Nurs misc cs heart failure joann smith complete 100

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NURS MISC – CS Heart Failure -JoAnn Smith (Complete 100%)Heart FailureJoAnn Smith, 72 years oldPrimary ConceptPerfusionInterrelated Concepts (In order of emphasis)1. Gas Exchange2. Fluid and Electrolyte Balance3. Clinical Judgment4. Patient Education5. Communication6. CollaborationUNFOLDING Reasoning Case Study: STUDENTHeart FailureHistory of Present Problem:JoAnn Smith is a 72-year-old woman who has a history of myocardial infarction (MI) four years ago and systolic heartfailure secondary to ischemic cardiomyopathy with a current ejection fraction (EF) of only 15%. She presents to theemergency department (ED) for shortness of breath (SOB) the past three days. Her shortness of breath has progressedfrom SOB with activity to becoming SOB at rest. The last two nights she had to sleep in her recliner chair to restcomfortably upright. She is able to speak only in partial sentences and then has to take a breath when talking to the nurse.She has noted increased swelling in her lower legs and has gained six pounds in the last three days. She is beingtransferred from the ED to the cardiac step-down where you are the nurse assigned to care for her.Personal/Social History:JoAnn is a retired math teacher who is unable to maintain the level of activity she has been accustomed to because of theprogression of her heart failure the past two years. She has struggled with depression the past two years and has beenmore withdrawn since her husband of 52 years died … Purchase document to see full attachment

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