Chronic Heart Failure Management

Chronic Heart Failure Management

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.

Submission Guidelines 

• Length: 8 pages (excluding title page and references)
• Formatting: APA format

Document Type/Template

• Word Document

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APA

Chronic Heart Failure Management

Introduction

Mrs. Evelyn Johnson is an older adult diagnosed with chronic heart failure (CHF) and several coexisting conditions, including hypertension, diabetes, and osteoarthritis. She faces significant challenges in managing her health due to limited social support, low health literacy, and certain lifestyle factors such as poor diet, lack of exercise, and smoking. The purpose of this nursing practice approach is to integrate relevant nursing theories and interdisciplinary frameworks to improve Mrs. Johnson’s health outcomes and quality of life. This report will outline an implementation plan for interventions and provide an evaluation framework to monitor the progress and effectiveness of these strategies.

1. Identification of the Health Issue

The primary health issue identified in this case study is chronic heart failure. CHF is a complex condition characterized by the heart’s inability to pump blood effectively, leading to fluid buildup and other systemic complications. In Mrs. Johnson’s case, the severity of her heart failure is compounded by her comorbidities, which include hypertension and diabetes. Her limited social support and health literacy further exacerbate her inability to manage her condition effectively, leading to increased hospital admissions and diminished quality of life.

This health issue is compounded by the social determinants of health (SDOH), such as her low income, limited access to health education, and inadequate support systems. These factors hinder her ability to engage in effective self-care practices and increase the risk of adverse outcomes. Addressing these challenges is critical for improving her health status and enhancing her quality of life.

2. Theoretical Frameworks

To guide the nursing practice approach for Mrs. Johnson, the following nursing theories and interdisciplinary frameworks will be incorporated:

• Orem’s Self-Care Theory:
  Orem’s theory is particularly relevant to this case as it emphasizes the importance of individuals taking responsibility for their own health and