Assignment 2 - Case Study 2: Mr. P's Congestive Heart Failure Care

This case study focuses on Mr. P, a 76-year-old patient diagnosed with congestive heart failure and cardiomyopathy. The assignment details a comprehensive approach to care, emphasizing a multidisciplinary strategy to manage his condition, including diet restrictions and fluid intake. The treatment plan involves lifestyle adjustments, healthy eating, medication like angiotensin-converting enzyme inhibitors to lower blood pressure, and potential medical procedures or surgery. Furthermore, the case study highlights the importance of patient and family education, outlining a teaching plan with modules covering heart failure symptoms, the role of exercise, and diet regulation. The conclusion underscores the significance of a dedicated care plan, regular monitoring, and effective communication to ensure Mr. P's well-being.

ASSIGNMENT 2 – CASE STUDY 2
Assignment #2 – Case Study 2
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ASSIGNMENT 2 – CASE STUDY 2
Part B
Introduction
Basis the case of Mr. P who is seventy six years old and suffering due to congestive heart failure
along with cardiomyopathy, it is significant to comprehend the treatment plan (Ponikowski et al.,
2016; Vulesevic et al., 2016; Maron et al., 2015; Remo et al., 2014). The approach to care drawn
for Mr. P is significant as it will help in a systematic implementation taking place. While it
stands to be crucial that an education plan needs to be well explained to Mr. P and his wife basis
the case, the teaching plan would play a significant role.
Approach To Care
Approach to care would encompass a dedicated plan while exhibiting multidisciplinary strategies
in order to manage Mr. P. Based on Mr. P’s condition; he has difficulty in managing the diet
restrictions (Ponikowski et al., 2016; Vulesevic et al., 2016; Maron et al., 2015; Remo et al.,
2014). It is significant that a diet plan is chalked for intake on a daily basis.
The fluid restrictions too need to be well managed. The control of sodium in diet and avoiding
excess fluid intake in case of Mr. P is crucial as he is having congestive heart failure and being
treated for CHF symptoms (Ponikowski et al., 2016; Vulesevic et al., 2016; Maron et al., 2015;
Remo et al., 2014). Monitoring of symptoms and assisting Mr. P with the tailored advice that
needs to be provisioned needs to form part of approach to care.
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ASSIGNMENT 2 – CASE STUDY 2
Treatment Plan For Mr. P
The diagnosis and initiation pertaining to the treatment in case of Mr. P with cardiomyopathy
and congestive heart failure is crucial. The goal of the treatment would be to reduce the
symptoms pertaining to congestive heart failure. With the changes attributed to heart healthy
lifestyle, the healthy eating and regulated diet plan would be significant.
The angiotensin converting enzyme inhibitors has to be provisioned to Mr. P. This would aid in
the lowering of blood pressure and also significantly reduce the strain on his heart (Ponikowski
et al., 2016; Vulesevic et al., 2016; Maron et al., 2015; Remo et al., 2014). With respect to the
reduction of risk associated with heart attack taking place in future, the medical procedure and
surgery if needed has to be determined (Maron et al., 2015; Remo et al., 2014). This would be
based on the analysis done for heart pumping and a pacemaker would need to be set alongside
his heart.
The ongoing care with respect to analyzing the heart condition and monitoring it would stand to
be crucial too as part of the treatment plan.
Justification For Method OF Providing Patient and Family With Education
The method of provisioning education to Mr. P and his wife would encompass an enhanced
communication strategy developed. The information passed on to them has to be broken down
into multiple sessions.
The importance of adjusting lifestyle and the manner in which it has to be done has to well
explain to patient and family (Ponikowski et al., 2016; Vulesevic et al., 2016; Maron et al., 2015;
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ASSIGNMENT 2 – CASE STUDY 2
Remo et al., 2014). The communication has to be two sided which would insure that they
completely comprehend as to what is being instructed and educated upon.
Teaching Plan
The teaching plan provisioned would include the below modules.
Module 1: Understanding the signs and symptoms associated with heart failure. The common
causes of heart failure and the changes in lifestyle that can be brought in to reduce the risk of
heart attack
Module 2: The role of mild exercises and the impact they can have for Mr. P
Module 3: The diet regulation and making the patient and their family understand the
implications of it.
Conclusion
The approach to care for Mr. P with a dedicated plan would be helpful. It would ascertain that
the multidisciplinary strategies are being managed for him basis his condition. Since Mr. P is
suffering from congestive heart failure along with cardiomyopathy, the approach to care along
with the treatment plan is significant. The daily diet and fluid intake has to be well monitored.
The treatment plan would involve the diagnosis done and considering the changes linked to heart
healthy lifestyle, healthy eating and chalking out a regulated diet plan for him. Educating him
and his wife with regards to the importance of adjusting lifestyle and insuring a two way
communication is necessary.
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ASSIGNMENT 2 – CASE STUDY 2
References
Maron, B. J., Rowin, E. J., Casey, S. A., Link, M. S., Lesser, J. R., Chan, R. H., ... & Maron, M.
S. (2015). Hypertrophic cardiomyopathy in adulthood associated with low cardiovascular
mortality with contemporary management strategies. Journal of the American College of
Cardiology, 65(18), 1915-1928.
Ponikowski, P., Voors, A. A., Anker, S. D., Bueno, H., Cleland, J. G., Coats, A. J., ... & Jessup,
M. (2016). 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart
failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the
European Society of Cardiology (ESC). Developed with the special contribution of the Heart
Failure Association (HFA) of the ESC. European journal of heart failure, 18(8), 891-975.
Remo, B. F., Preminger, M., Bradfield, J., Mittal, S., Boyle, N., Gupta, A., ... & Dickfeld, T.
(2014). Safety and efficacy of renal denervation as a novel treatment of ventricular tachycardia
storm in patients with cardiomyopathy. Heart rhythm, 11(4), 541-546.
Vulesevic, B., McNeill, B., Giacco, F., Maeda, K., Blackburn, N. J., Brownlee, M., ... &
Suuronen, E. J. (2016). Methylglyoxal-induced endothelial cell loss and inflammation contribute
to the development of diabetic cardiomyopathy. Diabetes, db150568.
Won, E., Donnino, R., Srichai, M. B., Sedlis, S. P., Feit, F., Rolnitzky, L., ... & Slater, J. (2015).
Diagnostic accuracy of cardiac magnetic resonance imaging in the evaluation of newly
diagnosed heart failure with reduced left ventricular ejection fraction. The American journal of
cardiology, 116(7), 1082-1087.
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