Nursing Assessment for Heart Failure

Heart Failure

Heart Failure

Heart failure (HF) often called congestive heart failure (CHF) is generally defined as the inability of the heart to supply sufficient blood flow to meet the needs of the body. Heart failure can cause a number of symptoms including shortness of breath, leg swelling, and exercise intolerance. The condition is diagnosed with echocardiography and blood tests. Treatment commonly consists of lifestyle measures (such as smoking cessation, light exercise including breathing protocols, decreased salt intake and other dietary changes) and medications, and sometimes devices or even surgery.

Common causes of heart failure include myocardial infarction and other forms of ischemic heart disease, hypertension, valvular heart disease, and cardiomyopathy. The term "heart failure" is sometimes incorrectly used to describe other cardiac-related illnesses, such as myocardial infarction (heart attack) or cardiac arrest, which can cause heart failure but are not equivalent to heart failure.

Heart failure is a common, costly, disabling, and potentially deadly condition. In developed countries, around 2% of adults suffer from heart failure, but in those over the age of 65, this increases to 6–10%.
en.wikipedia.org


Nursing Assessment for Heart Failure

HISTORY OF HEALTH / NURSING

Main complaint:
  • Weak activity
  • Shortness of breath
History of Disease Now:
  • Causes physical weakness after a mild to severe activity.
  • What are the perceived weaknesses of activity, usually accompanied by shortness of breath.
  • What is the physical weakness is a local or a whole system of skeletal muscle and whether accompanied by inability to perform the movement.
  • How is the value range of ability in performing daily activities.
  • When the onset of weakness complaint activity, how long the weakness activity, whether at any time, at rest or during activity.
The past history of disease:
  • Was previously had suffered from chest pain, high blood pressure, diabetes mellitus, hyperlipidemia.
  • What medications are taken once associated with diuretic drugs, nitrates, beta blockers and antihypertensives. Are there any side effects and drug allergies.

Family History:
  • What diseases are never experienced family and is there a family member who died, what caused his death.

Work History and Habits:
  • Situation workplace and environment
  • Habits in the pattern of life of patients.
  • Smoking Habits

PHYSICAL EXAMINATION

GENERAL SITUATION
Obtained good or composmentis awareness and change according to the level of perfusion disorders involving the central nervous system

Breathing
  • Visible shortness
  • Frequency of breathing exceeds the normal
Bleeding
  • Inspection: the scar, complaints of physical weakness, edema of the extremities.
  • Palpation: weak peripheral pulses, thrill
  • Percussion: Shifting boundaries of heart
  • Auscultation: decreased blood pressure, extra heart sounds
BRAIN
  • Awareness is usually composmentis
  • Peripheral cyanosis
  • The face grimacing, crying, moaning, stretched and stretched.
Bladder
  • Oliguria
  • Extremity edema
Bowel
BONE
  • Weaknesses
  • Fatigue
  • Unable to sleep
  • Sedentary lifestyle
  • Schedule regular exercise could not
PSYCHOSOCIAL
  • The integrity of the ego: denial, fear of dying, anger, worry.
  • Social interaction: stress due to family, work, difficulties of economic cost, difficulty coping.
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