Case Analysis – (CHF) Congenital Heart Failure. Medicine Essay

Please remember to include , introduction, body and conclusion. In this case scenario my approach will be admitting patient to the hospital due to decompensated heart failure. I propose to start pharmacologic treatment with IV loop diuretics, ACE inhibitors, Betablockers, Oxygen therapy should be started simultaneously to guarantee adecuate oxygenation, daily blood work is necessary to monitor renal function, BNP, echocardiogram for assessment evaluation of the heart condition, other non pharmacologic measures should be implemented such as fluid restriction and low sodium diet 2g/d, daily weight and strict monitoring of intake and output. On admission , social work services should be ordered of course in coordination with attending physician, for Home Health Services, which will include nursing skills and aide at home. Nursing services should be aimed to educate patient and family about prevention of risk factors of CHF exacerbation and prevention of polypharmacy in adults and how to access resources to lower cost of medications and food in the community and attendance to outpatient follow up appointments with cardiologist and primary care physician. In order to better help Mr. P and his wife to understand the teaching I will prefer to use visual aide like power point with illustrations, to help them remember the information and resources from the internet like WebMD with videos about CHF.
Teaching plan will include :
dietary recommendations and restrictions
recognition of s/s of CHF exacerbation when to sick medical attention
education about each medication, purpose, side effects.
importance of compliance with f/u appointments and Tx.