Nursing Assignment: Case Study on Congestive Heart Failure

Nursing Assignment 1
NRSG353 Assessment Task 1- Case Study

Nursing Assignment 2
Question 1:
From the case, it is identified that the patient Mrs. Sharon McKenzie, suffers from heart disease,
Congestive cardiac failure (CHF). The causes of this disease are:
1.Causes-
Abnormal heart rhythm or beats- In the given case, the patient suffers from bradycardia
(slower heart rate than normal) that contributes to the cardiac failure of the patients.
Hypertension (High Blood Pressure)- In the given face, the patient suffers hypertension from
the high blood pressure that contributes to the cardiac failure of the patient.
Cardiac enlargement (Cardiomegaly)- the enlarged heart was found from the ECG in the
patient that can contribute to the congestive heart failure of the patient (Albert, 2015).
Other causes- Diabetes, thyroid (hypothyroidism/ hyperthyroidism), obesity, hypoxia (low
oxygen supplement), heart palpitations, consistent coughing, swollen ankles, mild nausea,
shortness of breath, and dizziness are causes of the heart failure in the patient.
2. Incidents of cardiac failure disease
There is a high probability forincreasing the cardiac failure disease day-by-day because of the
poor/unbalanced dieting, laziness, increasing polluted conditions, the lack of fitness, increasing
obesity and diabetes as well as the surrounding environment of the country where a large number
of pollutants, allergens, and infected substances support the cardiac failure disease. There is an
incident of growing new heart diseases (like in Sharon’s case) with the growing age of the
population (Inamdar and Inamdar, 2016).
3. Risk Factors of Congestive Heart Failure-

Nursing Assignment 3
Sudden heart Attacks- The CHF can result in sudden heart attacks that is a serious medical
condition of myocardial infarction in which the sudden supply of the blood to heart is stopped
because of the blood clotting.
Coronary artery diseases- this type of risks/ disease can result in dilated muscles of narrowing
arteries because of insufficient supply of oxygen to the blood in the heart and moreover
weakening of the heart muscles
Medications- the medications currently used for treating the heart disease can also lead to other
body problems because of their side effects on the body, like kidney failure to proper
functioning, lungs problems, or liver function problems (Mangoni, &Jarmuzewska, 2019).
Other risks- cardiac enlargement can increase risks to the patient, like coronary artery diseases,
abnormal heart rates, weaken (swelling/ thickening of the heart muscles, heart valve problems,
coronary artery diseases, and dilating chambers of the heart because of the chronic heart failure
of the patient.
Figure: Risk Factors of CHF
(Source: Mangoni, &Jarmuzewska, 2019)

Nursing Assignment 4
4. Impact of CHF disease on the patient and her family:
The CHF can greatly affect the physical fitness and mental health of the patient. The CHF can
cause for deteriorating the heart conditions that can lead to increased heart problems that
adversely can disturb the family member of the patient. The CHF can also lead to lots of stress,
high BP, body imbalance, inadequate sleep, and emotionalproblems (depression, frustration) to
the patient and her family members. Her heart disease can also become restless and bothered to
her family members. The consistent heart failure can increase the possibility of the heart attacks
again any time, the psychological weakness of the patient, and her attentive caring problems all
times that can adversely affect other daily works of her family members (Albert, 2015). Her
family members can take unnecessary stress and become full of tense because of her increasing
health concerns.
Answer 2-
From the case study, it is clear that Mrs. Sharon is suffering from higher blood pressure, lower
heart rate (54 bpm) than the normal heart rate of 60 to 100, lower SpO2 level (92%) than normal
SpO2 rate (94%-100%), and lower potassium level (2.5 mmol/L) that are clear indications/signs
of the cardiac failure. In medical terms, the symptoms and common signs of the CHF are as
follow:
Symptoms on the first
observation
Symptoms indicating
theworse conditions for the
patient
Symptoms that indicate the
critical heart condition
swollen ankles and cold feet Consistent cough from the
infected lungs
Shortness of breathing
Fatigue and dizziness Abnormal heart rates,
vomiting and mild nausea
(Horiuchi et al., 2018)
Radiating chest pain and deep
breaths from the problems in
respiration (Sanchis-Gomar et
al., 2016).