82-Year-Old Widow Struggles With Chronic Heart Failure and Inability to Breathe - Essay Sample

Introduction

Sallie Mae Fisher, you can 82-year-old woman who has diverse health issues. Historically she has been struggling with protracted blocking as well as heart failure. The initial issue that Ms. Fisher has is the incapability to breathe well as a result of her chronic heart failure. This problem is augmented by the fact that her daughter but living with her. She is living alone as a widow and cannot take care of herself sometimes. The chronic heart failure has made her be admitted to the infirmary four times. Lately she has had problems with the augmented dyspnea. The other problem that Mrs. Sallie Mae Fisher has is that she has added extra weight. This could be for the reason that she is old and does not have physical activities. Mrs. Sallie Mae Fisher also agonizes from atrial fibrillation. This is an issue that results in abrupt strokes in many patients.

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Additionally, Mrs. Sallie Mae Fisher also suffers from high blood pressure and chest pain. Hypertension could be because of an augmented quantity of sugar in her body. Just being comes as a result of chronic illness that she has survived for long.

Provide Authenticating Evidence (Evaluation Information) For Each Concern Identified

Mrs. Sallie Mae Fisher suffers from the above health issues as can be seen from the confirmation offered in the evaluation information. The first proof at the hospital has suggested for an evaluation of cardiopulmonary status and home care for Mrs. Sallie Fisher. Other proof that she has been hospitalized for a three-day stay so she can be because of her dyspnea. The additional proof that indicates her illnesses is the fact that she is suggested for digoxin medications that she missed take once in a day.

Identify and Describe at Least Four Medical and Nursing Interventions

The central interventions include; the access and monitoring of her blood pressure. This is because she is suffering from hypertension. The other response is the application of fluid restriction. This will ensure that she does not suffer from a possible stroke as she is also suffering from atrial fabrication. The other intervention is the promotion of rest and claster care. At her age ad her condition, she will need a lot of rest to prevent any heart complications and breathing difficulties.

For someone with these conditions and problems at her age, Mrs. Fisher would need some of the most effective nursing interventions for heart treatment and health care. Discuss your rationale for the interventions identified.

There are different reasons why I have recommended the above interventions. One of them is the age of the patient. As an 82-year-old, several illnesses come with the main disease. As a result, she has to be given a full assessment that would ensure that all her problems are addressed. As well, there is the need to have a fluid restriction option as she is vulnerable to a stroke. She suffers from atrial fabrication, which may cause a stroke. As an 82-year-old, she needs a lot of monitoring as she is suffering from hypertension, blood pressure, chest pain among other illnesses (Conn, Ruppar, Chase, Enriquez, M., Cooper, 2015). Some of the most effective interventions include access and monitor or her bp. This way, it would ensure that the nurses are aware of the level of her blood pressure and also what they are treating. The intervention is the application of fluid restriction that is clinically appropriate. Would allow more blood to flow into her system to allow better pumping (. Fluid restriction is also an intervention that prevents the possible occurrence of a stroke (Edelman et al., 2015). Someone suffering from atrial fibrillation, it is essential that her flute movement is monitored. The other recommendation is to perform a comprehensive cardiac assessment. This one will ensure that the nurses discern if there are any deformities in her system, fluid excess or any other variations that can be existing minus the patient feeling changed (Kuipers et al., 2016). The other intervention is to promote rest and cluster care for Mrs. Fisher. This is one of the easiest and the most crucial interventions that a nurse can recommend for a patient of such a scenario. Cluster care would avoid blood pressure spikes, especially if it is very high (Cicolini, et al. 2014).

Additionally, the nurses have to find a way to help Mrs. Fisher to reduce anxiety. Reducing stress levels will aid control her blood pressure. Someone suffering from chest pain, it is essential to perform goal-directed oxygen therapy (Kuipers et al., 2016). This intervention is necessary for older patients who may not know when the heart has started to fail. Coronary Vasodilators (Glyceryl Trinitrate) is the other intervention that is available. Visit the application of sublingual tablets and transdermal patch that can be administered through intravenous infusion

References

Conn, V. S., Ruppar, T. M., Chase, J. A. D., Enriquez, M., & Cooper, P. S. (2015). Interventions to improve medication adherence in hypertensive patients: systematic review and meta-analysis. Current hypertension reports, 17(12), 94.

Cicolini, G., Simonetti, V., Comparcini, D., Celiberti, I., Di Nicola, M., Capasso, L. M., ... & Manzoli, L. (2014). Efficacy of a nurse-led email reminder program for cardiovascular prevention risk reduction in hypertensive patients: a randomized controlled trial. International journal of nursing studies, 51(6), 833-843.

Edelman, D., Dolor, R. J., Coffman, C. J., Pereira, K. C., Granger, B. B., Lindquist, J. H., ... & Bosworth, H. B. (2015). Nurse-led behavioral management of diabetes and hypertension in community practices: a randomized trial. Journal of general internal medicine, 30(5), 626-633.

Kuipers, J., Oosterhuis, J. K., Krijnen, W. P., Dasselaar, J. J., Gaillard, C. A., Westerhuis, R., & Franssen, C. F. (2016). Prevalence of intradialytic hypotension, clinical symptoms, and nursing interventions-a three-months, prospective study of 3818 hemodialysis sessions. BMC Nephrology, 17(1), 21