Cognitive Heart Failure (CHF) Paper Example

Cognitive heart failure (CHF) and Cardiomyopathy are chronic heart condition that accounts for almost 5% of the intensive care unit admissions in the hospitals. CHF is the condition in which the heart muscle dysfunctions in the pumping of oxygenated blood to the required organs. The disease is more prevalent in seniors above the age of 75 years and results in most mortality rates reported. The symptoms of the condition include breathing difficulties, fatigue, and swelling of the lower abdominal areas, which requires healthcare practices from various professions. In clinical intervention of the condition, heart-failure nurses are crucial in the provision of care for both inpatients and outpatients (Cowie et al., 2014). The nurses help in monitoring of treatment and enhance on the awareness about the disease to the patient and its family members to reduce psychological trauma from the burden of the condition.

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As a heart failure nurse caring for Mr. P heart failure, I will take the assessment of the clinical manifestations of the chronic heart failure conditions in the patient to validate on the measure of the breathing difficulties and prompt symptoms for treatment. The key areas to be considered in the initial approach to care for Mr. P includes the assessment of respiratory rate, oxygen saturation, dyspnea severity scale, breathing functional ability, and the tolerance to lymph prone (Riley, 2015). From the patient's case, I notice that he has breathing difficulty since it is reported he has labored breathing. Equally, I would analyze the patient's measure of heart rhythm and cardiac output which includes the heart pulse rate, body temperature, bowl output, and peripheral perfusion. Rigorous sanitization on the sign of congestion in the patient will help differentiate between the respiratory diseases and heart failure. I would take the patients pulmonary rates, venous blood pressure, and peripheral oedema to account for the stage of the illness of the patient (Cowie et al., 2014). Blood tests are also necessary to measure the distribution of red blood cells to identify the presence of the oxygen carrier pigment, hemoglobin. Other assessment criteria will include urine tests, electrolytes, glucose, and peptide levels. I would also measure the anxiety levels in the patient using the objective scrutinizing protocol to relieve the psychology of the patient from despair as the patient seems very devastated with the condition (Riley, 2015). The assessment of the critical areas of chronic heart failure will aid on the inference of the clinical stability of the patient, thus essential in stimulation of the transfer of the patient to an appropriate level for efficient treatment.

The following treatments seem viable in the management of the labored breathing and cardiopulmonary instability along the diagnosis of other condition that may hamper the treatment plan. The patient should receive physiotherapeutic medications, nurse-led social education and vital knowledge of the medics from pharmacists (Marcus, 2014). The patient should prescribe to diuretics, morphine, inotropes, and vasodilators. The morphine drugs used in the treatment of the respiratory depression by relaxation of the internal thoracic Cavity to enhance the smooth breathing henceforth reduce the labored breathing of Mr. P. The patient might use the diuretics to balance the electrolytes in the body reduces dehydration and assure stable osmoregulation while in the hospital (Marcus, 2014). I would administer vasodilators to the patient to relieve a headache, hypotension and enhance nitrate tolerance. Finally, inotropes are used in chronic heart failures to improve on situations of atrial and arrhythmias, regulate the blood pressure, and boost the heartbeat rate by stimulating the sympathetic nervous system (Riley, 2015). I would provide education to Mr. P and his wife with the aim of encouraging the social support against distress from the disease burdening the family. I would inform them of the risks associated with the condition, and that monitoring and management of the state prolong the life of the patient. My advice will aim to improve the social acceptance of diagnosis from the condition in Mr. P. Changing the desperate notions in the victim will facilitate adherence to medicinal drugs as such the condition can be stabilized. The provision of knowledge about the drugs from a pharmacist to the patient intends to increase the clients' satisfaction on the therapy. The treatment plan is purposed to stabilize not only the condition but also manage the health status of the patient by the emphasis on adherence to the medics.

As part of the nursing role, provision of disease education to both patient and family members is required to inform the parties on management measures of the chronic condition. The awareness is meant to induce self-care whereby the patient can grasp and abide by the taught information (Cowie et al., 2014). However, according to Mr. P level of anxiety and cognitive dysfunction, I will utilize the teach-back technique to affirm if the patient understands the information. As facilitated with the method, I will spend more time with the patient repeating the same information until I am sure that he retains the intended knowledge. For Mrs. P, I will use the verbal model since she has the average cognitive ability, but she's only being disturbed with trauma following the condition of the husband (Marcus, 2014). The information provided to the parties will mainly focus on heart failure management, and form a basis of social support and education on the condition.

The following teaching plan will be deployed to inform the parties about the condition. The teach-back model for Mr. P will only include questions on the understanding on how understands the medication and his adherence to medical prescriptions.

• Mr. P, tell me how you will take the drugs while at home.
• How many drugs have the doctor instructed you to make?
• What are the side effects were you informed on the use of the medicine?
• What will you do if encounter the side-effects?
• Do you understand when the dose lasts, and you are supposed to refill it?
• Tell me of the medicines you initially used to take.

For Mrs. P, will verbally inform her on the following; Heart failure is a normal condition that is curable when the patient effectively adheres to the medics as prescribed. She should monitor how the husband will take drugs and manage the prescribed diet for the patient. She should also deprive herself of signs of distress to be the person that reinstates hope and social support for the husband since she is the only family the senior has.

Conclusion

In conclusion, nurse's position in the treatment of Cardiomyopathy is crucial that ranges from being part of the assessment team, provision of the treatment plan, and the overall care of the condition of the patient. Indeed, nursing is the primary health profession whose position in the health field is vast as seen in the case of Mr. P condition. In the end, a clinical nurse should understand the clinical and social tools necessary in the treatment of a disease.

References

Cowie, M., Anker, S., Cleland, J., Felker, G., Filippatos, G., & Jaarsma, T. et al. (2014). Improving care for patients with acute heart failure: before, during and after hospitalization. ESC Heart Failure, 1(2), 110-145. doi: 10.1002/ehf2.12021

Marcus, C. (2014). Strategies for improving the quality of verbal patient and family education: a review of the literature and creation of the EDUCATE model. Health Psychology And Behavioral Medicine, 2(1), 482-495. doi: 10.1080/21642850.2014.900450

Riley, J. (2015). The Key Roles For The Nurse In Acute Heart Failure Management. Cardiac Failure Review, 1(2), 123. doi: 10.15420/cfr.2015.1.2.123