HEART FAILURE

 

The presentation must provide information about the incidence, prevalence, and pathophysiology of the disease/disorder at the cellular level. The presentation must educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific to this disorder. Patient education for management, cultural, and spiritual considerations for care must also be addressed. The presentation must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly. Topic is HEART FAILURE

 

 

 

Heart Failure

 

 

 

 

ML is a retired registered nurse (RN) who has been given the diagnosis of Stage A heart failure. She knows from her RN education that she will definitely be placed on digoxin as a therapy. She remembers something about halos as something to be attuned to.

Explain the pathophysiology of Stage A heart failure.
What is the rational drug choice for treatment of this individual?
Address the patient’s concern about halos should digoxin be prescribed.
Are there gender considerations related to medication treatment in this scenario? If so, what are they? For example, do men and women differ in their side effect profile and/or complications (for instance, from digoxin)?
Discuss monitoring of the pharmacological agent(s) selected.

 

Heart failure

 

 

 

Task B: EBM Assignment in Semester 1
MARKING
• Use one of the patients encountered in Semester 1.
• Outline one therapeutic clinical question which you identified.
• Provide a PICO
• Provide a clarified clinical question or research question, based on this PICO
• What type of study would answer this research question?
Patient Details: • Date: 19th September 2020
• Guest Speaker(s): M.C.
• Age: 65
• Chronic disease: M.C was diagnosed with heart failure three years ago. This means he gets short of breath and feels tired a lot of time.
Clinical description:
(in 3-4 sentences) During the HCS, MC mentioned that he was referred by his cardiologist for an exercise programme. He felt this helped his confidence and overall well-being. I wondered if exercise programmes can improve quality of life in patients with heart failure.
PICO Population Adults with heart failure
Intervention Specialised exercise programme
Control Usual activity
Outcome Health related quality of life scores
Clarified clinical question/ research question: Does a specialised exercise programme improve health related quality of life for patients with heart failure?
What type of study would best answer this research question? Randomsied controlled trial.