This website uses cookies to ensure you have the best experience. Learn more

Congestive Heart Failure Essay

1844 words - 7 pages

The aim of this scenario-based assignment is to discuss the therapeutic intervention in the care of a patient with Congestive Cardiac Failure (CCF). CCF is defined as a syndrome in which the heart fails to pump enough blood supply to meet the body’s metabolic requirements (Hangen and Galura, 2011). A brief summary of the patient’s medical history will be given while discussing one specific nursing problem in terms of heart/pulse rate. Also, an overview of aetiology will be given as well as pathophysiology in order to explain the rationale for treatment and monitoring. Relevant research relating to the literature will be utilised throughout in order to critically analyse the care provided for the patient and determine if the patient received evidence based up-to-date care.
In accordance with the statement from the Nursing and Midwifery Council (2008) code of conduct regarding patient confidentiality, no personal details of the patient involved will be disclosed. Therefore, the patient will be identified as Mrs S. Mrs S. is an 88 years old female patient who lives on her own, and was admitted into a rehabilitation ward following a hip operation due to a fall at home. She has a past medical history of Congestive Cardiac Failure (CCF), diverticulitis, and asthma. Also, Mrs S presented with rapid weight loss, palpitation, feeling tired, peripheral oedema, fatigue, difficulty breathing when lying flat in the bed, waking up at night with shortness of breath, and anxiety. In addition to all that she had a pressure sore on her bottom that was not broken.
Malik et al (2004) referred to reflection in practice or on practice as essential to bring about positive change in care delivery. Reflecting on Mrs S’s care needs all of the following observations are important: temperature, heart rate, respiration, blood pressure, urinalysis, drug administration, electrocardiogram, weighing, and care of pressure areas; however for the purpose of this assignment heart rate/rhythm will be discussed.
According to Watson (2005), the normal mechanism of the heart beat is initiated when the electrical impulses are conducted to the left atrium and right atrium. This causes the atria to contract, pushing the blood into the left and right ventricles. This electrical impulse is then sent out to the ventricles causing them to contract. This pushes the blood out and around the body, and then relaxes to load the heart with blood again. An uninterrupted sequence of alternate myocardial tightening and relaxing occurs regularly on an average of 60 to 80beats per minute (Mader, 2010).
Singh (2008) explained that the heart rate can be assessed for rate, rhythm and volume by counting the pulse rate at symmetrical locations on the body for 60 seconds to determine the heart rate. The pulse rhythm identifies whether it is regular or irregular while the volume explains whether it is palpable, not palpable, weak, thread, decreased, moderate, impaired, full and bounding (Crumbie, 2007)....

Find Another Essay On Congestive Heart Failure

Coding for Congestive Heart Failure (CHF)

1627 words - 7 pages Congestive Heart Failure (CHF) is defined as a clinical syndrome in which the heart fails to propel blood forward normally, resulting in congestion in the pulmonary and/or systemic circulation and diminished blood flow to the tissues due to reduced cardiac output. (Berkow, M.D.) The result is that the heart does not pump enough blood to meet the body’s needs. CHF can be caused by a variety of conditions that affect the heart such as: diseases

A Quality life: Living With Congestive Heart Failure

1070 words - 5 pages A Quality life: Living With Congestive Heart Failure In heart failure, the heart is unable to pump effectively resulting in inadequate cardiac output to meet body’s demands. When this happens, the weakened heart is unable to maintain sufficient blood flow to the kidneys. With reduced blood flow, the kidneys are unable to filter out fluid to the urine and the resulting fluid builds up into the liver, legs, and lungs causing congestion. This

Congestive Heart Failure in the Elderly - A Nursing Approach

2567 words - 10 pages Congestive Heart Failure (CHF) is a foremost health problem worldwide, touching 4.8 million U.S. patients and accounts for 978,000 or 5-10% of all hospitalizations. Some estimates show 550,000 new cases of CHF diagnosed each year in the United States alone. Currently, CHF accounts for 20% of all discharges in the over age 65 categories; with the aging demographic, this statistic is expected to increase significantly. Overall, the cost of

Implementation of a Transitional Model of Care for Congestive Heart Failure

3048 words - 12 pages During exacerbations of Congestive Heart Failure (CHF), older patients may receive care in multiple settings; often resulting in fragmented care and poorly-executed care transitions. The negative consequences of fragmented care lead to duplication of services; inappropriate or conflicting discharge instructions, medication errors, patient/caregiver anxiety, and increased costs of care. In light of changes in Medicare reimbursement penalizing

Pathology Paper

1154 words - 5 pages According to Center for Disease Control, one in nine people die from Congestive Heart Disease. Patients who have been diagnosed with Congestive Heart Disease are more likely to have one of these other disorders; Diabetes, Hypertension, or Coronary Artery Disease. Patient who have hypertension are at an increased risk for developing congestive heart failure during their lifetime. This is because it puts more workload on the heart than is needed

Heart disease and women with reference to "The Story of an Hour" by Kate Chopin

1418 words - 6 pages Heart Disease and Women.Heart disease is not primarily "the Male" disease. Women can also die from related heart diseases such as Mrs. Mallard in "The Story of an Hour" by Kate Chopin. Heart disease and contributing risk factors such as smoking, diabetes, obesity, and high blood pressure can cause the following problems: atheroma, congestive heart failure, heart valve problems, and eventually she would have to have a heart transplant.In the

heart failure

1828 words - 7 pages Case Study Question 1 : Congestive Cardiac Failure1. Outline the causes, incidence and risk factors of the identified disease and how it can impact on the patient and family.What causes heart failure is conditions which damage or excessively work heart muscle, which can result in congestive heart failure (McCance at al. 2010). As the heart weakens over time, it cannot properly perform its jobs such as filling with and pumping blood. Hence, heart

The Risk Factors and Treatments for Heart Disease

1553 words - 7 pages vessels that supply blood to the heart itself. It can cause heart attacks (“Heart Disease”). CAD affects mostly geriatrics. It was claiming 84% of lives ages 65 and older. 90% women were dying from it and 77% men (“Cardiovascular Disease”). Congestive heart failure is when the heart does not get blood to the body. Congestive heart failure can be caused by diseases that weaken the heart muscle diseases that cause stiffening of the heart muscles

Hope Through Personal Care

701 words - 3 pages Hope through Personal Care Using the chronic illness trajectory framework by Corbin & Strauss (Kearney-Nunnery, 2012, p. 73) the framework of assumptions was used in application to a 92 year-old female patient with congestive heart failure. This disease was progressively worsening her quality of life. After the patient entered a long-term care facility she has had fewer exacerbations with congestive heart failure and her overall health has

Heart Disease in the Elderly

1019 words - 4 pages . Congestive heart failure and arrhythmia are two of the many types. Congestive heart failure is the inability of the left ventricle to pump blood effectively to the systemic circulation, which can then lead to pulmonary edema, the congestion of blood in the pulmonary circulation. This chain of disorders could continue until death, however if treatment is sought soon, it could be prevented. Today's medical advances have made a great step toward the


751 words - 4 pages include a cough. Symptoms of fainting, chest pain and severe shortness of breath may be an indication of a heart attack. Diagnosing cardiomegaly can be discovered by symptoms of congestive heart failure, or inadvertently found while other tests are performed for other reasons. The preferred test for diagnosis of an enlarged heart is an echocardiography. It’s a non-invasive ultrasound that measures the size, muscle thickness, pumping function of the

Similar Essays

Congestive Heart Failure Essay

1785 words - 8 pages Congestive Heart Failure is a weakness in a person’s heart leading to fluid buildups in lungs and other body tissues surrounding it. About half of people who develop heart failure die within 5 years of diagnosis. Around six million people in the US have Congestive heart failure, and it is a cause of almost 55,000 deaths per year. In order to steer clear of Congestive Heart Failure you must be aware of the causes, symptoms, and even

Congestive Heart Failure Essay

3813 words - 15 pages , hypertension and cancer. John notices feet and ankle swelling. He wakes up in the middle of the night with acute shortness of breath. He feels tired most of the time. John's medical diagnosis is Congestive heart failure.Congestive heart failure is a common syndrome in older adults and occurs in approximately 7% to 10% of people 80 years and older (Resnick, 2004). "Congestive heart failure is a pathophysiologic condition in which the heart is unable to

Case Study: Congestive Heart Failure

613 words - 2 pages Diagnosis: The patient seems to be suffering from Dilated Congestive Cardiomyopathy (DCM), or in simple terms, congestive heart failure; specifically ventricular failure.Justification for Diagnosis: The patient said he had been suffering of acute dyspnea which would be caused by the lungs filling with fluid since the heart isn't able to pump properly. Due to the patients hip replacement it is possible for him to have an infective agent even

Overview Of Congestive Heart Failure Essay

1734 words - 7 pages Congestive Heart Failure is when the heart's pumping power is weaker than normal. It does not mean the heart has stopped working. The blood moves through the heart and body at a slower rate, and pressure in the heart increases. This means; the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart respond by stretching to hold more blood to pump through the body or by becoming more stiff and