Congestive heart failure (CHF) is a situation where the heart is not able to pump adequate blood to the other organs of the body. Causes of CHF are coronary artery disease, past myocardial infarction, hypertension, heart valve disease, cardiomyopathy, congenital heart defects, endocarditis and myocarditis (American heart association, 2013) .In the case scenario of Mr. P 76 year old man comes with the history of cardiomyopathy and CHF and in the past repeatedly admitted for the management of CHF symptoms. This essay discusses about approach to care, treatment plan, patient and family education and teaching plan that is given to Mr.P.
Approach of Care
In this given case scenario, Mr.P not only has medical problem he also has some
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The first and foremost administration of concentrated oxygen is very important to relieve dyspnea and hypoxemia, continuous pulse ox monitoring and heart monitoring,12-lead EKG,Xray chest ,blood test and intravenous access for intravenous medications. The medications used to treat CHF include loop diuretics to remove excess fluids Beta blockers used to reduce the myocardial workload .The isotropic agents given to increase the contacting force of the heart muscles. Morphine is given to relieve pain and anxiety. In addition anti depressants should be administered as per patient’s condition and psychologist’s order. Diet with restricted sodium and fluids to be advised (Monahan et al., 2007).In addition patient evaluation done by continuous vital signs and cardiac monitoring. Patient and Family Education Since Mr.P is 72 years old with diagnosis of CHF and history of multiple admissions to the hospital, patient and family education is very vital to prevent further frequent episodes of readmissions. Mr.P and his wife need to be educated through multidisciplinary team approach which emphasis on medication compliance, daily weight monitoring, fluids and sodium restrictions, daily activity as tolerated, understanding of signs and symptoms of the disease worsening and seek medical aid when needed(Paul, 2008).
Teaching plan: Verbalization of understanding of teaching by patient and family is very important, so that we can be sure that teaching