The Causes Of Congestive Heart Failure (CHF)
explanatory Essay
1130 words
My Heart is Weak When some people think of Congestive Heart Failure (CHF), they think of death. Although, Congestive Heart Failure (CHF) is a disease of the heart muscle, which is weakened; it does not have to mean death for the patient. With today’s technology there is treatment which can help the patient maintain an active and healthy life. The goal of this research paper is to inform the reader of symptoms, diagnosis, treatment options, and quality of life when diagnosed with Congestive Heart Failure (CHF). First, as with any medical condition or disease, there are always symptoms. Congestive Heart Failure (CHF) is not any different. There are several symptoms related to Congestive Heart Failure (CHF). To begin, a person can have trouble …show more content…
In this essay, the author
- Explains that congestive heart failure (chf) is a disease of the heart muscle, which is weak, but it does not have to mean death for the patient. the goal of this research paper is to inform the reader of symptoms, diagnosis, treatment options, and quality
- Explains that congestive heart failure (chf) causes several symptoms, including shortness of breath, swelling, and fatigue.
- Explains that a patient has to visit their primary care physician or emergency room to be professionally diagnosed. the physician may order blood work, chest x-rays, and an echocardiogram.
- Explains that diuretic medications such as lasik and spironolactone help reduce the amount of fluids retained in the body.
- Explains that a person with congestive heart failure (chf) will have to make drastic changes in their lifestyle to live comfortably.
There are multiple tests to be conducted for proper diagnoses. The physician will order blood work to be drawn and evaluated. When a patient has Congestive Heart Failure there will be an elevated level of B-type Natriuretic Peptide which is 32 amino acid showing near the ventricles of the heart due to the heart muscle stretching obsessively. The physician may also order chest x-ray or an echocardiogram. The echocardiogram is an ultrasound of the heart. This test will show if the heart muscle is enlarged due to the excessive stretching. The echocardiogram will also determine how weak the muscle is by measuring the squeeze of the left ventricle. Lastly, there may be a catheterization of the heart. This test is conducted by entering the main artery of the groin leading to the heart. Dye is injected so that a visual of the arteries to the heart can be clearly seen. This procedure makes the physician aware if there is any blockage in any the arteries to the heart to determine or rule out if blockage may be the cause of the Congestive Heart Failure …show more content…
Lasik and Spironolactone are both diuretic medications which help kidneys remove sodium and water from the body which are passed out through the urine. These medications taken daily will reduce the amount of fluids retained in the body. Also, reducing the amount of fluids and sodium the patient consumes daily will assist in controlling fluid retention. A person should not consume any more than 2000 mg of sodium daily, and they should not consume any more than 64 oz per day in fluids. To keep track of an accurate count of both the sodium and fluid intake, the information should be recorded daily on a calendar. The patient should also take an account of their weight every day, with limited clothing, using the same scale each day. This information should also be recorded daily on a calendar. If the patient notices their weight increasing by gaining 2-3 lbs in a week, they should contact their healthcare provider and make them aware as they may require an increase in the diuretic medication. There may also be instances when the patient has retained too much fluid in the body, which will cause swelling and shortness of breath. When the fluid retention has become so severe, and cannot be controlled by the medications prescribed, their physician may admit the patient into the hospital to have diuretic medication administered by IV. In some patients with Congestive Heart
Related
- explanatory
- analytical
- opinionated
- Heart Pathophysiologyexplanatory essayThese causes will change the heart significantly. The pathophysiology of heart failure is described differently as: (1) an oedematous disorder, by means of which the deviations in renal hemodynamics and excretory ability lead to salt and water holding; (2) a hemodynamic disorder, considered by peripheral vasoconstriction and decreased cardiac output; (3) a neurohormonal disorder, mainly by stimulation of the renin-angiotensin-aldosterone system and adrenergic nervous system; (4) an inflammatory syndrome, related with amplified local and circulation pro-inflammatory cytokines; (5) a myocardial disease, started with an damage to the heart trailed by pathological ventricular transformation. In heart failure, the heart sustains either a sudden or longstanding structural injury. When damage occurs, sequences of firstly compensatory but consequently maladaptive mechanisms follow (Henry & Abraham, ).
In this essay, the author
- Explains the pathophysiology of heart failure, which includes oedematous, hemodynamic, neurohormonal, inflammatory, and myocardial disorders.
- Explains that heart failure stimulates compensatory mechanisms such as rising ventricular preload, peripheral vasoconstriction, myocardial hypertrophy, kidney sodium and water retention, and the adrenergic nervous system.
- Explains the non-specific manifestations of heart failure, such as breathlessness, nocturnal dyspnea, anorexia, fatigue, and lethargy.
- Explains that heart failure diagnosis is based on mixture of distinctive symptoms and signs together with appropriate clinical tests. echocardiogram, echocardiography, chest x-rays, mri are objective testing methods.
- Explains that the diagnosis of heart failure is highly among the older populations and in developing nations. the comorbidities occur more in developed countries due to the different lifestyles.
- Explains that heart failure is a common condition with many illnesses and conditions. knowing the illnesses can reduce the chance of having it.
733 wordsRead More - Congestive Heart Failureexplanatory essayCongestive Heart Failure is a weakness in a person’s heart leading to fluid buildups in lungs and other body tissues surrounding it. About half of people who develop heart failure die within 5 years of diagnosis. Around six million people in the US have Congestive heart failure, and it is a cause of almost 55,000 deaths per year. In order to steer clear of Congestive Heart Failure you must be aware of the causes, symptoms, and even treatments which show new opportunities for people with the disease.
In this essay, the author
- Explains that congestive heart failure is a weakness in the heart leading to fluid buildups in lungs and other body tissues surrounding it.
- Explains that aging, being obese, diabetes, and other diseases can cause congestive heart failure. hypertension causes the heart muscle to stress and pump against a lot of pressure.
- Explains that young people can have congestive heart failure because of congenital heart malfunction, which is abnormalities of the heart and the major blood vessels that people are born with.
- Explains the symptoms of congestive heart failure, such as nausea, chest pain, and rapid weight gain. shortness of breath is one of the most common symptoms.
- Explains that people with congestive heart failure are more likely to develop acute pulmonary edema, the critical shortness of breath caused by fluid in the lungs.
- Explains that there are ways to treat congestive heart failure, but they may not cure it completely.
- Explains that doctors will prescribe medications to the person with congestive heart failure. echocardiograms are the best way to see how well a heart is pumping and evaluate heart valves.
- Explains that there are a few surgery options for people with congestive heart failure, such as coronary bypass surgery, heart valve surgery, defibrillators, and biventricular pacing.
- Explains that patients will have to make some lifestyle changes such as maintaining their weight, staying physically active, monitor their blood pressure, and eat healthier. they will also need to track their daily fluid intake and manage their stress.
- Explains that congestive heart failure is a serious disease that has causes, symptoms, and even treatments that show new opportunities for people with the disease.
1529 wordsRead More - Congestive Heart Failure in the Elderly - A Nursing Approachexplanatory essayCongestive heart failure is a progressive disease that causes weakening of the heart and cardiovascular system. It develops when the heart is unable to pump enough blood to meet the demands of the body’s other organs. CHF is a progressive disorder that not only affects the heart, but other organs such as the lungs, the kidneys (Congestive Heart Failure in the Elderly, 2009, p. 1). Congestive Heart Failure (CHF) is a very common disease among the elderly. Diagnosis may be challenging since distinctive signs are often absent or masked in older people. Though there is no cure for CHF, it can be managed well with lifestyle changes and treatment so many seniors return to a full life. The other problem is elderly patients with heart failure may have ot...
In this essay, the author
- Explains that congestive heart failure (chf) is a foremost health problem worldwide, touching 4.8 million u.s. patients and accounts for 978,000 or 5-10% of all hospitalizations.
- Explains that congestive heart failure is a progressive disease that causes weakening of the heart and cardiovascular system.
- Explains the purpose of the study, which was to observe age specific differences in clinical presentation, delivery of therapeutic practices, and hospital and long-term survival in patients hospitalized for acute and chronic chf.
- Explains that disease-modifying medications were prescribed significantly more often in 2000 than in 1995, especially in patients younger than 65 and those aged 75 to 84.
- Explains that older patients hospitalized with chf were more likely to be female and caucasian and to have a lower basal metabolic index than younger patients.
- Explains that heart failure is the leading cause of death and hospitalization for patients older than 65 years of age.
- Explains that a nurse, social worker, case manager, and cardiologist are essential in the disease-management approach to heart failure.
- Opines that chronic heart failure is a burden on health care resources due to prolonged and frequent hospital stays.
- Explains that congestive heart failure patients may have physical, social, emotional and education needs depending on the severity and stage of their disease process, knowledge of the disease, and current social support systems.
- Explains that experienced advanced practice nurses (apns) are ideal primary care providers for persons with heart failure. they take responsibility and honor to change the lives of older and disabled patients.
- Cites henrick, a., howe, eggert, and heifferon on the cost-effectiveness of outpatient management of people with heart failure.
2240 wordsRead More - Coding for Congestive Heart Failure (CHF)explanatory essayCongestive 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...
In this essay, the author
- Defines congestive heart failure as a clinical syndrome where 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.
- Explains that the icd-9-cm categorizes congestive heart failure into subcategories based on side of heart involved and whether systolic or diastlic as defined below.
- Explains the causes of congestive heart failure, unspecified, and the edema of tissues caused by inability of heart to pump and circulate blood.
- Describes the causes of systolic heart failure, ventricular contractile dysfunction, and a number of other causes.
- Explains that the instructional note under code 428.0 instructs the coder to assign additional codes from both subcategories to identify the type of heart failure.
- Explains that pleural effusions, which are often seen with chf, should never be assigned as a principal diagnosis.
- Explains the correct coding of chf in various situations. the patient was admitted with acute diastolic and fluid overload.
- Explains the coding guidelines in the icd-9-cm regarding selection of principal diagnosis. the reason for seeking treatment was the acute respiratory failure.
- Explains that because pleural effusion is commonly seen with chf, no treatment was given for it, it would not be coded. active treatment is aimed at the worsening, thus we can code it as a secondary diagnosis.
- States that mrs. keller was admitted with severe shortness of breath, severe ankle edema, and elevated bp of 187/105. she was released with a diagnosis of chronic diastolic chf due to malignant hypertension.
- Explains that keller returned for follow-up and her labs showed an increased bun with a gfr of 73.
- Explains that david minor was seen for follow-up of his chf. he had no complaints and no adjustments were felt to be needed to his lasix and was asked to come back in 3 months.
- Explains that while chf is a relatively straightforward condition in coding, one of the biggest areas to look for are symptoms and conditions inherent to it, which would not be coded.
- Explains the merck manual of diagnosis and therapy, 1982, and the international classification of diseases- clinical modification.
- Cites kulick, m.d., f.a.c. c, and shiel, jr.
1618 wordsRead More - Congestive Heart Failure: The Purpose Of The Heartexplanatory essayThe purpose of the heart is to pump blood to all the body parts to nourish it. Heart failure does not mean that the heart has stopped working, but it means that the heart us not able to pump effectively to meet the needs of the body. When there is a defect in the heart or if it gets weaker than normal the heart is not able to pump blood into the circulation. Our body depends on the pumping action of the heart for the delivery of oxygen an nutrients to body parts in order to function properly.
In this essay, the author
- Explains the purpose of the heart is to pump blood to all the body parts to nourish it. heart failure does not mean that it has stopped working.
- Explains that there are many causes of congestive heart failure, including coronary artery disease, myocardial infarction, and emboli.
- Explains that congestive heart failure is caused by hypertension, which makes the heart harder to pump blood. heart muscle damage can be due to infections, alcohol abuse, and toxic effects of some drugs.
- Explains the two categories of congestive heart failure: systolic and hypertension.
- Explains that diastolic heart failure arises due to an abnormality in the cardiac function, rhythm, structure and conduction. ventricular dysfunction causes myocardial infarction, hypertension or both.
- Explains the clinical manifestations of congestive heat failure due to inadequate perfusion and pulmonary vascular congestion.
- Explains that diagnosis of congestive heart failure is determined by physical examination, patient history and several other tests. testing for b-type natriuretic peptide (bnp) can be helpful.
959 wordsRead More - Quaglietti, S. E., Edwin, J., Ackerman, L., & Froeliher, V. (2000, November/December). Management of the Patient with Congestive Heart Failure Using Outpatient, Home and Palliative Care. Progress in Cardiovascular Diseases, 43(3), 259-274. Retrieved from www.cardiology.org/recentpapers/susiechf:pdf
In this essay, the author
- Evaluates the transitional care model created by dr. mary naylor at the university of pennsylvania, which introduces a patient-centered interdisciplinary team intervention designed to improve transitions across care settings.
- Explains that the transitional care model (tcm) has shown promise in preventing hospital readmissions. it targets older adults with multiple re-admission, multiple co-morbidities, polypharmacy, and poor health ratings.
- Explains that hospital readmissions, notably for chf, are a major burden on patients, caregivers and health care providers, and contribute to questioning the sustainability of the medicare program.
- Explains that congestive heart failure is a condition in which the heart is incapable of adequately pumping blood throughout the body or unable to stop blood backing up into the lungs.
- Explains the structure of the care transitions intervention using a remote patient monitoring program.
- Explains how the tcm was designed by dr. mary naylor and a multidisciplinary team of colleagues at the university of pennsylvania.
- Explains that intensive, nurse-led care management during and after hospitalization reduces readmissions and cost for high risk seniors. centers for technology and aging.
- Summarizes quaglietti, edwin, ackerman, and froeliher's research on the management of patients with congestive heart failure.
2801 wordsRead More - Congestive Heart Failure Case Studyexplanatory essayThe pathophysiology of congestive heart failure is a viscous cycle. It starts out by some form of heart destruction or weakening of the heart muscle, usually caused by clogged arteries due to coronary artery disease or increased pressure on the left ventricular wall from chronic long term hypertension. This dwindling of the heart decreases stroke volume. The Medical Dictionary for Health Professionals and Nurses (2012) defines stroke volume as the volume pumped out of one ventricle of the heart in a single beat. So when stroke volume goes down, cardiac output also goes down. Medicinenet.com (2016) defines cardiac output as the amount of blood the heart pumps through the circulatory system in a minute, they describe that a normal adult has a cardiac output of 4.7 liters (5 quarts)
In this essay, the author
- Explains that congestive heart failure is a viscous cycle that starts out by heart destruction or weakening of the heart muscle, usually caused by clogged arteries or increased pressure on the left ventricular wall.
- Explains that structural changes in the heart muscle are in attempts to increase stroke volume. hypertrophic cardiomyopathy occurs when the walls of the ventricles are thickening.
- Explains that angiotensin stimulates the release of the hormone aldosterone, which causes salt and water retention. the heart is weaker and trying compensatory methods to correct its stroke volume, but it is losing leverage.
728 wordsRead More - Heart Failure: A Case Studyexplanatory essay1. What are the compensatory mechanisms that occur when a patient has heart failure? Sympathetic nervous stimulation: This compensatory mechanism is the first one.
In this essay, the author
- Explains the importance of a cardiac assessment, such as listening for extra heart sounds, fast heartbeat, and monitoring ekg for dysthymias.
- Explains that sympathetic nervous stimulation causes an increase in bp and the heart to pump faster and more powerful.
- Explains that too much sodium causes fluid retention, which increases the workload of the heart, and not taking the prescribed medication.
- Explains atrium fibrillation and ventricular tachycardia, and recommends elective cardioversion.
761 wordsRead More - CDSS of heart failureanalytical essayHeart Failure (HF) is prevalent disorder that affected 6.6 million people in the United Sates during 2010 (Patarroyo-Aponte & Colvin-Adams, 2014). The heart lacks the ability to push oxygenated blood throughout the cardiovascular system. This disorder prevents vital organs from getting the oxygen needed in order to perform their duties as well. The disorder must be managed and maintained since HF is a disorder that not only affects the heart but respiratory system, endocrine system, digestive system and all other system (Chiarugi, Colantonio, Emmanouilidou, Martinelli, Moroni, & Salvetti, 2010). Heart failure is a serious disorder is which expected to increase by 25% by the year 2030. To coincide with the people diagnosed with heart failure, 50% of these people will die within the 5 years of being diagnosed (Patarroyo-Aponte & Colvin-Adams, 2014). With these numbers of diagnoses and mortality puts a strain on the quality of healthcare, cost of healthcare and workflow of healthcare system. However, the earlier the patient can be diagnosed with heart failure will help decrease mortality rates, hospital stays and cost of treatments. One of the ways of early detection for heart failure is by the implementation of a clinical decision support system (CDSS) into a healthcare facility.
In this essay, the author
- Explains that heart failure affects 6.6 million people in the united states during 2010 and is a serious disorder that is expected to increase by 25% by 2030. early diagnosis can reduce mortality rates, hospital stays, and cost of treatments.
- Explains that the clinical decision support system (cdss) was implemented to allow physicians to diagnose patients with evidence-based decisions.
- Evaluates the effectiveness of a cdss in diagnosing patients with hf. the system was tested in the daily practice of physicians in catanzaro, italy.
- Explains the use of electronic clinical decision support for compliance with pneumonia and heart failure quality indicators.
- Explains chiarugi, colantonio, emmanouilidou, martinelli, moroni, and salvetti, o. (2010). decision support in heart failure through processing of electro- and echocardiograms.
803 wordsRead More - The Clinical Effectiveness of Exercise Training for Patients With Chronic Heart Failure Critiqueopinionated essayLeslie and Buckley (2010) stated that the population they studied was Caucasian males and females between the ages of 47 and 81 years of age. There were twenty two total participants 18 were male and 4 were female. The intervention was identified as
In this essay, the author
- Explains that the study by leslie and buckley (2010) is not a randomized controlled trial. the writer believes that correlational studies were the correct study to do with the limited amount of research on this topic.
- Explains that leslie and buckley (2010) stated that there was only one group and that would have been identified as the intervention group. there was no randomization that can be identified.
- Explains that all participants were reviewed at the same times according to leslie and buckley (2010). there were no differences communicated with performance bias.
- Argues that leslie and buckley's results aren't precise enough to make a decision about the exercise program. the data collected was clinically significant, with no statistical significance to back the information up.
- Explains leslie, r., & buckley, j. p. the clinical effectiveness of exercise training.
- Explains leslie and buckley's study of caucasian males and females between the ages of 47 and 81. the intervention consisted of outpatient supervised exercise training sessions twice a week for 12 weeks.
- States that leslie and buckley (2010) did not state any information about a blind or double blind study. the only ethical consideration that was discussed was that "valid consent was obtained from the patient before each exercise session."
- Opines that leslie and buckley (2010) stated that there were no groups identified, and there was no post data collection follow-up on the participants.
- Opines that power analysis could have been a good tool to use for this study, since there were only twenty-two participants, which could lead to misleading data.
- Explains that leslie and buckley's results were displayed in tables that correlated with the results portion of the study. the results for the bnp levels were discussed in people experiencing outcomes.
- Explains that the study could not be replicated in a surgery center setting, but it could be tried in the cardiac rehabilitation center. leslie and buckley (2010) identified where additional research is needed.
2019 wordsRead More