Heart Failure Case Studies Samples For Students

After decades of uncontrolled hypertension, Ms. Griffin was diagnosed with left-sided heart failure. Although her heart failure was diagnosed eight years ago, she is currently in nursing care and cannot move from the bed or wheelchair because angina and dyspnea episodes often occur even during periods of rest. Over the past 2 years, she has been losing weight and is currently at 93 pounds, which is a 58 percent reduction compared to her previous weight of 160 pounds, so a percutaneous esophageal gastronomy (PEG) tube was inserted in her.
According to the New York Heart Association (NYHA) functional classification system, ...

Ms. Griffin was diagnosed with left-sided heart failure 8 years ago related to decades of uncontrolled hypertension. She is in skilled nursing care on oxygen by nasal cannula 24 hours a day. Ms. Griffin remains in bed or in a wheelchair because she has episodes of angina and dyspnea even at rest. Her weight has dropped from 160 pounds to 93 pounds over the past 2 years. Recently she had a “PEG” (percutaneous esophageal gastrostomy) feeding tube inserted.
1. Explain Ms. Griffin’s classification of heart failure according to the New York Heart Association Functional Classification.
Ms. Griffin’s classification ...

Philosophy

Heart Disease as the Largest Health Threat
In our current period, I feel that heart disease is the largest health threat globally. This class of disease has been the deadliest if not one of the leading causes of death around the world based on the statistics and research done by many doctors and scientist. There have been some recent studies done by the American Heart Association showing statistical results including its risk factors. In addition, the results also showed that heart disease is still the leading cause of fatality among adults in the United States (San Luis, 2013). ...

1.
The patient is diagnosed to have congestive heart failure. This is a heart disorder resulting to pulmonary vascular congestion with a reduced cardiac output. Among the diagnostic symptoms of the disorder include pulmonary complications, such as pulmonary edema, obstructive sleep apneas and pleaural effusions (Figueroa and Peters 2006). It is also characterized by the main symptoms of orthopnea, fatigue, dyspnea, paroxysmal nocturnal dyspnea and peripheral edema (Grimshaw, Khunti and Baker, 2001), which are all present in the clinical symptoms presented by the patient Mabel. During the exacerbation of the congestive heart failure, the patient will benefit from continuous ...

M.K is a female, 45 years old with 5.5” height and 225 lbs. weight and has a history of smoking for 22 years and poor diet. The history of Type II diabetes mellitus and primary hypertension is also observed with the recent diagnosis of chronic bronchitis. She has been observed with chronic cough with sputum, light headedness, excessive peripheral edema, distended neck veins and increased urination during the night. She has been using the medications comprising of Lotensin and Lasix to treat hypertension and Glucophage for diabetes mellitus.

Vitals and Lab Results

The patient is observed chronic cough with sputum and the cough ...

Abstract

This paper focuses on a case study involving a patient with heart disorder. The paper answers nine questions based on the case study. The case study helps provide insight into symptoms management heart diseases.

Question 1

Both health and nutritional status of PF are poor. To start with, he has a medical history of pulmonary edema. Pulmonary edema presents with among other signs and symptoms, shortness of breath and course breath sounds. Given that PF has been complaining of shortness of breath, it follows that he might be experiencing yet another episode of pulmonary edema. Pulmonary edema can also be suspected given that heart ...

Introduction

Modern day health care systems focus on offering holistic care that is patient-centric, safe, effective, efficient and timely. To this end, medical practitioners must have a diverse set of skills and knowledge from pharmacology to human anatomy and physiology. Of this, a sound understanding of anatomy and physiology are critical in provision of care for long term care. Physiology is the study of function in living systems while anatomy is the study of structure in living things. These two disciplines have been central in the delivery of health services since Ancient Greece where philosophers such as Aristotle explained the relationship between ...

What are three major causes of chronic bronchitis?

The three major causes of chronic bronchitis are cigarette smoking, long time exposure to air pollutants (such as industrial or chemical fumes), and inhalation of toxic gasses (Madell, 2016).

What are the major pathologic airway changes are associated with chronic bronchitis?

Chronic bronchitis is the condition affecting human beings that cause a continuous irritation and inflammation of the lining of the bronchial tube. Bronchial tubes are airways that carry air to and from the lungs. Exposure to cigarette smoke, air pollutants, or toxic chemicals causes a persistent cough that leads to the formation of excessive amounts of sticky mucus in the airways that result in inflammation and fibrosis. The mucus blocks ...

PHYSICAL EXAM:

You will be expected to write up your response as follows:
List of Differential Diagnoses [rank ordered]
A. Congestive Heart Failure
B. Angina
C. Hypercholesterolemia
D. Myocardial Infarction

E. Diabetes Mellitus

F. with Grade II diastolic heart failure.

G. Hypertriglyceridemia

H. GERD
I.

J. Hypertension

Leading hypothesis : Congestive Heart Failure
Active Alternative hypotheses
Must not miss diagnoses [critical rule outs]
Congestive Heart Failure
Angina
Hypertriglyceridemia
Hypercholesterolemia
Most common diagnoses [reasonable alternatives]
GERD
Hypertension
Diabetes Mellitus
Presumptive Diagnosis [assumption]
Congestive Heart Failure

Treatment Plan

Non-pharmacologic / lifestyle interventions (provide rationale)
• Modify Diet.
- Advance to a low-sodium, low-cholesterol, low-fat, solid diet as tolerated R: to minimize metabolic demands ...

Introduction

Pulmonary edema (PE) is characterized by the accumulation of fluid in the parenchyma and air spaces of the lungs. Most often PE is associated with respiratory failure and impaired gas exchange. Globally, PE is known to be characterized by two major factors, the first is associated with the injury of the lung parenchyma which is termed as non-cardiogenic pulmonary edema. The second is associated with the failure of the left ventricle of the heart to release blood from the pulmonary circulation within the system and is termed as cardiogenic pulmonary edema (Glaus, Schellenberg , and Lang. 2010). The major cause ...

Salt intake control is a major issue globally. This needs to be addressed because of the associated consequences especially the high blood pressure. The main view of the paper is the review of the contrasting model of control which is the medical model and public health model of control. High salt intake comes from various sources. One of the main sources noted to be relevant in America is that of the intake from processed and restaurants foods.
The medical model is based on stating the amount of salt the patient needs based on the health condition of such patient. ...

RTE 1503

Abstract:
Hypertensive pulmonary edema is a frightening disease that occurs occasionally with acute hypertension. This case study analyzes a middle aged woman and her visit to the hospital emergency department when she collapses and has difficulty breathing. It is shown by the x-ray technician that she is suffering from hypertensive pulmonary edema and after proper medical management she quickly gets better. It is important to distinguish this disease from cardiogenic pulmonary edema, which is chronic in nature and has a very different clinical picture.
A 47-year-old woman with a history of hypertension recovering from a recent bout of the flu suddenly fell ...

The patient developed respiratory complications which led to severe anasarchia, no corneal reflexes and no papillary responses. She was later pronounced dead on the fourth day of hospitalization. Mrs. M’s mother succumbed to death from congestive heart failure at the age of 65 years while the father died from myocardical complications at the age of 48 years. One of Mrs. M’s sisters died at the age of 46 years from cardiompathy which is a complication that had developed from a heart failure which she had harbored for two years prior to her death. Mrs. M’s other ...

Approaches in configuring Clinical Decision Support (CDS) System

The development of an effective CDS system to facilitate the healthcare delivery of a chain of hospitals and outpatient clinics warrants the systematic incorporation of clinical guidelines, documentation templates, patient summaries, HPI and medication history recording tools, condition-specific orders and diagnostic support system across the electronic health record (EHR) (CMS, CLINICAL DECISION SUPPORT:More Than Just ‘Alerts’ Tipsheet, 2014). The association of these approaches in EHR is warranted in the context of incorporating the entire aspects of patient care to facilitate the patient outcomes across the clinical settings. The EHR across clinical settings requires the effective incorporation of the research ...

R M. G

Dr. S
P. A., a 56 year old Italian male that identifies with the Italian culture with no significant past medical history presents to the emergency department with the chief complaint of recurrent chest burning. P.A. says his wife believes that he is showing symptoms of having GERD but he has never been diagnosed. P.A states that “the chest burning and discomfort began five days ago and just got progressively worse despite his self medicating with TUMS” he presented to the emergency department on 05-31-16 and felt “some improvement” after a GI cocktail was administered. One set of biomarkers ...

Explain how you would prioritize care of these clients in order of importance, and why

I will triage these patients with regard to their needs. The one with the immediate and most pressing needs is Mr. Richard. He takes first priority since he is in severe pain and nursing care dictates that the nurse should ensure that the patient is comfortable and one way to achieve is this is through pain relief. I would administer moderate analgesia such as morphine or pethidine. The fact that Mr. Richards was experiencing difficulty in breathing affirms me making him my first priority. Dyspnea translates to the fact that there is inadequate tissue perfusion. This in itself is ...