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Pathophysiology and Nursing Management

Case Study #2

Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. There is no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.

Considering Mr. P's condition and circumstance, write an essay of 750 words that includes the following:
â?¢ Describe your suggested approach to care.
â?¢ Recommend a treatment plan.
â?¢ Describe a method for providing both the patient and family with education and your rationale.
â?¢ Provide a teaching plan; avoid using terminology that the patient and family may not understand.

Please Cite references to support the responses to the case studies.

I also need to prepare this work according to the APA guidelines.

Solution Preview

The approach that I would suggest for care in a situation of this nature, would include a combination of nutritional therapy, as well as medication and other treatments. Due to the fact that this individual has cardiomyopathy, the heart muscle in his individual is in a weakened condition, and strengthening the heart is one of the primary goals of treatment. Due to the seriousness of this individual's weakened can heart condition, it is imperative that this individual receives any and all medications that are deemed appropriate for a situation of this nature, which would include ACE inhibitors and beta blockers, due to the fact that the cardiomyopathy has led to congestive heart failure within this individual is well, which makes it paramount that proven medications would be the first tools utilized in helping to treat this individual. These medications would be necessary in order to help to stabilize the individual to the point that other therapeutic measures can be taken. The next segment of my approach to care in this situation would be to ensure that Mr. P sticks to his diet program, and begins some form of progressive exercise once the individual is healthy enough to do so.

The treatment ...