Nursing care for a patient with Congestive Heart Failure underlying disease Old Myocardial Infarction with Diabetes Mellitus and Hypertension : Case study.

Abstract

     This study is a case study. The objective was to study nursing care for a patient with Congestive Heart Failure underlying disease Old Myocardial Infarction with Diabetes Mellitus and Hypertension. The study was conducted on a 58-year-old female patient who came for a follow-up for her Congestive Heart Failure after discharged from the hospital. She has a history of Diabetes Mellitus, Dyslipidemia, Diabetic Retinopathy, Diabetic foot on both feet, right foot amputation, Myocardial Infarction, two previous PCI, stage 3 Chronic Kidney Disease, Renal Calculi in both kidneys, and Congestive Heart Failure. Pre-examination period, the patient was at risk of tissue hypoxia, acute complications from hyperglycemia, and falls. Post- examination period, the patient developed anemia, a chronic diabetic foot on the left foot, and was at risk of side effects from antiplatelet drugs. She was at risk of severe Chronic Kidney Disease and complications from Diabetic Retinopathy. She was at risk of heart failure recurrence and was anxious about her illness. She received antiplatelet drugs, diuretics, insulin, antihyperlipidemic drugs, antihypertensive drugs, and iron supplements. Nursing care includes assessing vital signs, assessing neurological signs, ensuring adequate oxygenation, preventing falls, monitoring for abnormalities related to hyperglycemia and bleeding in various organs, and providing advice and training on self-care skills related to her illness or condition. After five months of treatment and nursing care, the patient maintained appropriate blood sugar, blood pressure, and lipid levels. Kidney function improved, with no increase in complications from Diabetes Mellitus, Hypertension, or Dyslipidemia, and no evidence of recurrent Congestive Heart Failure.