32 hours ago · INTRODUCTION. Heart failure is an unpredictable, progressive, and incurable condition. Around 1 million UK citizens1 and 5 million US citizens2 are estimated to be living with heart failure: 1% of the general population and 15% of those aged over 80 years. 3, 4 Heart failure is a leading cause of hospital admissions, 2, 4, 5 and a substantial drain on healthcare … >> Go To The Portal
An end-of-shift report allows nurses to understand where their patients stand in regard to recovery by providing a picture of a patient’s improvement or decline over the last several hours. By knowing what has previously occurred in a patient’s treatment plan, nurses can proceed with the right steps to contribute to positive outcomes.
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The different needs of individual patients are best met when the nursing staff understands their current medical situations. An end-of-shift report allows nurses to understand where their patients stand in regard to recovery by providing a picture of a patient’s improvement or decline over the last several hours.
A proper end-of-shift report is a compilation of details recorded by a patient’s nurse.
Inspect skin for pallor, cyanosis. Pallor is indicative of diminished peripheral perfusion secondary to inadequate cardiac output, vasoconstriction, and anemia. Cyanosis may develop in refractory HF. Dependent areas are often blue or mottled as venous congestion increases.
On assessment, the nurse knows that a patient who reports no symptoms of heart failure at rest but is symptomatic with increased physical activity would have a heart failure classification of: 5. The diagnosis of heart failure is usually confirmed by:
An end-of-shift report is a detailed report of a patient's current medical status while under your care as a nurse. When a nurse finishes their shift, they take a few minutes to record the patient's status so that the next nurse has all a patient's information when they take over their care.
An end-of-shift report is important because it helps the incoming nurse understand how to best care for their patients. They can quickly review a patient's medical history, allergies and the best course of action to take in case of an emergency. In addition, an end-of-shift report allows for a smooth transition from one nurse to the next.
Different facilities include various components in their end-of-shift reports. Here are some of the typical elements found in an end-of-shift report:
Consider using this list when completing and explaining your end-of-shift report to the nurse taking over the next shift:
the patient at the end of each shift. The modes of reporting vary greatly, lack
end of shift report. “Reports need to include all pertinent information, but reporting
given at the end-of-shift report. The need for standardized systems for reporting is an
The term heart failure indicates myocardial disease in which there is a problem with contraction of the heart (systolic dysfunction) or filling of the heart (diastolic dysfunction) that may or may not cause pulmonar y or systemic congestion.
Left-Sided Heart Failure. Left-sided heart failure or left ventricular failure have different manifestations with right-sided heart failure. Pulmonary congestion occurs when the left ventricle cannot effectively pump blood out of the ventricle into the aorta and the systemic circulation.
Right-Sided Heart Failure. When the right ventricle fails, congestion in the peripheral tissues and the viscera predominates. The right side of the heart cannot eject blood and cannot accommodate all the blood that normally returns to it from the venous circulation.
ACE Inhibitors. ACE inhibitors slow the progression of HF, improve exercise tolerance, decrease the number of hospitalizations for HF, and promote vasodilation and diuresis by decreasing afterload and preload. Angiotensin II Receptor Blockers.
Coronary artery disease. Atherosclerosis of the coronary arteries is the primary cause of HF, and coronary artery disease is found in more than 60% of the patients with HF. Ischemia. Ischemia deprives heart cells of oxygen and leads to acidosis from the accumulation of lactic acid. Cardiomyopathy.
B: Heart failure is the most frequent cause of hospitalization for people older than 75 years old. A: Angina pectoris also occurs among people more than 75 years of age but it is not the most frequent cause of hospitalization.
Prevention of heart failure mainly lies in lifestyle management. Healthy diet. Avoiding intake of fatty and salty foods greatly improves the cardiovascular health of an individual. Engaging in cardiovascular exercises thrice a week could keep the cardiovascular system up and running smoothly. Smoking cessation.