In here we describe nursing diagnosis for heart failure reasons and nursing interventions and assessment cues for heart failure including the goals and related factors for following nursing diagnosis for heart failure.
Do you know what is Heart Failure?
Congestive Heart Failure (CHF) which is commonly describe as a heart failure is physiologic state in which the heart cannot pump enough blood to meet the metabolic needs of the body.
Actually heart failure cause because of the changes in the systolic or diastolic function of the left ventricle.
The heart failure happens when, the intrinsic disease or structural it cannot handle a normal blood volume or, in absence of disease, cannot tolerate a sudden expansion in blood volume.
Nursing diagnosis for heart failure progressive and chronic condition that is managed by significant lifestyle changes and adjunct medical therapy to improve quality of life.
These heart failure actually caused from a variety of cardiovascular conditions such as chronic hypertension and coronary artery disease.
These nursing diagnosis heart failure is not a disease itself, instead, the term refers to a clinical syndrome characterized by manifestations of volume overload, inadequate tissue perfusion, and poor exercise tolerance so on.
It doesn’t matter what cause for the heart failure because pump failure results in hypo perfusion of tissues, followed by pulmonary and systemic venous congestion.
Signs And Symptoms Of Heart Failure
In here let’s checkout the signs and symptoms of heart failure are defined based on which ventricle is affected — left-sided heart failure causes a different set of manifestations than right-sided heart failure.
Left-Sided Heart Failure
- Dyspnea on exertion
- Pulmonary congestion
- Cough that is initially dry and nonproductive
- Frothy sputum that is sometimes blood-tinged
- Inadequate tissue perfusion
- Weak, thready pulse
Right-Sided Heart Failure
- Congestion of the viscera and peripheral tissues
- Edema of the lower extremities
Now you know that heart failure causes vascular congestion, it is often called congestive heart failure,most commonly cardiac specialist no longer uses this term.
Other terms used to denote heart failure include chronic heart failure, cardiac decompensation, cardiac insufficiency, and ventricular failure.
Nursing care plan goals
Now let’s Consider about how nursing care plan goals for patients with heart failure includes support to improve heart pump function by various nursing interventions, prevention,
and identification of complications, and providing a teaching plan for lifestyle modifications.
Nursing interventions include promoting activity and reducing fatigue to relieve the symptoms of fluid overload.
15 Nursing Care Plans (NCP) and Nursing Diagnosis for Heart Failure are given below:
- Decreased Cardiac Output
- Activity Intolerance
- Excess Fluid Volume
- Risk for Impaired Gas Exchange
- Risk for Impaired Skin Integrity
- Deficient Knowledge
- Acute Pain
- Ineffective Tissue Perfusion
- Ineffective Breathing Pattern
- Ineffective Airway Clearance
- Impaired Gas Exchange
- Risk for Decreased Cardiac Output
Now you know that heart fails to pump enough blood to meet the metabolic needs of the body.
The blood flow that supplies the heart is also decreased therefore decrease in cardiac output occurs,
blood then is insufficient and making it difficult to circulate the blood to all parts of the body thus may cause altered heart rate and rhythm, weakness and paleness.