Case Study 2
Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.
Question
Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following:
� Describe your approach to care.
� Recommend a treatment plan.
� Describe a method for providing both the patient and family with education and explain your rationale.
� Provide a teaching plan (avoid using terminology that the patient and family may not understand).
QUESTION –
In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.
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.
RUBRIC GRADING
1, Describe your approach to care- Description of your approach to care is offered in detail, while demonstrating evidence of deeper insight and/or reflection.
2, Recommend a treatment plan-Recommendation of a treatment plan is offered in detail, while demonstrating evidence of insight and/or reflection.
3, 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 offered in detail, while demonstrating evidence of deeper insight and/or reflection.
4, Provide a teaching plan, using words the patient and family will understand-A teaching plan is offered in detail, while demonstrating evidence of deeper insight and/or reflection.-.
5Thesis Development and 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.
6, Paragraph Development and Transitions-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.
7, Mechanics of Writing (includes spelling, punctuation, grammar, language use)- Writer is clearly in command of standard, written, academic English.
8, Paragraph Development and Transitions-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.
9, Mechanics of Writing (includes spelling, punctuation, grammar, language use)- Writer is clearly in command of standard, written, academic English.
10, Paper Format (1- inch margins; 12-point-font; double-spaced; Times New Roman, Arial, or Courier)- All format elements are correct.
11, Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)- In-text citations and a reference page are complete. The documentation of cited sources is free of error.
Case study 2
Congestive heart failure is a chronic, debilitating illness with high prevalence in elderly people. It is also associated with high cost of treatment. This paper focuses on a case study involving Mr. P, suffering from cardiomyopathy and congestive heart failure who has been hospitalized in various occasions for treatment. It addresses various aspects concerning this case including approach to care, recommendation of a treatment plan, method of providing both patient and family education and teaching plan.
Different people have different approaches to care. I personally believe that patients are entitled to better treatment. They are still very important persons and they require a lot of care and moral support even if their situations are deteriorating. They require love and to be given enough support (Quaglietti, Atwood, Ackerman & Froelicher, 2000). I also do believe that, accessibility to health care should not be constrained by the financial limits. In most cases, many people fail to get better quality care because they do not have financials. In this modern period, affordability and accessibility should not be a problem to hinder any patient from accessing better care regardless of the age. I also do believe that care is an individual initiative. An individual must also determine to maintain his/her health. To achieve this, an individual has to ensure that he or she follows the instructions or the physicians guide on the medical prescriptions.
The best-recommended treatment plan for Mr. P is to adopt a multidisciplinary approach as research has not provided a single effective approach to manage the disease (Quaglietti, Atwood, Ackerman & Froelicher, 2000). The patient requires counseling and education about the diseases and how it can be managed. Counseling and education on the diseases will enable Mr. P to understand the disease and how to manage. Education and counseling will also involve dietary modifications, medication management, activity recommendations, self-monitoring, coping skills, prognosis, caregiver stress, social support and spiritual needs. Being able to understand all these aspects and how they contribute to enhancement of his condition will help in enhancing the condition of Mr. P. Furthermore, Mr. P should have a nurse that visits him at home to track his health condition (National Health Foundation, 2010). Home visited nurses will help in monitoring how his health improves.
The method for providing education for the patient and family should also be improvised because they all require information about the disease and its management. The patient will be educated through one on one conversation. The patient will take the role of an active listener on how he can better improve his condition by ensuring that he adheres to the physician’s directive. On the other hand, family education method can involve, question and answer technique where the family members will be guided through and as well allowed to ask questions on how the patient can be well taken care of. This method is important because the family members are the people providing care to the patient hence must understand various aspects that they should engage in supporting Mr. P.
As stated earlier the teaching plan of patient and family may vary because of the conditions/circumstance. Teaching plan geared for patient will be very brief and short. The patient will be taught on how to manage his care by doing exercises, eating balanced diet as recommended, and self-monitoring. These lessons will be taught on daily basis to ensure consistency (National Health Foundation, 2010). On the other hand, teaching plan for the family will entails various aspects that concerns care provisions. These will include hospitality to the patient, caring and encouraging the patient, ensuring that he takes his medication and adheres to physician’s directives, monitoring his recovery and liaising with the nurses to ensure that he is checked and monitored.
In conclusion, Mr. P even though, is in this state, he needs counseling and education to help him in management of the disease. Family members too require education to help him cope with this situation. Despite the financial difficulties experienced, the family should not relent in providing care and encouraging Mr. P.
References
National Health Foundation. (2010). Multidisciplinary care for people with chronic heart failure: Principles and recommendations for best practice,
Quaglietti, S., Atwood, E., Ackerman, l., & Froelicher, V. (2000). Management of the Patient With Congestive Heart Failure Using Outpatient, Home, and Palliative Care Progress in Cardiovascular Diseases, 43(3): 259-274.