Clinical Case Studies in Heart Failure Management

Assignment Task

Analysis

Stage 1: Consider the patient's situation

• Increasing fatigue
• Shortness of breath
• Leg edema
• Swelling in ankles
• Palpitation and irregular heartbeat (Schwinger, 2021)

2. Gathering information/cues

• Presenting symptoms
• Duration and nature of chest pain
• Results of ECG and chest X-ray
• Medical, surgical and family history

3. Processing of information

• Family history of heart attack, stroke and coronary artery disease
• Atrial fibrillation
• Cardiomegaly and Pulmonary congestion
• Congestive heart failure (Reddy et al., 2020

4. Identification of issues

• Congestive heart failure
• Atrial fibrillation
• Hypertension
• Diabetes
• Hyperlipidemia
• Obesity

5. Establishment of Goals

• Improvement of heart failure
• Controlling co-morbidities
• Reduce fluid retention and edema
• Necessary lifestyle changes
• Patient education and support (Upadhya & Kitzman, 2020)

6. Reflection and learning

• Reflecting on decisions
• Discussing challenges and successes
• Emphasis on patient education
• Patient centered and evidence based care

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