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

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 treating CHF is very high -$38 billion annually in the U.S., representing 5.4% of total health care costs and involves many physician visits - at least 11 million ambulatory visits per year. The mortality rate for CHF is high, with one in five persons dying within 1 year, more than half of the CHF patients dying within 5 years, and sudden death occurring at a rate of six to nine times that of the general population. One in five of all discharged patients age 65 and older had CHF as a primary or secondary diagnosis (Congestive Heart Failure, 2011, p. 1).
Congestive heart failure is a progressive disease that causes weakening of the heart and cardiovascular system. It develops when the heart is unable to pump enough blood to meet the demands of the body’s other organs. CHF is a progressive disorder that not only affects the heart, but other organs such as the lungs, the kidneys (Congestive Heart Failure in the Elderly, 2009, p. 1). Congestive Heart Failure (CHF) is a very common disease among the elderly. Diagnosis may be challenging since distinctive signs are often absent or masked in older people. Though there is no cure for CHF, it can be managed well with lifestyle changes and treatment so many seniors return to a full life. The other problem is elderly patients with heart failure may have other illnesses that can make their symptoms seem confusing, it is very important for patients and families to know even the subtle signs and symptoms. Nurse-directed, multidisciplinary intervention has resulted in improvements in event-free survival and quality of life. CHF occurs as the result of end-stage of cardiac disease caused by coronary artery disease, hypertension, valve disease, alcohol misuse or viral infection. CHF reasons a burden on healthcare resources, with much of the cost accredited to prolonged and recurrent hospital admissions.
The article that I chosen is associated with old age group which has CHF and the purpose of the study was to observe age specific differences in clinical presentation, delivery of therapeutic practices and hospital and long term survival in patients hospitalized for acute and chronic CHF. In this article analyzed four thousand five hundred thirty four patients who hospitalized for Congestive Heart Failure during 1995 and 2000. It studied patients at the age of 60-85 years who discharged with diagnosis of CHF and after reviewed medical records, in addition to Heart Failure, included patients who has a diagnosis of Cardiomyopathy, Pulmonary Congestion, Cor-Pulmonale, and Acute...

Find Another Essay On Congestive Heart Failure in the Elderly - A Nursing Approach

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

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

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

Implementation of a Transitional Model of Care for Congestive Heart Failure

3048 words - 12 pages hospitals with above set limits for heart failure (HF) readmissions, models of care are being evaluated for their effectiveness in satisfying this change as well as reducing fragmented care in this population. This paper reviews the Transitional Care Model created by Dr. Mary Naylor at the University of Pennsylvania (Penn Nursing Science, 2013). This model in introduces a patient-centered interdisciplinary team intervention designed to improve

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

A Quantitative Approach to Evaluating Caring in Nursing Simulation

1427 words - 6 pages Clarification of the research question is at the end of the opening section and states that the study was “designed to evaluate the use of a quantitative instrument to measure caring in the nursing simulation environment.” This question is consistent with the problem statement of evaluating the correlation between caring and nursing simulations. Ethical Considerations All participants in this study were fully aware that the study was to be

The Failure of Kurtz in Joseph Conrad's "Heart of Darkness"

899 words - 4 pages In Joseph Conrad's Heart of Darkness, Kurtz fails for many reasons and in many ways. Kurtz's failure is especially tragic because he once had the potential for great success. He was an eloquent, powerful, and persuasive speaker who at one point was adored by all the inhabitants of the heart of darkness, the great and mysterious jungle. Everyone from the innocent natives to the administration of his corrupt company was in awe of him. Why then

The Use of Restraints With Elderly Patients in the Nursing Home

2236 words - 9 pages . Journal of Clinical Nursing, 16(3), 486-494.Cooper, C.J. (2000). Reducing the use of physical restraints in nursing homes: regulatory harassment or good medicine? Postgraduate Medicine, 107(2).Frey, D. (2002). Physical restraints on the elderly. Retrieved from the World Wide Web on December 29, 2007 from, S.B., Powell-Cope, G., MacClellan, L., & Bero, K. (2003). BedSafe: A bed safety

Dementia in the Elderly

1731 words - 7 pages . Institutionalization thus may not the best solution. To serve the elderly, I need to modify my thought by adopting a strength-based approach. Practice should not mutually focus on the losses, but to explore more on the possibilities. Boosting the quality of life is also an important issue, empowering the client by bear in mind that “we are not only work for the service users, but work with them”. 2. Explanations of disease manifestation The disease

Sexuality in the Elderly

1128 words - 5 pages taking prescribed drugs for cardiovascular and hypertension conditions can lead to erectile failure in mean and inhibit sexual arousal in women. There are many ways as to cope with the new circumstances that present themselves in an elder's life. The elderly might perceive sex education as a topic for adolescents are not the only ones going through significant changes in their lives. Clearly educational intervention is needed to dispel

A Constructivist Approach in the Classroom

1414 words - 6 pages I am a dreamer. I think outside the box. Creativity, warmth, and learning are values I hold dear. After examining the text, “Educational Psychology,” by Anita Woolfolk, Phillip Winne, and Nancy Perry, my beliefs and values hold most closely to the two central ideas of constructivism; the idea that the learner is active in constructing their knowledge, as well as the idea that social interactions are important to the learning process (2011). A

Similar Essays

Congestive Heart Failure Essay

3813 words - 15 pages overload of the congestive heart failure patient is complicated by an age related decrease in kidney function, A fall in creatinine clearance relates with a decrease in the glomerular filtration rate of approximately 50% as one ages from 30 to 90 years. The decrease of glomerular filtration rate effects the ability of the elderly to remove body fluid (Ebersole et al., 2004).According to nursing assessments and client signs and symptoms in

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

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 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