Heart Failure Case Study
John is a 56-year-old man who found out he had heart failure six months ago. He spent three days in the hospital and was given medication to manage his condition. Since then, he’s been to the emergency room twice and is now in the hospital again. He’s experiencing shortness of breath, swelling in his legs, and weight gain. He’s confused about why his medications aren’t working. He’s worried because if he misses more work, he’ll lose his job and medical insurance for his family. His wife, Kathy, takes care of their three boys.
John works in construction and takes his medications as prescribed, but he continues to eat whatever he wants. He says he can’t exercise because he works six days a week and feels too tired when he gets home. He’s always tired, wakes up frequently at night to use the bathroom, and is extremely anxious about his health and the future.
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New Diagnosis
During this hospital stay, John had another test called a cardiac catheterization, which showed that his heart’s ejection fraction is only 40%. The doctor told him he needs to change his lifestyle, keep taking his medications, and monitor his vital signs at home.
Kathy is 40 years old and feels overwhelmed by John’s diagnosis. She’s concerned that she might need to go back to work if John can’t keep working. She’s willing to do anything to help him but isn’t sure what actions would be most beneficial. A nurse gave her information about diet and exercise and mentioned that a home health nurse would help set up monitoring at home.
Formulating Clinical Questions
1. In patients like John (P) diagnosed with heart failure (I), what are the causes and factors (C) contributing to medication resistance and frequent hospital readmissions (O)?
– Focus: Etiology and assessment.
2. For individuals like John (P) with heart failure, what are the most effective strategies and interventions (I) to improve medication adherence, lifestyle changes, and reduce symptoms (O) in order to prevent hospital readmissions (T)?
– Focus: Treatment and prognosis.
heart failure
John is a 56 year-old male who was initially diagnosed 6 months ago with heart failure.
He was treated via a 3-day stay in the hospital and sent home with a drug regime and since then has been seen in the ER two times and is now hospitalized again with shortness of breath, pedal edema, and weight gain. He does not understand why the medications are not working. He cannot miss any more days at work or he will lose his job and medical insurance for him and his family. His wife is a stay-at-home mom for their three boys.
John is a construction worker and does take his medications as directed but continues to eat what he wants. He states he cannot exercise because he works 6 days a week and is just too tired when he gets home. He is always tired, is up all night going to the bathroom, and is extremely worried about his health issues and the future. His wife, Kathy, is also very worried, because she is a stay-at-home mom and has not worked since the birth of their first child, who is 16 years old.
Professional Medical Research Paper
During this hospital stay, another cardiac catheterization reveals that the ejection fraction of his heart is only 40. The doctor has told him he needs to change his lifestyle, continue with his meds, and monitor his vital signs at home.
Kathy is 40 years old and finds herself overwhelmed with the diagnosis and is worried that she may have to go back to work if John is not able to continue working. She wants to know what she can do to help John. She will do anything but is not sure what will help John. The nurse came in and handed her a bunch of papers about diet and exercise and said a home health nurse would set him up for home monitoring.
Formulate searchable, clinical questions in the PICO(T) format using the material in this case study.
There are several potential questions that could be asked, but you only need to identify two. Determine if the focus of each question is assessment, etiology, treatment, or prognosis.
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