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CONGESTIVEHEARTFAILURE.pptxCONGESTIVE HEART FAILURE
Miguel Junco
Florida National University
AFFECTED POPULATION
Congestive heart failure is caused by under-pumping of the heart due to blood vessels constriction.
CHF is dominant in old age people above 60 years of age even though the young population experience this condition.
men are most vulnerable to CHF as compared to women.
HOW CHF OCCURS
CHF condition is attributed to coronary artery disease.
Caused by constriction of blood vessels or the coronary artery.
Cardiomyopathy is another condition aiding the risk for development of the CHF. (Ettinger, 2017)
Cardiomyopathy causes the heart muscle to weaken because it attacks heart muscle.
HOW CHF OCCURS (Cont.)
In other cases, congenital heart defect can start from the time of birth.
This complication limits blood supply consequently limiting oxygen supply in the heart
Also, the CHF can be facilitated the disease of heart valve hence affecting the heart’s ability to pump blood resulting to irregular heart rhythm. (Ettinger, 2017)
MEDICAL INTERVENTIONS OF CHF
CHF treatment is dependent upon the overall health condition of a person.
CHF can be treated by the following medications:
ACE inhibitors – improves flow of blood
Vasodilators – opens constricted blood vessels
MEDICAL INTERVENTIONS OF CHF (Cont.)
Diuretics- Reduces contents of the blood fluid.
Thiazide diuretics – Decreases blood pressure
Non-steroidal anti-inflammatory drugs – retains water and sodium. (Butler, 2011)
PRECAUTIONS DURING PATIENT’S TREATMENT AND RECOVERY
Vasodilators to be used should be limited to the following;
Benazepril enalapril
Quinapril
Perindopril
ACE inhibitors should not be taken with some medications the doctors are consulted.
Thiazide diuretics have the potential of causing further decrease in the blood pressure. (Heart.org, 2017)
Beta-blockers should be used with doctor’s approval because they can cause adverse effects
TIME FRAME FOR PATIENT FULL RECOVERY
Class 1stage- First stage where the patient don’t experience any symptoms during the physical activity. Addressed by change in lifestyle.
Class 2 stage-Takes 1 month and requires lifestyle changes and heart medications.
Class 3 stage- Complicated to treat more stages 1&2. Can take up to 1 month. (Butler, 2011)
Class 4 stage- This stage can’t be cured therefore needs palliative care treatment to improve the patient’s life quality.
THE TYPES OF PT INTERVENTIONS
Acute phase
Comprised of class I and II stages
Can be addressed by changing the patient’s lifestyle. And offering heart medication and intensive care provision.
Functional phase
Involves class III and Iv stages.
Involves heart medication and advice the patient on how to improve the condition.
However, class 4 cannot be treated.
RECOMMENDED INTERVENTIONS
The two best reccomendations include;
1. using palliative care treatment
2. changing the patient’s lifestyle.
ACE inhibitors can be undertaken by the patient upon professional advice with the absence of a therapist. (Heart.org, 2017)
Beta-blockers such as atenolol need to be avoided unless with the recommendations of a specialist.
TREATMENT PLAN EXAMPLE
| Behavior | Cognitions |
| Evaluation : avoiding driving Objectives: commence driving to different places and mainly walking around to exercise the hearts’ pumping blood. Treatment plan: daily practice of mindful activities which are learned in the session. | Assessment: believing one is out of control. Objectives: developing techniques to cope with the emotional and physiological changes. Treatment plan: keeping the journal learned in the session to reestablish the unproductive thoughts. |
| Physiology | Emotions |
| Evaluation: short breath, sweat hands, rhythmic heart pumping. Objectives: limit the symptoms and physiological tolerance. Treatment plan: reduce the use of caffeine and much sugar. Also, the victim should exercise enough sleep. | Evaluation: feeling anxious and timid Objectives: reduce the tolerance and much anxiety Treatment plan: facilitate learning for the awareness about the symptoms and at the same time establish a grounding activity to limit the symptoms. |
REFERENCES
Butler, J. (2011). Congestive Heart Failure Special Issue on Advanced Heart Failure. Congestive Heart Failure, 17(4), p-159-159.
Congestive Heart Failure: New Insights for the Healthcare Professional: 2011 Edition: ScholarlyPaper. (2012). ScholarlyEditions.
Ettinger, S. (2017). Cardiopathy and Congestive Heart Failure. Nutritional Pathophysiology of Obesity and its Comorbidities, p-99-128.
Heart.org. (2017, April 30). Treatment Options for Heart Failure. Retrieved from https://www.heart.org/en/health-topics/heart-failure/treatment-options-for-heart-failure
