Case Study 2: Mr. P
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. He has 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 500-750 words that includes the following:
• Describe your approach to care.
• Recommend a treatment plan.
• Describe a method for providing both the patient and family with education and explain your rationale.
• Provide a teaching plan (avoid using terminology that the patient and family may not understand).
Paper Graded on
20.0 % Describe your approach to care
20.0% Recommend a treatment plan
20.0 % Describe a method for providing both the patient and family with education and your rationale.
20.0 %Provide a teaching plan, using words the patient and family will understand.
Case Study 2: Mr. P
Cardiomyopathy is a cardiovascular disease which malfunctions the heart muscles making it function inappropriately(Mookadam, Jiamsripong, Raslan, Panse, & Tajik, 2011). As such, the supply of blood throughout the body is altered. Cardiomyopathy takes a number of types; restrictive cardiomyopathy, arrhythmogenic cardiomyopathy, and hypertrophic cardiomyopathy. Mr. P’s case is questionable but is amicably related to cardiomyopathy. As such the most prominent type of cardiomyopathy experienced by Mr.P is restrictive cardiomyopathy. Evidently, restrictive cardiomyopathy influences the elderly individuals, Mr. P is 76 years old. As such, restrictive cardiomyopathy lessens the ventricular capacity which directly affects that the pumping mechanism of the heart, creating a malfunction in the heart. This essay will focus on a treatment and educational plan by segregating the underlying driver and ensure use of medication to offer the best intervention for the patient entirely. As such, the patient must consider changing his lifestyle by utilizing an eating pattern that is low in cholesterol and rich in food supplements.
The approach to care for Mr. P will focus on the changing the life patterns of the patient to expand the intervention plan viability. Mr. P has a fragile body, and as such he is restricted from performing strenuous activity. Therefore, it is recommended that the patient can engage in light activities such as taking strolls, light weight lifts, as well as swimming. Additionally, the patient will require a well-being therapist before he can undertake any activity that might result in further illness development. Additionally, through therapy overexertion can be avoided.
Recommended Treatment Plan
First, it is imperative for the physician to evaluate patient’s family medical history regarding any links to the development of the current illness for Mr. P as it might be inherited from the family. Also, the care practitioner must evaluate the likelihood of drug abuse in the development of cardiomyopathy(Garcia, 2016). Also, its is to analyze the symptoms as presented in the case such as difficulty in breathing, moist crackles in the lung, and swollen feet.
To improve Mr. P’s condition, it is recommended that the patient should consider an eating regimen, medication, and nursing practice. Through lung radiography, cardiomyopathy can be tested. Also, the use of electrocardiography and echocardiogram will come in handy. Medication will include the use of calcium or beta blockers since to alter the blood clusters and augmentation of the heart muscles(R., I., & B., 2012). Also, corticosteroids and coagulants can prove useful in this case.
The use of flyers and handouts can be useful materials in making the patient and family understand the dynamics of cardiomyopathy. In this handout and flyers, the nurse practitioner will have to contain simpler terms. They will contain information that relates to cardiomyopathy. Majorly, my rationale will focus on the use of low-fat diet and engagement in light exercises that will help the patient prevent the development of fatty blocks within the heart.
I will utilize a medical
research paper such as Sen-Chowdhry, Syrris, and McKenna, (2010) article on the Geriatrics
of Restrictive Cardiomyopathy that clearly depicts the dynamics of
cardiomyopathy. I will initiate a training session where Mr. P and any other
family member will be engaged, and I will
let them know the side effects of the treatment plan and the letting the
patient know the type of cardiomyopathy present in the case. I will further
explain to the patient how the illness influences the blood flow. I would also describe the possible treatment plans and let him suggest the which type of treatment
will take place. Lastly, I will provide a comprehensive explanation on dieting
since it is one of the most compelling aspects of
the development of cardiomyopathy.
Garcia, M. J. (2016). Constrictive Pericarditis Versus Restrictive Cardiomyopathy? Journal of the American College of Cardiology. https://doi.org/10.1016/j.jacc.2016.01.076
Mookadam, F., Jiamsripong, P., Raslan, S. F., Panse, P. M., & Tajik, a J. (2011). Constrictive pericarditis and restrictive cardiomyopathy in the modern era. Future Cardiology, 7(4), 471–83. https://doi.org/10.2217/fca.11.18
R., P., I., P., & B., M. (2012). Restrictive cardiomyopathy during rhGH treatment-coincidence or consequence? Hormone Research in Paediatrics, 78, 193.
Sen-Chowdhry, S., Syrris, P., & McKenna, W. J. (2010). Genetics of Restrictive Cardiomyopathy. Heart Failure Clinics. https://doi.org/10.1016/j.hfc.2009.11.005