Question

In: Nursing

Case Study 2 Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who...

Case Study 2 Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him. Question Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following: • Describe your approach to care. • Recommend a treatment plan. • Describe a method for providing both the patient and family with education and explain your rationale. • Provide a teaching plan (avoid using terminology that the patient and family may not understand).

Expert Solution

The person who is having cardiomyopathy, cogestive heart failure tu following care should be given

They are following

The person mr.p is having cardiomyopathy, congestive heart failure so as a health care provider we need to give care for the patient

We need to check the general condition of the person

Then we can provide the medication to the person based on the symptoms

Weight monitoring should be provided

Advice them to maintain good diet pattern

Advice them to do the some excercise advice them to avoid the alcohol and smoking.

Treatment for patient

The best treatment for the person is providing medicine such as

Diuretics

Anti hypertension drugs

ACE inhibitors

Analagics

Clopilet

Health education.

Providing health education to the patient in order to improve the quality of the people

Advice them to modify the diet pattern , to improve the health of the people

Weight should be checked

Vital signs should be monitored

Pacemaker implantation should be done in case of eme

Surgery can go in case of sevear

Advice the family to avoid the smoking and drinking alcoholism

Teaching plan

Providing the knowledge about the personal hygiene

Advice the family to modify the diet pattern

It is one of the in modified factor so we need to provide health education to the family as well as the person

Weight management should be there

Advice them to do the yoga and meditation.

Nightingale answered 2 years ago

Case Example: A 68-year-old man with diabetes and chronic congestive heart failure who is prescribed digitalis...

Case Example: A 68-year-old man with diabetes and chronic congestive heart failure who is prescribed digitalis and insulin presents to the emergency department with abdominal pain and cramping. Upon exam, the he is noted to have hyperactive reflexes. An ECG shows a prolonged PR interval, widened QRS and depressed ST segment. 1.What electrolyte imbalance is this patient most likely suffering from?

Case Study - Questions at the bottom Dorothy Payne (D. P.) is a 76-year-old female who...

Case Study - Questions at the bottom Dorothy Payne (D. P.) is a 76-year-old female who was admitted to the hospital 2 days earlier with complaints of right lower quadrant abdominal pain. Her medical history includes type 2 diabetes mellitus. She was evaluated in the emergency department and sent to the operating room for an appendectomy 8 hours after coming to the hospital. D. P.'s vital signs are temperature 38.4° C (101.2° F), P 96 and regular, R 22 and...

Case Study: Congestive Heart Failure Directions for completion: Student to answer each question in their own...

Case Study: Congestive Heart Failure Directions for completion: Student to answer each question in their own words using 2-3 sentences for each question. If using a text book to assist with answers, place the name of the text and page number in the content of the question. Patient Profile Mrs. E., a 70-year-old Hispanic woman, was admitted to the medical unit with complaints of increasing dyspnea on exertion. Subjective Data · Had a severe MI at 58 years of age...

Using the following case study answer the questions, A 76 year old male presents to the...

Using the following case study answer the questions, A 76 year old male presents to the emergency department with shortness of breath and difficulty sleeping lying down. Physical examination reveals a well nourished obese male with SOB with speaking and any exertion. Blood pressure is 160/90 and pulse is 90. Lungs- diminished in bilateral bases. Cardiovascular examination reveals a swooshing sound heard best over the 2nd ICS, RSB. The patient complains that SOB became much worse when he was asked...

CASE STUDY with QUESTIONS… Mr. Smith is an 84-year-old Caucasian male who lives in an apartment...

CASE STUDY with QUESTIONS… Mr. Smith is an 84-year-old Caucasian male who lives in an apartment that adjoins his son’s house. Mr. Smith is accompanied to this clinic visit by his son, who assists with the history. Although previously outgoing and social, Mr. Smith recently has been limiting his outside activities. History Mr. Smith stated that for the past year he has felt dizzy when he stands up after sitting or lying down and that he often needs to “catch...

Your next patient is Mr. Johnson, who also has congestive heart failure. He is taking furosemide...

Your next patient is Mr. Johnson, who also has congestive heart failure. He is taking furosemide (Lasix) as part of his drug regimen. He says, “These are my water pills, the doctor tells me. They make me go and go!” Furosemide acts in the ascending limb of the Loop of Henle to block the NKCC transporter (ie, prevent it from transporting Na+, K+, and 2Cl- from the tubular fluid into the tubular epithelial cells). Why does the furosemide (Lasix®) make...

. The patient was a 77-year-old female admitted with Congestive Heart Failure, and past medical history...

. The patient was a 77-year-old female admitted with Congestive Heart Failure, and past medical history of an Acute MI, four to six months before admission date. She had been taking Lasix 40mg PO BID and Cardizem 30 mg TID. In a report, I heard that her last O2 saturation was 77% on 3 liters via nasal cannula. Vital signs- afebrile, HR 108, RR 22, BP 148/88. She had an IV of D5W at KVO, the EKG was done, and...

1. A 50-year-old Asian man with a diagnosis of congestive heart failure was referred for home...

1. A 50-year-old Asian man with a diagnosis of congestive heart failure was referred for home care services after being hospitalized for surgery. The nurse had her first home visit to the patient. He is living with his wife and three sons. The nurse asked him about his medication and the main current problem. Then, she asked about the level of pain. He responded in negative way by saying “YES”. In the light of this situation, please describe the transcultural...

Case Study, Pain Assessment Charles Hutchison is a 76-year-old male who retired from his architecture business...

Case Study, Pain Assessment Charles Hutchison is a 76-year-old male who retired from his architecture business 10 years ago. Mr. Hutchison has a history of dementia and repeatedly reports, “My left knee hurts!” He is unable to describe the pain’s character to you, his nurse. When asked a clarification question, his response remains, “My left knee hurts!” Mr. Hutchison is restless and pacing, and while seated, he frequently rubs his left knee. a. What behavioral data would the nurse collect...

Mr. Simmons age 70, is admitted to the hospital for heart failure resulting from hypertrophic cardiomyopathy....

Mr. Simmons age 70, is admitted to the hospital for heart failure resulting from hypertrophic cardiomyopathy. He has dyspnea, fatigue, and angina. His lungs sounds revel crackles. 1. What is the pathophysiology of hypertrophic cardiomyopathy? 2. What occurs in hypertrophic cardiomyopathy to ventricular size and ventricular filling with blood? 3. Why is Digoxin (Lanoxin) contraindicated for Mr. Simmons? 4. Why is it important for Mr. Simmons family to learn cardiopulmonary resuscitation (CPR)?