Care and Interventions for Congested Heart Disease


Careand Interventions for Congested Heart Disease

Careand Interventions for Congested Heart Disease

Nursesplay a vital role in providing the needed care for patients ofcongested heart failure (CHF). Contemporary research also shows thatnurse-led interventions improve the outcomes of CHF and alsodecreasing the rates of readmissions, the cost of treatment, thelength of stay at the caregiving center, and the mortalityrate(Sorescu&ampGriendling, 2002). CHF occurs as a result of cardiacdamage and the risk of further failure is reduced through theappropriate care and dosages. Rehabilitation care environments forCHF patients help patient to regulate drug use, but the mainobjective is to ensure that the physical well-being of a patientafter a heart attack strengthens tem to cope with the healthchallenges that come with it.As discussed in the interview, C.B. is apatient that has support needs. Hence, a discussion of the needs indescending order is representative of the needs that all CHF patientsneed. Furthermore, the objectives of Healthy People 2020 are anessential tool in implementing healthy issues for people of allchronic illnesses. Professional caregivers such as nurses need toimplement appropriate interventions for CHF patients so that patientscan reduce the adverse symptoms.

Supportneeds for CHF Patients like C.B.

Ahealthy diet: Nurses need to be physically involved in ensuring thatthe meals served to CHF patients adhere to the guidelines of dietarycare for the patient.

Continuedmedical advice: Considering that CHF is managed, recovery does notstop at treatment and therapy. More medical advice from clinicianscreates a healthy life for the heart. Nurses, through the follow upplan, have can work facilitate communication between the doctor andpatients for continued advice.

Socialsupport: A nurse is the first agent of social support in anyhealthcare setting for a CHF patient. Without social support, thepatient is likely to slip into depression. Nurses use the knowledgeabout depressive symptoms to bring the issue to attention so thatclinicians can recommend the requisite psychological therapy for thepatient. The therapist administers the therapy on a parallel basiswith the continuing management of CHF.

Follow-uppatients: Follow up efforts are the activities that check patientimprovement towards recovery, their state of adherence to therapy andliaising with secondary caregivers at home or foster homes. Patientsneed a specialized plan through which the nurse will monitor all theaspects that are vital for detection exacerbation symptoms.

Implementingthe Healthy People 2020 objectives

Implementingthe healthy people 2020 objectives includes intervention points andmeasuring the progress of implementation. The objectives set for thehealthy people 2020 for patients with CHF include the followingintervention points and measures of progress:

Reducenon-compliance to therapy-Interventionsby the nurse can help a noncompliant CHF patient to find ways ofmeeting their obligations throughout the treatment process. Noncompliance among CHF patients often occurs after recommendationsare made to the patient. The strategies that a nurse can implement to improve a CHF patient’s compliance include: providing them withcognitive aids, appointment reminders, persuasive communication,convenient care settings, and impart self-managed interventions.

Addressingthe heart failure management gap- Nursesare important professionals in closing the gap that exists in heartfailure management. They can do soby enhancing communication betweenthe patient and the caregiver be part of the symptom treatmentprocedures provided by the cardiologist and help reframe theattitude of the patient on managing the disease. For example, anurse can use exercise training to improve the patient’sphysiological state related to CHF because it improve peripheral andpulmonary factors and muscle strength.

Enhanceskill education and skill building in managing CHF:The skills that CHF patient need include knowing their target weight,the details of daily self-check (including leg-welling, changes inthe shortness of breath, lightheadedness, or dizziness),self-titrating the diuretic pill, and when to contact the nurse todeter deterioration. This intervention seeks to understand the levelcomprehension of the problem-solving skills. The nurse continuallyassesses and documents the progress of the patient along theseskills.

Impartself-monitoring skills, symptom recognition and interpretation, andsymptom management:Patientswith CHF experience fluctuations. Hence, proper intervention shouldentail improving patient perception and behavior because they alsovary according to their functional and cognitive capacities as theirphysiological status changes. The interventions should seek to createa better understanding the cause-and effect relationships betweenprevention and treatment symptoms. The patients need to understandthe multiple drug regimens due to the changes in the number and typeof drugs for CHF patients. The main focus of this interventionfocuses on the correct dose and times of administration as directedby physicians. Once the patient understand the principles behindcombined therapy and gradual dosing it will be easy to make help themcope with the change in lifestyle.

Measurementof progress of the implementation process

Thereare several ways through which a registered nurse or a caregiver canmeasure progress after implementing the above four interventionistmeasures for a CHF patient. They include:

  1. Improved compliance rates

  2. Improved muscle strength

  3. Improved use of self-management skills by the patient

  4. An improvement in the patient’s ability to recognize severe symptoms

Socialdeterminants that impact care or needs of patient with chronicillness

Thesocial determinants that affect the care needs of patients withchronic illnesses include:

Levelof education: A more informed and educated patients is likely to beadherent to therapy. For instance, the interview indicated that educated. This explains why he was very willing to join hisfriends in Florida to get better options of treating disease thanbefore.

Theoccupation: One’s occupation can affect there flexibility totreatment schedules. For instance, C.B. was more flexible totreatment because his work as a mechanic allows for more adjustmentsin scheduling the doctor’s appointments on therapy sessions.

Levelof income: Therapy and treatment of CHF and other chronic illnessesis quite costly. However, patients on medical insurance can affordmore enhanced treatment options. State governments have elaborateincentives for healthcare institutions that provide affordableoptions for patients

Nursingprofessionals` role as advocate for participant acceptance ofdiagnosis and treatment

Nursingprofessionals can help CHF patients such as C.B. to accept diagnosisand treatment, especially if they area ware that the symptoms pointto a chronic illness. They can play the advocacy role through actionssuch as:

  1. Minimizing apprehension, foreboding or any uneasiness relation to the knowledge of the diagnosis. Although they do not need to downplay the dangers associated with the disease, advocacy emphasizes on the possibilities of recovery using past cases and professional counseling.

  2. Stating the expectations of the patient’s behavior upon diagnosis to set the ground for interventions.

  3. Provide factual information about diagnosis, treatment, and prognosis so that patients can rely on it top makes informed decisions. A nursing professional is in a better position to reinforce patient behavior if they have provided information that is valuable for treatment and management of the disease.


Sorescu,D., &ampGriendling, K. K. (2002).Reactive oxygen species,mitochondria, and NAD (P) H oxidases in the development andprogression of heart failure. Congestive Heart Failure, 8(3),132-140.