NURS 3530: Caring for Adult Clients I HEART FAILURE CASE STUDY Your client‚ Mr. Black‚ is a 72-year-old man who called his TeleNurse Line from home and‚ based on the symptoms he described‚ was advised to go directly to the Emergency Department at his local hospital. His admitting diagnosis is exacerbation of heart failure (HF). His Ht is: 5’9”‚ Wt. 235 lbs. He states that his usual weight is about 220. Upon admission‚ his symptoms are: extreme shortness of breath; unable to tolerate lying
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Heart failure (HF) is a progressive disease which affects more than five million Americans (Yancy et al.‚ 2013). HF negatively impacts quality of life and it is associated with frequent hospitalizations and high mortality. Evidence-based practice guidelines aid health care professionals with treatment management and provide pathways to optimize individual patient care. The main goal of treatment is to slow the progression of the disease and control its symptoms. These pathways address all stages
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Heart failure is caused by the decrease cardiac output and decrease perfusion to the vital tissues of the body. Cardiac output is depended on the stroke volume and heart rate. There are three factors that influence stroke volume‚ which are contractility‚ preload and afterload. Contractility is reduced due to Ms. Boehmer’s history of acute myocardial infarction. Acute myocardial infarction causes myocyte function disruptions. Ms. Boehmer’s history of hypertension‚ smoking‚ and coronary artery disease
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Assessment: Heart Failure: Mr. Jones with past medical history of MI‚ and be came to clinic today complaining of DOE that began 6 months ago. Currently he developed edema on his low extremities‚ and he gained 13 lbs recently. His LVEF is less than 20%. His SOB is worsening in last 4 days‚ which he has a difficulty to breathe after 30 feet of walking. According to the ACC/AHA guidelines‚ his hemodynamic subset is class II‚ which he has a warm and wet due to his sign and symptoms of edema‚ ascites
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Congested Heart Failure Education Sommer L. Kitchin NSG 4028 Concepts of Teaching & Learning May 16‚ 2015 Targeted Audience • Patients who have been diagnosed with heart failure also referred to as congested heart failure (CHF) including those newly diagnosed. • Family members to those with CHF‚ with a more stronger focus on those new to the diagnosis. • For those who do not have family members participating in the management of their care‚ but does have a strong support person and/or caregiver
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efficient operations (Forbe). However‚ just a few weeks before it 25th birthday‚ on September 23rd 2010‚ Blockbuster filed for bankruptcy (Gandel/Dallas). The human relations management system theory was developed in the early 1920’s during the industrial revolution (Perry). This theory can relate to Blockbusters failure because the system focuses on things that gets people going‚ like motivation (Perry). Netflix beat out Blockbuster because it gave the people what they wanted and was cheaper‚ more reliable
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BACKGROUND Marks & Spencer ( M&S) ‚ popularly known as Marks & Sparks ‚ one of the leading retailers in UK began internationalizing in early 70s with formal store based operations in Canada and so on and so forth. However ‚ On 29 March 2001‚ Marks and Spencer (M&S) announced that it was to sell its Brooks Brothers clothing chain (USA and Japan) and Kings supermarkets (USA) businesses‚ and turn its company-owned stores in Hong Kong into a franchise. In addition‚ it was going to
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called‚ ‘I Wasn’t Nervous Beforehand‚ but When I Got Up There I Thought I Was Having a Heart Attack.’ The main assumption behind the theory in this section is that it is better to over-prepare for a public speaking event than to under prepare for it. To know how you react to that pressure is the key to success‚ because then you are able to combat your reaction to the stressful situation. If one were to ignore this theory‚ then they might be very unsuccessful not only with public speaking‚ but also with
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Business Failure Analysis LDR 531/Organizational Leadership Business Failure Analysis Businesses are created with the intention to be successful‚ achieve goals‚ and create profits. The continuity of business success depends on the capability to forecast changes on markets and economies‚ and create a plan to adapt to change‚ if management failure to forecast changes‚ the business welfare will be unstable. Blockbuster was a leader on the movies rental business‚ and failure to reinvent as company‚ leading
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The Role of Beta-Blockers in the Treatment of Chronic Heart Failure In 1988 Sir James Whyte Black was honored with a Nobel Prize for medicine for his efforts in the discovery of the beta blocker propanolol and the histamine receptor agonist cimetidine. Beta blockers were originally developed to treat angina pectoris but were discovered to also treat hypertension‚ tachycardia‚ an myocardial infarctions. The discovery of propanolol was said to be the greatest discovery since digitalis. The mechanism
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