University Nursing Assignment: Cardiomyopathy Case Study of Mr. P

This nursing assignment presents a case study of Mr. P, hospitalized with cardiomyopathy and congestive heart failure. It outlines a comprehensive approach to care, encompassing medication management, psychological and social support, and lifestyle interventions. The treatment plan includes detail...Read More

Running head: NURSING ASSIGNMENT
Nursing assignment
Name of the Student
Name of the University
Author note

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Case study of Mr P
Introduction
The essay deals with the case study of Mr. P hospitalised due to cardiomyopathy and
congestive heart failure. The essay discusses the approaches to care, plan of treatment and
education to patient and family. Lastly the teaching plan for Mr. P and his wife is discussed.
Approach to care
It is evident from the case study that the patient needs to deal with medication,
psychological, emotional, and social problems. Therefore, comprehensive care approach includes
appropriate medication and assessment to address the breathing difficulty, crackles and pitting
edema. The self management and stress management approaches are integrated from the
cognitive behavioural therapy. Social worker will be involved to provide social and financial
support and non-pharmacologic. Both the pharmacological and non-pharmacological approaches
will help increase patient life span. Life style interventions will help better manage the disease
and comorbidities (Rasmusson et al., 2018).
Recommend a treatment plan
The treatment plan comprises of taking detailed history of the patient illness due to
genetic possibility. The patient will be administered with beta blockers to manage the heart
rhythm and prevent myocardial infarction. Administer diuretics to minimise fluid accumulation.
Administering isotropic agents may enhance the heart muscle contraction and morphine to
control pain. Anticoagulants can prvent blood clots. Antidepressants may be administered to

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prevent anxiety and depression. Regular assessment will be conducted to evaluate the outcomes.
The patient will be advocated for diet restrictions (low sodium and less fluid consumption) and
provided with balanced diet plan (Spoladore et al., 2012). Oxygen supply is important to control
hypoxemia. The patient will be further supported with good exercise program. The patient’s
laboratory tests will reveal the lipid profile, blood cell count, glucose, thyroid and liver function
results (Ahluwalia & Enguidanos, 2015).
Education plan
A comprehensive education plan will be developed for the patients to explain the disease
management process. The risk of chosen treatment option will be explained to family. The role
of the diet and exercise will be taught to the patient, to ensure adherence. Further, explanation on
factors such as poor diet and stress aggravating the disease will be highlighted. It may include
alcohol, smoking and other addictions. Education plan will include the knowledge of the
medication and side effects, to ensure proposed outcomes. The mode of administration of the
medicine with the right dosage will be explained to prevent adverse outcomes due to medication
error. The factors that may affect the medication efficacy will also be discussed in detail, to
prevent comorbidities. Further, information on illness and coping strategy will be disseminated
(Rice, Say & Betihavas, 2018).
Teaching plan
Patient and the family must understand the value of teaching. The goal of the teaching is
to explain Mr. P and his wife about cardiomyopathy and its symptoms in simple lucid language.
Teaching plan may contain the use of resources like printed notes or pamphlets, video clips and
creative pictures. Pictorial presentation will better help understand the complexity of illness.

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Other techniques to be used are the provision of list of medication with information printed about
the symptoms and signs of worsening disease. The printed information would also contain the
necessary contact numbers in case of emergency. The patient and family will be assisted with
referral services. The teaching plan will also include the practical aspects such as demonstrating
the way read of food package ingredients and identify the percentage of cholesterol and sodium
(Rice, Say & Betihavas, 2018).
Conclusion
CHF is associated with substantial morbidity. Education plays a key role in improving the
disease management skills of the patient. Social support will improve the living condition. The
successful management of CHF can be ensured by patient’s submissiveness to medication plan
and lifestyle interventions.

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References
Ahluwalia, S. C., & Enguidanos, S. (2015). Advance care planning among patients with heart
failure: a review of challenges and approaches to better communication. JCOM, 22(2),
73-82. Retrieved from: http://www.turner-white.com/pdf/jcom_feb15_heart.pdf
Rasmusson, K., Benuzillo, J., Budge, D., Horne, B., Roberts, C., Nixon, J., ... & Lappe, D.
(2018). High risk heart failure patient multidisciplinary care pathway: improving care and
outcomes. Journal of the American College of Cardiology, 65(10 Supplement), A1019.
DOI: 10.1016/S0735-1097(15)61019-1
Rice, H., Say, R., & Betihavas, V. (2018). The effect of nurse-led education on hospitalisation,
readmission, quality of life and cost in adults with heart failure. A systematic
review. Patient education and counseling, 101(3), 363-374.
DOI: https://doi.org/10.1016/j.pec.2017.10.002
Spoladore, R., Maron, M. S., D'amato, R., Camici, P. G., & Olivotto, I. (2012). Pharmacological
treatment options for hypertrophic cardiomyopathy: high time for evidence. European
heart journal, 33(14), 1724-1733. DOI: https://doi.org/10.1093/eurheartj/ehs150