Heart Failure Nursing Care Management: A Study Guide
30 hours ago · Heart failure is a common and complex clinical syndrome that results from any functional or structural heart disorder, impairing ventricular filling or ejection of blood to the systemic circulation to meet the body's needs. Heart failure can be caused by several different diseases. Most patients with heart failure have symptoms due to impaired left ventricular … >> Go To The Portal
What is the importance of end of shift report in nursing?
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.
What does a nurse know about heart failure on assessment?
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:
Do you have an end-of-shift report for nurses?
Creating a proper end-of-shift report is a crucial part of ensuring patient safety and a smooth transition from the outgoing shift of nurses to the incoming one. While it’s definitely enticing to zip out of work as quickly as possible and skimp on the report, you should understand that this is a critical step to good patient care.
What are the nursing care plans for patients with heart failure (HF)?
Nursing care plans for patients with HF must include patient education to improve clinical outcomes and reduce hospital readmissions. Patients need education and guidance on self-monitoring of symptoms at home, medication compliance, daily weight monitoring, dietary sodium restriction to 2 to 3 g/day, and daily fluid restriction to 2 L/day.
How do nurses document an end good shift report?
Written by nurses who are wrapping up their shifts and provided to those nurses beginning the next shift, these details should include a patient's current medical status, along with his or her medical history, individual medication needs, allergies, a record of the patient's pain levels and a pain management plan, as ...
How do I write a nurse handoff report?
1:2320:45How to Give a Nursing Shift Report - YouTubeYouTubeStart of suggested clipEnd of suggested clipIt's right here you could do two patient pip things a patient's information. And it literally it'sMoreIt's right here you could do two patient pip things a patient's information. And it literally it's combined. And it's just compact with almost everything you need to know about a patient. Before you
How do you write a nursing patient report?
How to write a nursing progress noteGather subjective evidence. After you record the date, time and both you and your patient's name, begin your nursing progress note by requesting information from the patient. ... Record objective information. ... Record your assessment. ... Detail a care plan. ... Include your interventions.
What are the nursing management of a patient with heart failure?
Nursing interventions on parade In both inpatient and outpatient settings, nursing interventions for the patient with heart failure include the following: administer medications and assess the patient's response to them. assess fluid balance, including intake and output, with a goal of optimizing fluid volume.
How do I write a good shift report?
It should include the patient's medical history, current medication, allergies, pain levels and pain management plan, and discharge instructions. Providing these sorts of details about your patient in your end of shift report decreases the risk of an oncoming nurse putting the patient in danger.
How do you write a patient report?
III. Patient case presentationDescribe the case in a narrative form.Provide patient demographics (age, sex, height, weight, race, occupation).Avoid patient identifiers (date of birth, initials).Describe the patient's complaint.List the patient's present illness.List the patient's medical history.More items...•
What is a shift report in nursing?
Background: Nurses' shift reports are routine occurrences in healthcare organisations that are viewed as crucial for patient outcomes, patient safety and continuity of care.
What is change of shift report in nursing?
Change-of-shift report is the time when responsibility and accountability for the care of a patient is transferred from one nurse to another. The communication that ensues during this process is linked to both patient safety and continuity of care giving.
Why is shift report important in nursing?
Shift report, when completed at the patient bedside, allows the nurse to visualize and assess the patient and the environment, as well as communicate with and involve the patient in the plan of care.
What is the nursing assessment for heart failure?
The nursing assessment for the patient with HF focuses on observing for the effectiveness of therapy and for the patient's ability to understand and implement self-management strategies. Assess the signs and symptoms such as dyspnea, shortness of breath, fatigue, and edema.
What are the nursing diagnosis for heart failure?
Decreased cardiac output, excessive fluid volume, activity intolerance, impaired skin integrity, impaired gas exchange, efficient knowledge, risk of falls and impaired physical mobility were the most frequently mentioned diagnoses in the studies that were analyzed.
How do you assess a patient with heart failure?
The patient's general appearance should be assessed for evidence of resting dyspnea, cyanosis and cachexia.BLOOD PRESSURE AND HEART RATE. ... JUGULAR VENOUS DISTENTION. ... POINT OF MAXIMAL IMPULSE. ... THIRD AND FOURTH HEART SOUNDS. ... PULMONARY EXAMINATION. ... LIVER SIZE AND HEPATOJUGULAR REFLUX. ... LOWER EXTREMITY EDEMA. ... VALSALVA'S MANEUVER.More items...•
What are the goals of nursing care plan for patients with heart failure?
Nursing care plan goals for patients with heart failure includes support to improve heart pump function by various nursing interventions, prevention, and identification of complications, and providing a teaching plan for lifestyle modifications. Nursing interventions include promoting activity and reducing fatigue to relieve the symptoms of fluid overload.
Which side of the heart is affected by heart failure?
Heart failure can affect the heart’s left side, right side , or both sides. Though, it usually affects the left side first. The signs and symptoms of heart failure are defined based on which ventricle is affected—left-sided heart failure causes a different set of manifestations than right-sided heart failure.
What is the mainstay of HF treatment?
Vasodilators are the mainstay of treatment in HF and are used to increase cardiac output, reducing circulating volume (venodilators) and decreasing SVR, thereby reducing ventricular workload. Note: Parenteral vasodilators (Nitroprusside) are reserved for patients with severe HF or those unable to take oral medications.
What is the term for a state in which the heart cannot pump enough blood to meet the metabolic needs of the body
Heart failure (HF) or Congestive Heart Failure (CHF) is a physiologic state in which the heart cannot pump enough blood to meet the metabolic needs of the body following any structural or functional impairment of ventricular filling or ejection of blood.
Why is my BP elevated with HF?
Monitor BP. In early, moderate, or chronic HF, BP may be elevated because of increased SVR. In advanced HF, the body may no longer be able to compensate, and profound hypotension may occur.
Is heart failure a disease?
Heart failure is not a disease itself, instead, the term refers to a clinical syndrome characterized by manifestations of volume overload, inadequate tissue perfusion, and poor exercise tolerance. Whatever the cause, pump failure results in hypoperfusion of tissues, followed by pulmonary and systemic venous congestion.
Clinical symptoms of Heart failure
Heart failure’s early signs and symptoms are breathlessness or dyspnea, orthopnea, paroxysmal nocturnal dyspnea, lethargy/fatigue/weakness, oedema, abdominal distension, and right hypochondrial pain.
Epidemiology of Heart failure
Heart failure is mostly found in elderly patients (>60 years of age). About 2% to 3% of the United States Of America population are affected by Heart failure, of which 10% are male and 8% are female. According to a CDC report, around 6.3 million heart failure patients were there in 2018.
Nursing diagnosis-4: Deficient knowledge
Patients or relatives can understand the information and follow the instructions.
What is end of shift report?
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.
Why is it important to have a detailed end of shift report?
Because understanding the personal needs of individual patients is a vital part of providing proper care, it’s important that each nurse is provided with a detailed end-of-shift report at the beginning of each new shift.
What to keep in mind when making an end of shift report?
When making an end-of-shift report, there are several key things nurses must keep in mind aside from just including a patient’s necessary medical information. The following are ways you can create more thorough and adequate end-of-shift reports for your relieving nurses.
What is bedside reporting?
Reviewing the end-of-shift report directly with the patient, his or her accompanying family members and the incoming nurse is often referred to by medical staff as bedside reporting. When possible, bedside reporting is typically the first thing done as a nurse arrives for a shift. This conversation provides the opportunity for all parties to ask any questions they may have before getting to work, and it also allows the patient to be actively involved in his or her own care.
When is the end of shift report for nursing?
Making an Effective and Professional Nursing End-of-Shift Report. July 22, 2021. December 19, 2019. Creating a proper end-of-shift report is a crucial part of ensuring patient safety and a smooth transition from the outgoing shift of nurses to the incoming one. While it’s definitely enticing to zip out of work as quickly as possible ...
What to do when admitted for heart failure?
If a patient is admitted for heart failure, keep a note of their breathing and put that in your report, especially if there are any inexplicable changes. Address Medication. In your report, make sure to indicate what medications the patient is receiving, how much of it, and how it is introduced. Be clear and specific and don’t forget to include ...
When to notify a nurse of a patient's health history?
Once you’ve addressed the patient’s health history, it’s a good time to notify the oncoming nurse of any recent abnormalities you’ve noticed in the patient during your shift. For example, any wounds or lesions should be indicated, especially what type of dressing is being used and when that dressing was last changed.
What are social issues in nursing?
These kinds of issues could be homelessness, transportation issues, lack of home support, or a history of drug abuse.
What should you focus on in a patient history?
Instead of starting immediately with a patient’s history, you should focus on important information that will influence everything that happens next. You should address any allergies present, the code status of the patient, and identify other members of the patient’s medical team, if applicable.
Why is it important to get a nursing report before you start your shift?
It is not only important for the nurse but for the patient as well. Nursing report is given at the end of the nurses shift to another nurse that will be taking over care for that particular patient.
Why do nurses give reports outside of the room?
If you are required to give report outside of a patient’s room try to keep your voice down so other patients and family members can not hear. Most nurses use the SBAR tool as a guide to help them give report, which is highly recommended.
What does SBAR stand for in nursing?
SBAR stands for S ituation, B ackground, A ssessment, and R ecommendation.
What Is Heart Failure?
Heart failure, also known as congestive heart failure, is recognized as a clinical syndrome characterized by signs and symptoms of fluid overload or of inadequate tissue perfusion. 1. Heart failure is the inability of the heart to pump sufficient bloodto meet the needs of the tissues for oxygen and nutrients. 2. The term heart …
Pathophysiology
- Heart failure results from a variety of cardiovascular conditions, including chronic hypertension, coronary artery disease, and valvular disease. 1. As HF develops, the body activates neurohormonal compensatory mechanisms. 2. Systolic HFresults in decreased blood volume being ejected from the ventricle. 3. The sympathetic nervous system is then stimulated to releas…
Statistics
- Just like coronary artery disease, the incidence of HF increases with age. 1. More than 5 million people in the United States have HF. 2. There are 550, 000 casesof HF diagnosed each year according to the American Heart Association. 3. HF is most common among people older than 75 years of age. 4. HF is now considered epidemicin the United States. 5. HF is the most common r…
Incidences
- Heart failure can affect both women and men, although the mortality is higher among women. 1. There are also racial differences; at all ages death rates are higher in African American than in non-Hispanic whites. 2. Heart failure is primarily a disease of older adults, affecting 6% to 10% of those older than 65. 3. It is also the leading cause of hospitalization in older people.
Causes
- Systemic diseases are usually one of the most common causes of heart failure. 1. 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. 2. Ischemia. Ischemia deprives heart cells of oxygen and leads to acidosisfrom the accumulation of lactic acid. 3. Cardiomyopathy. H…
Clinical Manifestations
- The clinical manifestations produced y the different types of HF are similar and therefore do not assist in differentiating the types of HF. The signs and symptoms can be related to the ventricle affected.
Prevention
- Prevention of heart failure mainly lies in lifestyle management. 1. Healthy diet.Avoiding intake of fatty and salty foods greatly improves the cardiovascular health of an individual. 2. Engaging in cardiovascular exercises thrice a week could keep the cardiovascular systemup and running smoothly. 3. Smoking cessation. Nicotine causes vasoconstrictionthat increases the pressure al…
Complications
- Many potential problems associated with HF therapy relate to the use of diuretics. 1. Hypokalemia. Excessive and repeated dieresis can lead to hypokalemia. 2. Hyperkalemia. Hyperkalemia may occur with the use of ACE inhibitors, ARBs, or spironolactone. 3. Prolonged diuretic therapy might lead to hyponatremia and result in disorientation, fatigue, apprehension, w…
Assessment and Diagnostic Findings
- HF may go undetected until the patient presents with signs and symptoms of pulmonary and peripheral edema. 1. ECG:Ventricular or atrial hypertrophy, axis deviation, ischemia, and damage patterns may be present. Dysrhythmias, e.g., tachycardia, atrial fibrillation, conduction delays, especially left bundle branch block, frequent premature ventricular contractions (PVCs) may be …
Medical Management
- The overall goals of management of HF are to relieve patient symptoms, to improve functional status and quality of life, and to extend survival.
May Be Related to
Common related factors for this nursing diagnosis: 1. Altered myocardial contractility/inotropic changes 2. Alterations in rate, rhythm, electrical conduction 3. Structural changes (e.g., valvular defects, ventricular aneurysm) 4. Poor cardiac reserve 5. Side effects of medication 6. Generalized weakness.
May Be Evidenced by
- The common data cues that could serve as defining characteristics or part of your “as evidenced by” in your diagnostic statement. 1. Increased heart rate (tachycardia), dysrhythmias, ECG changes 2. Changes in BP (hypotension/hypertension) 3. Extra heart sounds (S3, S4) 4. Decreased urineoutput (oliguria) 5. Diminished peripheral pulses 6. Cool, ashen skin; diaphoresis 7. Orthopn…
Desired Goals and Outcomes
- Common goals and expected outcomes: 1. Patient will demonstrate adequate cardiac output as evidenced by vital signs within acceptable limits, dysrhythmias absent/controlled, and no symptoms of failure (e.g., hemodynamic parameters within acceptable limits, urinary output adequate). 2. Patient will report decreased episodes of dyspnea, angina. 3. Patient will participat…
Nursing Assessment and Rationales
- The following is a nursing assessment guide for heart failure nursing care plans. 1. Auscultate apical pulse, assess heart rate. Tachycardia is an early sign of heart failure. An increase in heart rate is the body’s first response to compensate for reduced cardiac output (CO). Initially, this compensatory response has a favorable effect on cardiac output, but over time, persistent tachy…
Nursing Interventions and Rationales
- Here are the nursing interventions for this heart failure nursing care plan. 1. Give oxygen as indicated by the patient’s symptoms, oxygen saturation, and ABGs. Supplemental oxygen increases oxygen availability to the myocardium and can help relieve symptoms of hypoxemia, ischemia, and subsequent activity intolerance(Giordano, 2005; Haque et al., 1996). The need is b…
Importance of The End-Of-Shift Report
A proper end-of-shift report is a compilation of details recorded by a patient’s nurse. Written by nurses who are wrapping up their shifts and provided to those nurses beginning the next shift, these details should include a patient’s current medical status, along with his or her medical history, individual medication needs…
Tips For An Effective End-Of-Shift Report
- When making an end-of-shift report, there are several key things nurses must keep in mind aside from just including a patient’s necessary medical information. The following are ways you can create more thorough and adequate end-of-shift reports for your relieving nurses.
Formatting Your End-Of-Shift Report
- With all the necessary information to include, the task of writing an end-of-shift report that’s clear and easy to read can be a challenge. Consider the following two formats to help you stay organized and communicate the right information in a concise and professional manner.
Improve Your End-Of-Shift Reports and Your Nursing Career at NDMU
- When it comes to creating proper end-of-shift reports, it’s important to put forth your best effort. Apply the same dedication to your nursing career with NDMU’s fully online RN to BSNdegree program. NDMU understands that working RNs lead busy lives, which is why this online program allows you to complete coursework on your own time, from anywhere your busy schedule takes …
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