Holistic Heart Failure Care
You will analyze the provided case study, identify a specific health issue, and develop a comprehensive nursing practice approach that incorporates relevant nursing theories and theories from other disciplines. Your analysis should culminate in a written report that includes an implementation and evaluation plan.
Case Study:
Mrs. Evelyn Johnson is an older adult with chronic heart failure and several coexisting conditions. She faces challenges in managing her health due to limited social support, health literacy, and lifestyle factors. This case study presents an opportunity to develop and evaluate innovative nursing practice approaches that integrate nursing theories (e.g., Orem’s Self-Care Theory) and interdisciplinary frameworks (e.g., Social Determinants of Health) to improve her health outcomes and quality of life.
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Holistic Heart Failure Care
Nursing Practice Approach for Chronic Heart Failure
Mrs. Evelyn Johnson, an older adult with chronic heart failure, presents multiple care challenges. Her limited social support, low health literacy, and poor lifestyle habits affect disease management. A tailored nursing practice approach is crucial to address these complex needs and improve her overall well-being. Integrating Orem’s Self-Care Theory helps promote independence. This theory emphasizes empowering patients to care for themselves through education and support. By assessing her self-care deficits, nurses can create a plan that builds her capacity in managing medications, diet, and symptoms.
Additionally, the Social Determinants of Health framework aids in identifying external influences affecting her care. Factors like income, housing, and access to healthy foods may hinder her ability to follow treatment recommendations. Therefore, coordination with social workers and community resources becomes essential. Home visits or telehealth check-ins could help assess her living conditions and provide ongoing education and emotional support.
Implementation and Evaluation Plan
To implement this approach, the nurse will begin by performing a comprehensive assessment using both frameworks. A self-care training plan will be introduced, including education on heart failure symptoms, dietary restrictions, and medication adherence. Printed materials with simple language and visuals can improve her understanding. A social worker will be involved to address support and transportation needs.
For evaluation, progress will be tracked using patient-reported outcomes and follow-up assessments. Nurses will monitor readmission rates, weight control, and medication compliance. Ongoing feedback from Mrs. Johnson will help tailor care further. If her understanding and involvement in self-care improve, it will indicate success. This structured yet flexible plan can significantly enhance Mrs. Johnson’s health and quality of life while reducing hospital visits. By merging nursing and interdisciplinary theories, this approach ensures holistic and patient-centered care.
