Congestive Heart Failure Care Plan
Heart failure (HF) or Congestive Heart Failure (CHF) is a physiological condition whereby the heart fails to pump enough blood to meet the metabolic requirements of the body. In most cases, heart failure results from variations in the systolic or diastolic role of the left ventricle (Malik, Brito, & Chhabra, 2019). Moreover, the heart dysfunctions due to inherent ailment or structural, which make the organ unable to handle a usual blood volume. The current study will focus on a patient with Congestive heart failure (CHF) and the plan of care addressing the priority physiological nursing diagnosis.
The CHF patient is a black male, P.K, who is 70 years old. He weighs 70 kg, and his height is 175cm. According to his medical history, P.K. has had hypertension, well-controlled with medication, Gastroesophageal reflux, and Afib. Besides, he has undergone partial hip replacement surgery and left and right knee replacement. He is allergic to NKDA. The patient has a medical history of furosemide, metoprolol, hydralazine, amiodarone, Aldactone, potassium Eliquis due to his past and current conditions. Primality, P.K. complains of shortness of breath and peripheral edema (left ankle), although his diagnostic test is normal.
The patient needs a care plan that addresses the priority physiological nursing diagnosis. Indeed, since heart failure is a chronic condition, it requires lifelong management to reduce the level of fluids flow (Wright & Thomas, 2018). Physiological care will maintain the functioning of the body. Therefore, a proper plan to address the situation P.K. is facing will emphasize the overall health with recommendations on diet, exercise, and stress reduction keeping in mind his past medical history. With regard to food, the patient needs to ensure a low-sodium or salt diet since a weight increases my complicate the situation for the patient. Moreover, the patient will have to undertake regular exercise to control heart failure. Moreover, P.K. should ensure that the physical activities are not rigorous due to the surgeries he underwent earlier.
References
Malik, A., Brito, D., & Chhabra, L. (2019). Congestive heart failure (CHF). In StatPearls. StatPearls Publishing.
Wright, P., & Thomas, M. (2018, Dec.6). Pathophysiology and management of heart failure. The Pharmaceutical Journal. https://www.pharmaceutical-journal.com/cpd-and-learning/cpd-article/pathophysiology-and-management-of-heart-failure/20205742.cpdarticle?firstPass=false