Pathophysiology Case Study #2
In a short essay answer the Question at the end of Case Study 2. Cite references to support your positions.
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.
Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following:
• Describe your approach to care ( described intervention in the hospital like : needs to have her vital signs to be monitored continuously including continuous pulse oximetry, supplemental oxygen administered for low O2 saturation, cardiac monitoring, stat chest x-ray, echo, and stat labs such as ABG, Complete blood count (CBC), Electrolytes, Plasma B-type natriuretic peptide (BNP) or N-terminal pro-B-type natriuretic peptide (NT-proBNP) (which assesses the severity of heart failure), chem panel, urinalysis, C-Reactive Protein (CRP) and Coagulation studies including a D-Dimer study. If D-Dimer was elevated, there would be a stat CTA ordered based on her other symptoms to rule out a possible pulmonary embolism. Strict I & O and daily weights would be important to monitor recovery and decompensation. Case management would be involved to see if she would be a candidate for home health following discharge)
dear writer please include difficulty maintaining diet restrictions , polypharmacy including medication reconciliation and emotional/spiritual support.
• 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).