Report Giovanni - Chronic Heart Failure

Added on - Feb 2020

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TABLE OF CONTENTINTRODUCTION...........................................................................................................................3Nursing Problem 1......................................................................................................................3Nursing Problem 2......................................................................................................................5CONCLUSION................................................................................................................................7REFERENCES................................................................................................................................8
This section has presented an overview of the present report based upon a conferred casestudy that is focussed upon an elderly patient named Giovanni aged 72 years who is sufferingfrom chronic heart failure. As a result to which, the patient has been admitted in theemergencydepartment at around 3 am in the midnight (Mortensen and et. al., 2014). It was followed bymainly two major complains of breathlessness and a sense ofsuffocation. The below report hasthereby focused upon two leading traumatic issues of the patient named Giovanni by togetheridentifying two nursing interventions for each of his ascertained issues and evaluating the same.Here, a foremost problem that has been identified from the bestowed case study isdyspnoea. Wherein, it is followed by two relative issues of shortness of breath and a sensation ofasphyxiation that has in turn resulted in an emergency admittance of the patient in the hospital ataround 3 am in the midnight. However, at the time of dealing with the problematic concern, heeven tried to feel comfortable by sitting onto 3 cushions on his bed but was unable to get rid ofthe aforesaid dyspnoea (Gaggin and et. al., 2014). After being admitted into the hospital, he wasduly inquired by the physicians to further acknowledge some other problematic concerns thatconfirm such non relieved state of Giovanni. He hereby states that he is simply unable to movearound his house and facing problem in walking by also not being able to wear his shoes due toswelling in his feet. Also, his breathlessness issue tends to increase while showering with a senseof being bloated all the time since last few weeks. Although, he is continually smoking around20 cigarettes a day and is also not capable of performing any type of physical exercise withinability to follow an altered dietary habit.It is therefore on referring to the pathophysiology ofdyspnoeathat is usually done tointerpret the historic occurrence of a disease by starting from the acknowledgement of its signsand symptoms to range to its diagnosis with testing and management criteria, etc. It is with asimilar context of the present case script of Giovanni,it has been found that dyspnoea being acritical syndrome has detected another traumatic disorder of chronic heart failure as a very severedisease that can neither be healed nor recovered completely(Gaggin and et. al., 2014). However,the problematic concern of the patients suffering from it can only get managed by the physiciansdealing the issue with proper medicinal measures. It is where a chronic heart failure takes placeonce after the deterioration of heart muscles that subsequently weakens with less effectivefunction of pumping where an entire damaged heart can be never get cured completely.
It is however important to discover the cause of damage where in the present case, it canhappen due to previous heart attacks or some other long term illness like high blood pressure,diabetes or some other heart related disease, etc. It is therefore on referring to the given casescenario of Giovanni, he has been assessed with some vital signs of this disease of chronic heartfailure with a T of 36.9 degree Celsius, HR to be 115 per minute, BP 118/60, RR to be 26 perminute along with 91% of oxygen saturations in room temperature and normal ECG rates (Adesand et. al., 2013). Also, he was diagnosed with widespread course crackles found on attemptingthe test of auscultation with pitting oedema in both his lower limb area. After which, he hastogether been tested via X-ray that disclosed an expanded ratio of cardiothoracic along withwhite coloured uneven areas in his lower body part along with Kerly B lines. All thesesyndromes have in turn proved a chronic indication of heart failure in Giovanni.On whose basis, it is important to refer to some prompt interventions of nursing in orderto resolve the foremost issue of chronic heart failure in patients like Giovanni where he can betreated with the help of pertinent medicines followed by some prior clinical assessments. Thiscan be done with the help of diuretic therapy as a way of alleviating the chronic syndrome ofheart failure (Borland, Rosenkvist and Cider, 2014). This is usually required to be done byinitiating the use of ACE activator and beta- medicament. It is where ACE inhibitor can tend toamend the expulsion portion of the patients suffering from heart failure and the use of Beta-blocker are usually referred as anti ischaemic mechanism to reduce the risk of abrupt cardiacdecease of the patients suffering from heart failure. This is referred to be a type of independentnursing that comes under the consideration of long term management.Another intervention for this identified issue of chronic heart failure is collaborative innature where the current diet of Giovanni is required to be modified by the health carepractitioners handling his case. It is where diet is referred to play a substantial role inmaintaining the health of a patient who is suffering from such acute state of heart failure (Smart,Dieberg and Giallauria, 2013). It is where Giovanni with a similar context to it is required toalter his diet by abiding by a golden concept of less salt along with fat free recipe. It is thereforerequired that while being admitted in the hospital, Giovanni must be served salt and fat freemeals that will in turn lessen down his risk of ischaemic heart illness. Also, the food prepared forhim must be soft to lower down his exertion of mechanical digestion where it will be uneasy for
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