Congestive Heart Failure. Caroline L. Guglielmetti RN, BSN. Patient Profile. I.R. is an 85 year-old female Born in Hungary Formerly from assisted living, has lived at the nursing care center for 2 years.
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Caroline L. Guglielmetti RN, BSN
- Elevate lower extremities - I & O (as accurate as possible)
- Wear support stockings
- OBTAIN A DAILY WEIGHT EVERY MORNING!!!
- Enforce fluid restriction
- “Psychosocial types” of illness and disability and the
demands of a chronic disorder in respect to the
diseases different phases
- Developmental phases of the illness
- Family system Variables
B. Liklihood/Severity of crisis: exacerbations becoming more frequent
C. Genetic Contribution: unknown
D. Treatment regimens: see meds. Family very cautious, in control of med management
E.Age at onset: Questionable, exacerbations have become worse over the last 2 years (starting at age 83).
B. Chronic “Long haul”
-contact and utilize outside resources as needed
-communicate regularly with the nursing and support staff as well as medical staff and each other
-Recognize the chronic disorder and understand that it can be controlled, but not cured
-work to preserve individual family member autonomy
-work to maintain a normal life
-redefine individual and family goals in regards to illness
-recognize uncertainty of loss
-provide support with the medical and/or lifestyle modifications necessary to control CHF
-Maintain communication with each other and the family
-Provide support and education to the family
-Remind patient FREQUENTLY to comply with CHF guidelines
-Thoroughly assess the patient for changes in status