Practicum Case Scenario Study: The Following Outlines 387266

Question

Practicum Case Scenario Study The Following Outlines General Instruct Practicum Case Scenario/ Study The following outlines general instructions for the case scenario. Please remember not to include any HIPPA information. Concerns and questions related to care should be included. Include references to treatment plans using APA format. Case studies are expected to be a minimum of 500 words, detailed and comprehensive. Follow the outlined structure for your case study: - Student Name - Submission Date - Case Study: (CHF) Patient Initials, Age, Gender - Subjective information from the patient (History of Present Illness/Symptoms) - Current Medications - Medical History – Medical Problems - Objective findings from physical examination - Vital Signs, Weight, Height, BMI - Focused examination findings based on diagnoses being addressed - Assessment with ICD-10 Diagnosis (include ICD-10 code) - Nursing Diagnoses - Plan: Care Plan based on the diagnosis, including specific nursing care planning, potential issues with providing comprehensive care, and best practice considerations. - Care outcomes based on current treatment - Possible side effects of medications or treatments - Patient education planning/instructions - Follow-up plans to assess response to treatment - References

Dr. Jack HW Helper · Accepted Answer

Introduction Heart failure (HF) is a complex clinical syndrome resulting from structural or functional cardiac disorders that impair the ventricle's ability to fill with or eject blood, causing inadequate perfusion of tissues. This case study focuses on a patient diagnosed with congestive heart failure (CHF), exploring subjective and objective findings, diagnosis, nursing care plans, and treatment considerations. The purpose of this detailed analysis is to demonstrate comprehensive nursing assessment and management aligned with current best practices to enhance patient outcomes. Patient Background and Subjective Data The patient, with the initials A.B., is a 67-year-old male presenting with complaints of progressive fatigue, dyspnea on exertion, and bilateral lower extremity edema over the past two weeks. He reports a history of hypertension, which has been poorly controlled, and a recent increase in nocturnal cough. The patient notes that his symptoms worsen when lying flat, indicating orthopnea, and he has experienced weight gain of approximately 5 pounds in this period. He denies chest pain but reports occasional palpitations and decreased activity tolerance. Current Medications and Medical History A.B.'s medication regimen includes lisinopril 20 mg daily, furosemide 40 mg twice daily, and aspirin 81 mg daily. His medical history reveals longstanding hypertension, prior myocardial infarction five years ago, and hyperlipidemia. He has no known allergies and does not smoke or consume alcohol regularly. He reports previous hospitalizations for fluid overload and uses over-the-counter medications as needed. Objective Findings and Physical Examination Vital signs indicate a blood pressure of 150/92 mm Hg, pulse of 98 bpm, respiratory rate of 20 breaths per minute, temperature of 98.4°F, and oxygen saturation of 92% on room air. The patient weighs 210 pounds, with a height of 5'9" (175 cm), resulting in a BMI of 32.8 kg/m^2, classifying him as obese. On physical exam,

Practicum Case Scenario Study: The Following Outlines 387266

Practicum Case Scenario Study The Following Outlines General Instruct

Paper For Above instruction

Introduction

Patient Background and Subjective Data

Current Medications and Medical History

Objective Findings and Physical Examination

Focused Examination and Diagnostic Assessment

Nursing Diagnoses

Care Planning and Implementation

Outcomes and Evaluation

Medication Side Effects and Safety

Patient Education and Follow-Up

Conclusion

References