Report on Chronic Cardiac Failure and Asthma

Running head: REPORT
Assignment 3
Name of the Student
Name of the University
Author Note

1REPORT
Executive summary
This academic paper contains a detailed report of a patient, presented at the Clinical Case
Conference. Mrs P is an octogenarian and has been living in a residential care facility, since
the death of her husband. The report illustrated the pathophysiology of the two major
concerns that have been identified in her namely, chronic cardiac failure and asthma. The
report provided an overview of the pharmacological and non-pharmacological treatment
strategies that will be administered, in addition to elucidating on the approaches that will help
in addressing her emotional, psychosocial and economic needs. The report also provided
detailed information on the legal and ethical aspects of nursing, and framed a discharge plan
that will be followed, prior to her release from the healthcare setting.

2REPORT
Table of Contents
Discussion..................................................................................................................................3
Medical condition...................................................................................................................3
Nursing assessment................................................................................................................3
Medical management and treatment......................................................................................5
Clinical inference...................................................................................................................6
Psychosocial/Environmental/Economic aspects....................................................................7
Ethical and legal aspects........................................................................................................8
Discharge planning.................................................................................................................9
Education needs of patient /family.......................................................................................10
Conclusion................................................................................................................................10
References................................................................................................................................11

3REPORT
Discussion
Medical condition
Chronic Cardiac Failure (CCF) can be accredited to the onset of a condition that
results in a decrease in the efficiency of the cardiac muscles, which in turn is a direct
manifestation of overloading or damage (Bloom et al., 2016). In addition, the heart of the
patients suffering from CCG also demonstrate a decreased force of contraction, when the
ventricles get overloaded. Under circumstances when the upper chambers of the heart get
filled, there occurs an increased contraction force, concomitant with an elevation in cardiac
output. Furthermore, Tham et al. (2015) stated that the condition is also characterised by an
increase in the size of the cardiomyocytes and subsequent thickening of the walls of the
ventricles that reduces efficiency of heart contraction. In contrast, exposure of risk factors
lead to irritation in the airways that trigger crosslinking with the receptors of IgE located on
the bronchial wall mast cells. Chronic inflammation of the airways lead to lamina reticularis
thickening and increase in the number of eosinophil, this increasing the contractibility of the
smooth muscles that surround them (Maslan & Mims, 2014).
Nursing assessment
I (Introduction) I am calling because the patient needs to be
treated for congestive heart failure and
asthmatic conditions.
S (Situation) This is urgent because the patient reports
difficulty in falling asleep due to pain and
had been admitted, following an overdose of
Temazepam. In addition, past suicidal
attempt and regular administration of