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Patients diagnosed with chronic heart failure admitted to Inova Fairfax Hospital. (Your population is too wide, can you use age such as adults, older adults, adults 18 to 45 years etc to narrow it down?)

The population under investigation in patients with chronic heart failure. (First, define chronic heart failure. Add the statistics or incidence of chronic heart failure in the population you select). Patients with the condition usually manifest severe clinical manifestations such as breathing difficulties when physically active or when they are in a sleeping position (Koshy et al., 2020). Also, they often feel lethargic and have challenges engaging in physical exertions (Ref). Their lower extremities, especially the legs, ankles, and feet, often become swollen (Ref). In addition, they may have a persistent cough that produces sputum tinged with blood (Chaplin, 2019). The grave symptoms of the condition lower the quality of the patients' lives and reduce their ability to engage in their daily living activities effectively (Ref).

Studies show that medication alone cannot sufficiently improve the condition of patients with chronic heart failure (Brennan, 2018). Evidently, it is necessary to eliminate the factors predisposing the affected patient to the condition(Ref). According to Chaplin (2019), the elements that predispose individuals to chronic heart failure include poor cardiovascular function, consumption of harmful substances such as alcoholic beverages, smoking, and being obese. Therefore, it is necessary to integrate measures that safeguard patients from future affectation with the condition.

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Adjunctive therapy with medications and lifestyle changes

Studies have shown that, combining medications and lifestyle changes elicits positive outcomes in patients with chronic heart failure (Ref). The selected intervention that will elicit positive outcomes in patients with chronic heart failure is combining medications for the condition and lifestyle changes. The On one hand, medications used in to treating chronic heart failure include ACE inhibitors like captopril and beta-blockers like carvedilol (Koshy et al., 2020), and diuretics like frusemide are also used in treating chronic heart failure (Ref).

The use of medication only in the treatment of the condition does not address the root cause of the ailment, increasing the possibility of the patient contracting it in the future (Ref).

On the other hand, the lifestyle changes that should be incorporated into the care plan of patients with chronic heart failure include eating a balanced diet (Choi et al., 2019) with This includes eating plenty of fruits and vegetables and avoiding fatty foods and those with high cholesterol levels (Ref) in addition to Another vital lifestyle change that patients should adopt is exercising regularly(Ref).

Regular exercising plays a vital role in managing patients with chronic heart failure because it helps control their weight, hence preventing them from being overweight (Brennan, 2018). In addition, it helps in regulating the heart rate of the patients (Ref). Other vital lifestyle changes recommended for patients with chronic heart failure include avoiding potentially harmful habits (Ref). These habits include drinking alcoholic beverages excessively (Chaplin, 2019). Also, it includes refraining from smoking tobacco products which escalate the heart rate and increase the chances of developing a medical crisis (Ref).

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Medications only

The comparison factor in the investigative research will be using medication only, without making any lifestyle changes. Medication plays a significant role in the care of patients with chronic heart failure because it reduces the patients' blood pressure (Koshy et al., 2020). As a result, their hearts perform their function of pumping blood effectively, reducing the accumulation of blood and fluids in the lung cavity, which is a maladaptive response associated with chronic heart failure (Ref). However, the use of medication only in the treatment of the condition does not address the root cause of the ailment, increasing the possibility of the patient contracting it in the future. (Moved to intervention).

According to Real et al., (2018), the primary causes of chronic heart failure includes obesity, excessive consumption of alcoholic drinks, smoking, diabetes, and poor cardiac function. Therefore, while medication rectifies patients' heart function, it does not eliminate other causes of the ailment, increasing the possibility of patients contracting the condition in the future(Ref).

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Improve cardiac functional level

The desired outcome when a combination of medications and lifestyle changes to treat chronic heart ailments is that their cardiac functionality level will improve significantly (Ref). Improving patients' cardiac function is a significant aspect that comprises positive outcomes such as reducing the clinical manifestations that patients present with such as ------???? Add some examples (Koshy et al., 2020). The outcome of combining when a combination of medications and lifestyle changes to in treating chronic heart ailments is significant improvement in that their cardiac functionality level will improve significantly (Ref). This subsequently, includes leads to a reduction in the chances of those ailing from chronic heart failure the condition from developing other complications such as------- (Ref). This further, it includes eliminatsing the condition's root causes, hence ensuring improvement in the patient's health and well-being (Ref).

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6-month period

The timeline within which the desired outcomes of using the selected intervention are expected to be evident is six months. Six months is an adequate duration for the results of the applied intervention to be apparent in the patients (Koshy et al., 2020). This is because the effects of the lifestyle modification that will be incorporated into the patient's care will be felt (Ref). For example, the outcomes of the patients exercising regularly will be seen in changes in their weight (Real et al., 2018). Subsequently, the effects of the patient’s dietary consumption will be evident in the changes in his body weight (Ref). Therefore, in six months, it will be possible whether the selected intervention has positive effects on the health and well-being of the patients (Ref).