Nursing Assignment: Cardiomyopathy Care and Treatment Plan

This nursing assignment addresses the care of a 76-year-old male, Mr. P, with cardiomyopathy and congestive heart failure. The essay outlines a comprehensive approach to care, including medication, nutritional therapy, and exercise recommendations to strengthen heart muscles. It suggests a treatment plan focusing on lifestyle changes, low-sodium diet, proper medication, and electrolyte balance. The assignment emphasizes patient and family education, considering the wife's history and providing teaching plans on CHF symptoms and management. Home-based care programs with weekly visits by nurses and clinicians are also recommended. The essay provides a holistic approach to patient care considering the patient's physical, emotional, and financial circumstances.

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the Student
Name of the University
Author Note

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My approach to the care
Cardiomyopathy discusses about the diseases of heart muscles. Cardiomyopathy is the
condition that affects the heart as the primary disease which may lead to the heart failure of the
patient (Puckett, Shapiro & Goodlin, 2013). The approach to the care that I would recommend
for this situation would comprise of medication and the nutritional therapy. The patient had
cardiomyopathy and his heart muscles were weak therefore strengthening of the heart muscles
can improve the condition of the patient. The patient should get all the medications that are
necessary for his condition. Beta blockers or ACE inhibitors can be given to the patient here
because in this case cardiomyopathy has led to the congestive heart failure. These medications
could be useful to stabilize the patient to a certain point so that the other therapeutic measures
can be started (Kosiborod et al., 2017). The next portion of my approach would be to confirm
that the patient should follow a proper diet plan and begins some sort of exercises when the
patient is healthy enough to perform. Furthermore, home based care programme which consists
of weekly home visits by the nurses and the clinicians could be also useful to the patient.
Treatment plan
A change in lifestyle of the patient may help to manage a particular condition that causes
the cardiomyopathy to the patient. The patient should be physically active and should
communicate with his doctor in a weekly basis. The foods should content less saturated and
trans-fat. The foods should be prepared with low sodium because the patient has pitting edema.
Eventually it can be dangerous if the patient consumes too much of sodium. Proper medications
should be given to lower the heart rate and blood pressure. Electrolytes should be balanced in the
body because it will help to manage the acid-base balance in the body and electrolytes helps the

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nerves and the muscles to work properly. Diuretics or water pills can be administered as a
medicine in the patient body to remove the sodium and excess fluid from the body. The patient
should be provided with enough rest and sleep (Kosiborod et al., 2017).
Methods for providing education
The patient along with his wife can be taught with respect to illness. The historical
condition of the wife should be considered at first. The rationale is that cardiomyopathy and the
congestive heart failure are identified with hypertension and therefore the history of the spouse
relating about hypertension would be valuable in the instruction procedure. Heart failure
teaching can be an option to the wife of the patient. Alongside, the patient and the wife can
watch a video regarding cardiomyopathy because through the video they will understand about
the effects of the disease and what necessary precautions can be taken in the upcoming future.
Proper reviewing of the condition with the patient and wife is required to understand about the
conditions systematically.
Teaching plan
Nurses should teach the patient that congestive heart failure implies that the heart is not
drawing enough blood from the rest of the body. However, this does not imply that the heart has
quit working. Heart failure begins gradually and can get poorer after some time. Nurses should
teach the patient that congestive heart failure may include breath problems or shortening of
breath during sleep or while taking rest. The patient can often feel anxious or restless. The lungs
may be filled up with fluids and eventually building up of excess fluid in the body tissue can
cause swelling in the abdomen, legs or feet. This can cause weight gain (Mehralian et al., 2014).
These are the teachings which can be provided by the nurses to the patient.

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References
Kosiborod, M., Cavender, M. A., Fu, A. Z., Wilding, J. P., Khunti, K., Holl, R. W., ... & Arya,
N. (2017). Lower Risk of Heart Failure and Death in Patients Initiated on Sodium-
Glucose Cotransporter-2 Inhibitors Versus Other Glucose-Lowering DrugsClinical
Perspective: The CVD-REAL Study (Comparative Effectiveness of Cardiovascular
Outcomes in New Users of Sodium-Glucose Cotransporter-2
Inhibitors). Circulation, 136(3), 249-259.
Mehralian, H., Salehi, S., Moghaddasi, J., Amiri, M., & Rafiei, H. (2014). The comparison of the
effects of education provided by nurses on the quality of life in patients with congestive
heart failure (CHF) in usual and home-visit cares in Iran. Global journal of health
science, 6(3), 256.
Puckett, C., Shapiro, M., & Goodlin, S. J. (2013). Congestive heart failure. In Geriatric
Imaging (pp. 235-257). Springer, Berlin, Heidelberg.