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Leadership And Nursing Management


LeadershipAnd Nursing Management


Approachto care

Cardiomyopathyand heart failure is common diagnosis among the hospitalized patientswho are of age above 65 years of age. In most cases the disease is somuch repetitive as it reoccurs even after a patient has been treatedand discharged from the hospital as in the case of Mr. P. Accordingto statistics, less number of people survives. The health costs ofCHF are basically costly as far as medication and hospitalizationbills as there is need for home care to monitor the health progressof the patients. Whenever the heart is not in a position to pumpenough oxygenated blood to the rest of body organs and systems, thisis a result of heart failure. In other words the heart cannot pumpefficiently hence causing blood to back up into arteries and lungs.These further causes the heart to enlarge and weaken as it overworksso as to maintain the flow of blood thus leading to cardiac arrest.While in Cardiomyopathy the left ventricle which is the major pumpingchamber loses its capability to pump blood. Due its complexity, it ishard to diagnose Cardiomyopathy early (Schoen,1999).A clear test ought to be carried out so as evaluate the extent of theheart damage as this will give the doctor a clear picture on whattreatment should be applied on Mr. P. the physician will conductcardiac catheterization, cardiovascular diagnostic, biopsy and otherrelated heart diseases to examine the patient health that will guidethe doctor in his treatment.

Afterthe physician has analyzed the results, the doctor will prescribemedication that improves the heart’s pumping ability, lessens heartmuscle effort, easing the symptoms and regulating the heartbeataccording to the results provided (Taylor&amp Asmundson 2004).In addition to that Mr. P will be advised to abstain from alcohol,engage in physical exercises, a nutritionist who will guide him loseweight and take the recommended diet and incase his heart conditionis beyond repair he may need a heart transplant.

Thefamily members of the patient should be there for the patient byensuring that they have been educated on the kind of diet to feed thepatient with followed by medical follow ups that can be done onregular basis where a nurse can visit the patient. Whenever thefamily members are involved in the treatment of the patient itheightens the health of the patient as our patient Mr. P health canbe monitored and incase of anything the family members can report tothe responsible doctor treating the patient. Home based care is thenecessary as the patient will not have to admit to the hospitalincurring hospital bills. The nurse will train the family members onhow to handle the patient in case of emergence for instance lack ofoxygen the nurse should educate even the patient how to use portableoxygen therapy, doing some physical exercises with the patient andoffering free checkups for these patients (Zeller &amp Albert 2007).The following is a teaching plan that can be much effective to boththe patient and family members.

  • Define the what heart failure is all about to the patient and whether it is curable

  • The effects of heart attack

  • The treatment of the disease

  • The role of the patient towards control of the disease

  • Daily routine exercises

  • When to visit the clinic and under what circumstances should see the doctor

  • The precautions that a patient should take.


Albert,N. and Zeller, R. (Spring 2007). Development and testing of thesurvey of illness beliefs in heart failure tool. Progress inCardiovascular Nursing: pp. 63-71

Schoen,F. J. (1999). The heart.&nbspRobbinsPathologic Basis of Disease. 6th ed. Philadelphia, PA: WB SaundersCompany,591-599.

Taylor,S., &amp Asmundson, G. J. (2004).&nbspTreatinghealth anxiety: A cognitive-behavioral approach.Guilford Press.