherence with the management plan especially diet restrictions and poly-pharmacy.
Interdisciplinary team are require to manage this condition in order to deal with medical, psychological, spiritual and social needs as revealed by Mr. P. Care model with a joint effort to manage care with the patient’s optimistic wish, symptoms management to prevent exacerbations and quality of life with hospice care, patient’s education with focus on treatment preferences and family support from mostly in this condition. 1:1 safety sitter is needed at the bedside as Mr. P is envisaging death for safety reason and 24-hour adequate coverage will be incorporated in the