Congestive Heart Failure In Mr. P's Case

In congestive heart failure, the heart is not able to pump enough oxygen and nutrition to meet the requirements of the body and it may be chronic or acute. Heart failure is caused by many disorders that injure the heart muscles including, heart attack, cardiomyopathy, coronary artery disease, and conditions that overwork the heart, such as high blood pressure, diabetes, thyroid problems and kidney problems. At the point when a heart starts to fail, it causes additional liquid to develop in the body, and is given swelling in the legs, ankles, feet, lungs or other organs. It is the most leading cause of hospitalization for patients, who is older than 65 yrs. (Copstead & Banasik, 2012). Symptoms may or may not be present and it is mild to severe.
Heart failure patients usually have a difficult therapeutic routine which contains fluid and diet control, exercise plans, management of medications, diet and fluid restriction and weight control programs. According to the given scenario, Heart failure management in Mr. P’s case is complicated due to lack of enough support, poly pharmacy, depression, frequent hospitalization, financial problems and incompetent with dietary restrictions. Mr. P and his wife is depressed due to the worsening of his condition and overwhelmed with the stack of medical bills. A multidisciplinary approach of care is required in this scenario. Mr. P is benefited from home health services for managing multi drugs, monitoring weight, and observing for deteriorating symptoms earlier. A social worker consult is required to assist with financial problems and they can also help to find out the community services and volunteer services available in their home town. Mr. P can be benefited from a mental health consult for depression or feeling of hopelessness. Chaplain services can offer for spiritual needs. Alongside all these actions, adherence to correct medication and diet control is important for CHF patients to avoid
P and Mrs. P. An accurate record of medication list should be provided to them including the generic name and brand name. It will be easier if the medication schedule connects with daily activities, to improve the medication adherence and prevent drug interactions. A pill box might be beneficial for MR. P to follow the correct drug, dose and time of medications (Woodruff, 2010). it is ideal to space the fluid consumption all through the day, since Mr. P, is on liquid limitation. Fluid pill will cause frequent urination and It will be better to take the fluid pill on day time to abstain from awakening at night multiple times. Daily weight checking is very important, and get immediate medical help if you noticed any weight gain more than 2 pounds in a day or feeling any shortness of breath. Salt restricted diet is vital for Mr. P to control blood pressure and fluid buildup. Mr. P should limit sodium rich food such as canned foods and processed foods and start practicing to read the food labels to find the quantity of sodium. Elevating your legs at rest will help to reduce the swelling on your legs. You should discuss your wishes for extended medical care with your doctor and wife. An advance directive or living will be an easy way to let everyone know your wishes. Routine follow up with your primary health provider is important to prevent the unnecessary