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congestive heart failure case study answers
congestive heart failure case study answers
congestive heart failure case study answers
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Congestive Heart Failure (CHF) is defined as a clinical syndrome in which the heart fails to propel blood forward normally, resulting in congestion in the pulmonary and/or systemic circulation and diminished blood flow to the tissues due to reduced cardiac output. (Berkow, M.D.) The result is that the heart does not pump enough blood to meet the body’s needs. CHF can be caused by a variety of conditions that affect the heart such as: diseases or substances that weaken the heart muscle such as heart attacks, infections, or toxins; diseases that cause stiffening of the heart muscle such as hemochromatosis, amyloidosis, coronary artery disease, and long term hypertension; and diseases that increase the oxygen demand by the body tissue beyond the capability of the heart to deliver oxygen-rich blood as in hyperthyroidism or anemia. (Kulick, M.D., and Shiel Jr., M.D.) CHF can affect many different organs including the heart, lungs, liver, intestines, and subcutaneous tissues. Symptoms of CHF are widely varied but may include fatigue, edema especially of the ankles and legs, shortness of breath with minimal exertion, and inability to lay flat due to reduced respiratory capacity. Increased urination may occur, especially at night, and due to accumulations of fluid in the liver and intestines nausea, abdominal pain and decreased appetite may result. (Kulick, M.D., and Shiel Jr., M.D.) Although CHF is an equal opportunity disease, there are some differences noted between men and women, one of which is that women tend to develop CHF later in life than men. Women more frequently develop diastolic heart failure rather than systolic. Women often suffer more noticeable shortness of breath and swelling of the ankles than do men, and in g...
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...eases- Clinical Modification. 9th Rev., 6th Ed. 1. USA: Ingenix, 2010. Print.
Ingenix, Inc., Staff. "Challenges for Coding Heart Failure." Advance for Health Information Professionals. 22 May 2007: n. page. Web. 20 Nov. 2011.
Kulick, M.D., F.A.C.C., F.S.C.A.I., D.L., and W.C. Shiel Jr., M.D., F.A.C.P., F.A.C.R., eds. MedicineNet.com. N.p., n.d. Web. 20 Nov 2011. .
Starling, M.D., Randall C. The Cleveland Clinic Guide to Heart Failure. New York, NY: Kaplan, 2009. Print.
unknown, . "Need to query for acute CHF lessened, thanks to new Coding Clinic." HC Pro. N.p., 30 Oct 2008. Web. 20 Nov 2011. .
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Jeon, Y., Kraus, S. G., Jowsey, T., & Glasgow, N. J. (2010). The experience of living with chronic heart failure: a narrative review of qualitative studies. BMC Health Services Research. doi:10.1186/1472-6963-10-77
With the new codes the knowledge of anatomy and physiology is important for the professional medical coder and biller. If the coder or biller makes a mistake, the diagnosis could be wrong and the treatment received may be fatal, and the patient could also end up paying more out of pocket expense than if it were correctly coded.
Kellermann, A., & Peleg, K. (2013, May 29). The New England journal of medicine. Retrieved from http://www.nejm.org/doi/full/10.1056/NEJMp1305304
Congestive Heart Failure is when the heart's pumping power is weaker than normal. It does not mean the heart has stopped working. The blood moves through the heart and body at a slower rate, and pressure in the heart increases. This means; the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart respond by stretching to hold more blood to pump through the body or by becoming more stiff and thickened. This only keeps the blood moving for a short while. The heart muscle walls weaken and are unable to pump as strongly. This makes the kidneys respond by causing the body to retain fluid and sodium. When the body builds up with fluids, it becomes congested. Many conditions can cause heart failure, and they are Coronary artery disease, Heart attack, Cardiomyopathy, and conditions that overwork the heart.
Lesle, S. J., Hartswood, M., Meurig, C., McKee, S. P., & Slack, R. (2006). Clinical Decision Support Software for management of chronic heart failure: Development and Evaluation. Computers in Biology and Medicine vol. 36, 495-506.
The purpose statement from my articles ( Arnetz et al., Berry at al., and Khadjehturian,) all helped to comprehensively answer both my PICOT and Clinical questions.
Katzenstein, Larry, and Ileana L. Pinã. Living with Heart Disease: Everything You Need to Know to Safeguard Your Health and Take Control of Your Life. New York: AARP/Sterling Pub. Co, 2007. Print.
...ts, electrocardiogram, sonogram and cardiac rehabilitation. As a clinical observer, I found an opportunity to create a solid foundation on patient diagnosis and treatment, and not to mention, long hours with charting and recording patients’ information.
U.S. National Library of Medicine, 26 Sept. 2011. Web. The Web. The Web. 19 Nov. 2013.
... Medicine. 3rd ed. Vol.3. Detroit: Gale, 2006.2139-2141. Gale Virtual Reference Library. Web. 3 Apr. 2014.
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... patients with heart failure: Impact on patients. American Journal of Critical Care, 20(6), 431-442.
Wilkinson, Emma. (2000). “Knowledge and Communication Difficulties for Patients With Chronic Heart Failure”. British Medical Journal, 96, 77 – 82.
Ed. David Zieve. U.S. National Library of Medicine, 26 Feb. 2014. Web. The Web.