Care Approach of Congestive heart failure

Care Approach of Congestive heart failure

Care Approach of Congestive heart failure

Order Instructions:

Due Date: May 15, 2016 23:59:59 Max Points: 50

Details:
In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin.

NRS410V.R.CaseStudy2_Student_02-11-13.docx

*****RUBRIC*******

Case Study 2

1
Unsatisfactory 0-71%
0.00%
2
Less Than Satisfactory 72-75%
75.00%
3
Satisfactory 76-79%
79.00%
4
Good 80-89%
89.00%
5
Excellent 90-100%
100.00%
80.0 %Content

20.0 %Describe your approach to care
Description of your approach to care is not offered.
Description of your approach to care is offered, but incomplete, lacking relevant information.
Description of your approach to care meets the basic requirements of the assignment.
Description of your approach to care is offered in detail.
Description of your approach to care is offered in detail, while demonstrating evidence of deeper insight and/or reflection.
20.0 %Recommend a treatment plan
Recommendation of a treatment plan is not offered.
Recommendation of a treatment plan is offered, but incomplete, lacking relevant information.
Recommendation of a treatment plan meets the basic requirements of the assignment.
Recommendation of a treatment plan is offered in detail.
Recommendation of a treatment plan is offered in detail, while demonstrating evidence of insight and/or reflection.
20.0 %Describe a method for providing both the patient and family with education and your rationale.
Description of a method for providing both the patient and family with education is not offered.
Description of a method for providing both the patient and family with education is offered, but incomplete, lacking relevant information, such as rationale.
Description of a method for providing both the patient and family with education, with as rationale, meets the basic requirements of the assignment.
Description of a method for providing both the patient and family with education is offered in detail.
Description of a method for providing both the patient and family with education is offered in detail, while demonstrating evidence of deeper insight and/or reflection.
20.0 %Provide a teaching plan, using words the patient and family will understand.
A teaching plan is not offered.
A teaching plan is offered, but incomplete, lacking relevant information, such as rationale, or uses terminology the patient and family may not understand.
The teaching plan avoids using terminology the patient and family may not understand and meets the basic requirements of the assignment.
A teaching plan meets the basic requirements of the assignment is offered in detail.
A teaching plan is offered in detail, while demonstrating evidence of deeper insight and/or reflection.
15.0 %Organization and Effectiveness

5.0 %Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.
Thesis and/or main claim are apparent and appropriate to purpose.
Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
5.0 %Paragraph Development and Transitions
Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.
Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.
Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.
A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.
There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.
Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
Writer is clearly in command of standard, written, academic English.
5.0 %Format

2.0 %Paper Format (1- inch margins; 12-point-font; double-spaced; Times New Roman, Arial, or Courier)
Template is not used appropriately or documentation format is rarely followed correctly.
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
Template is used, and formatting is correct, although some minor errors may be present.
Template is fully used; There are virtually no errors in formatting style.
All format elements are correct.
3.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)
No reference page is included. No citations are used.
Reference page is present. Citations are inconsistently used.
Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.
Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.
In-text citations and a reference page are complete. The documentation of cited sources is free of error.
100 %Total Weightage

SAMPLE ANSWER

Care Approach

Congestive heart failure (CHF) is a health cardiovascular disorder that affects about 23 million people in the world. The disease is clinically manifested by breathing difficulty, fatigue, general body weakness, peripheral oedema, and moist crackles throughout of the lungs. This is associated with decreased physical endurance and acute distress due to significant changes in their quality. An effective care plan should focus on educating the patient on effective disease management. This will improve the patient quality of life and reduce readmission rates (Hughes, 2013).

In this context, the Neumann’s nursing model is used to develop a care plan for this patient. This is because the recurrent acute CHF is a consequence of suboptimal management. This nursing model ensures that the patient preferences, values and emotions are integrated in the care plan. The theory ensures holistic patient care by assessing the patient physiology variable, sociocultural variable, developmental variable, spiritual variable, and psychological variable. The care plan will also incorporate the family members and care givers to help them understand ways to cope with the illness.  The care approach will not only focus on managing the symptoms but will also focus on all patient aspects (Hughes, 2013).

Treatment plan

The treatment plan comprises of therapeutic and non-therapeutic interventions. Therapeutic intervention will include use of ACE inhibitors is prescribed to relax the blood vessels in order to make them wide. This improves blood flow. Aldosterone receptor antagonists are used to remove the excess fluid retained. Angiotensin II receptors is prescribed   to ensure better blood flow in the vessels.  The non-therapeutic measures will include advice on ways to ensure that medication adherence, financial support available and lifestyle modification for Mr. P’s wife to ensure that she copes with the disease burden (Albert, 2012).

Patient education

The healthcare staff will utilize audio-visual teaching to explain the disease symptoms, management, complications associated with medication non –adherence.  This use of audio-visual education method is associated with retention of   information than use of verbal education (Apostolo et al., 2012).

Teaching plan

References

Albert, N. (2012). Fluid Management Strategies in Heart Failure. Critical Care Nurse, 32(2), 20-32. doi:10.4037/ccn2012877

Apostolo,A., Giusti, G., Gargiulo, P., Bussotti, M., and Agostoni, P. (2012) Lungs in Heart Failure. Pulmonary Medicine Volume 2012, Article ID 952741, doi:10.1155/2012/952741

Hughes, R. (2013). Treatments to achieve fluid balance in heart failure. Br J Cardiac Nursing, 8(11), 537-540. doi:10.12968/bjca.2013.8.11.537

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