Disorder Case Study

CASE STUDY 2

Student’s Name

Professor’s Name

Institution

Course

Date

Case Study 2

#1

Considering the disorder that Mr. P is suffering from, the approach to care ought to comprise both the medication and treatment patterns, together with the nutritional therapy. Amongst such is the home-based care program that consists of weekly visits from either the health care practitioner, and/or the nurse. The visits include assessing the health conditions of Mr. P, evaluate the required medications, and making any necessary medication steps. Moreover, there is the need to examine some laboratory tests, and if possible, to administer the intravenous diuretics. To add to the point, there is the necessity to ensure Mr. P's compliance has been met through administering dosage regimen based on pill count, a scenario that is usually followed by an assessment of his physical status (Gillespie, 2005). The fact that it is indicated that Mr. P has difficulty in maintaining the restrictions posed on diet and unable to manage his polypharmacy, this brings an outlet on how he has poor knowledge in regard to the regimen, and thus; the need for effective and proper interventions. After home visits, it is significant to offer the derived information to the patient's primary physicians. At first, it is required that the nurse should engage in educating and counseling Mr. P on the management precautions, and on his behavioral techniques in order to boost his compliance. A follow-up should later be done by daily telephone calls for, say, 5 weeks, with more counseling to make him adhere to the drug regimen and correct dietary patterns, as this will be an additional perception to his self-monitoring.

#2

The first crucial treatment plan should be the airway management. This treatment plan is vital, especially for elderly, and more so, to those suffering from fatigue and heart failure, as they may be requiring the nascent intubation. Some of the diuretics to be used in this case includes, but not limited to, Furosemide, which is suitable in decreasing the venous congestion. Nevertheless, to the elderly, the use of this diuretics should be minimized because they are characterized by an age-related decline that alters the renal function, as well as aiding in circulating volume. In cases of pulmonary edema, IV nitrates and the morphine are the crucial necessitating factors (Serxner et.al, 1998). What's more, the symptoms associated with fluid retention can be treated by the use of diuretics and frequent monitoring of weight. Other additional forms of treatment are the use of ACE inhibitor in accordance to the tolerability, digoxin and/or spironolactone, as well as the β-blockers.

#3

Providing counseling and education of patients with heart failure is the best patient care. This is because, knowledge on such disorder would minimize the re-admission of patients, along with saving treatment costs. As a result, counseling and education should be accessible via mailing personalized materials for education, where the main emphasis should be put on self-care, and recommendations on health behaviors. To the wife, she may be taught on the dangers of contracting the disease, and somewhat, the wife's history should be assessed in order to put into considerations the risk associated with hypertension. In addition, there is the need to view the associated exercises and activities, the recommendations on diet, the medications prescribed, and the associated symptoms to enlighten Mr. P and his wife.