Nursing Assignment: Case Study of Patient with Heart Failure

This nursing assignment report presents a detailed analysis of a case study involving a 42-year-old patient, Reggie, diagnosed with compensated heart failure due to rheumatoid heart disease. The report examines the patient's symptoms, including high blood pressure, elevated breathing rate, and lowered oxygen saturation levels. It explores the pathophysiology of hypertension and oedema, highlighting the interconnection between these conditions. The assignment references key research articles to support its findings and discusses the role of subendocardial ischaemia and diastolic relaxation impairment in increasing blood pressure. The report emphasizes the importance of prioritizing nursing interventions based on the patient's specific health condition.

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the student
Name of the university
Author note

1NURSING ASSIGNMENT
As mentioned in the case study, Reggie (42) has suffered from several cases of
compensated heart failure after being diagnosed with rheumatoid heart disease as a child.
Besides several healthcare complications, upon auscultation, coarse crackles were observed that
is a sign of critical health condition. It is observed that the patient has high blood pressure
(184/75), elevated breathing (28 BPM) rate and lowered oxygen saturation level (92%). As
perWesterhof et al. (2017) hypertension and oedema are interconnected as due to increased blood
pressure fluid starts accumulating around lungs and other bodily organs as well as increases the
risk of congestive heart failure.
As per Majumder and Wu (2015), the pathogenesis of hypertension is highly complex as
multiple factor are responsible for occurrence of hypertension. In this aspect, the
pathophysiology related to Reggie and his healthcare condition should be discussed. It is seen
that the patient has developed oedema and hence, this condition is one of the primary reason due
to which hypertension condition arises (Weber et al., 2016). As Reggie is involved in works
including physical strain due to which, the left arterial pressure increases and hence a suction
effect develops due to which pulmonary congestion increases. Further due to subendocardial
ischaemia, impairment of diastolic relaxation increases and hence, this increases the blood
pressure of the patient, causing him to develop severe oedema (Stanton & Dunn. 2017). Hence
this should be selected as one of the priority for the priority based nursing intervention.

2NURSING ASSIGNMENT
References
Majumder, K., & Wu, J. (2015). Molecular targets of antihypertensive peptides: understanding
the mechanisms of action based on the pathophysiology of hypertension. International
Journal of Molecular Sciences, 16(1), 256-283.
Stanton, T., & Dunn, F. G. (2017). Hypertension, left ventricular hypertrophy, and myocardial
ischemia. Medical Clinics, 101(1), 29-41.
Weber, T., Lang, I., Zweiker, R., Horn, S., Wenzel, R. R., Watschinger, B., ... & Metzler, B.
(2016). Hypertension and coronary artery disease: epidemiology, physiology, effects of
treatment, and recommendations. Wiener klinische Wochenschrift, 128(13-14), 467-479.
Westerhof, B. E., Saouti, N., Van Der Laarse, W. J., Westerhof, N., & Vonk Noordegraaf, A.
(2017). Treatment strategies for the right heart in pulmonary
hypertension. Cardiovascular research, 113(12), 1465-1473.