Mr Silveira Case Study 2 Heart Failure
Order ID: 89JHGSJE83839 Style: APA/MLA/Harvard/Chicago Pages: 5-10 Instructions:
Mr Silveira Case Study 2 Heart Failure
Mr Silveria, a 47-year-old Brazilian man, was sent to the heart failure clinic for titration of his heart failure therapy by his consultant cardiologist. Due to mitral valve disease, he has severe biventricular failure
(NYHA III-1V). His current symptoms include breathlessness with minimal exercise, paroxysmal nocturnal dyspnoea, and a lack of appetite, as well as disorientation with rapid movements. Septic arthritis with
mitral endocarditis and septic emboli, mitral valve repair in 2012, and out-of-hospital ventricular fibrillation arrest in 2009 are among his medical history. To treat recurrent ventricular tachycardia, he has an
implanted cardioverter defibrillator. Unfortunately, since his imprisonment in 2009, he has suffered from severe short-term memory loss. His girlfriend also mentioned that he had a habit of forgetting to drink
adequate water. While she was at work, he only drank 12 glasses of liquids every day. Mr Silveria, on the other hand, has healthy coronary arteries. Lisinopril 2.5mg once daily, aspirin 75mg once daily,
furosemide 40mg once daily, and bisoprolol 1.25mg once daily were his medications at the time of the initial appointment.
His findings on clinical examination were within normal limits, including a clean lung field on auscultation and no peripheral oedema. His jugular venous pressure (JVP) was normal, and his renal function and
electrocardiogram (ECG) were normal. His systolic blood pressure, however, was only 100/86mmHg.
In summary, his primary concerns were hypotension and memory loss, as well as a depressed mood. Mr Silveria’s strategy was to:
b) Increase his medication (up-titration of heart failure treatment) to prevent his existing symptoms from worsening. Mr Silveria’s lisinopril was upped from 2.5mg to 5mg at the first consultation.
d) Assist him in expressing his feelings about his situation and recommend coping methods to assist him cope with his memory loss.
Mr Silveria returned to the clinic for the second consultation with paroxysmal nocturnal dyspnoea. It was established during the assessment that he had stopped taking his furosemide, but neither he nor his
girlfriend knew who had told him to stop. The furosemide was restarted.
This case demonstrates the importance of clear communication and documentation among all parties involved in a patient’s treatment. The case was looked into further, and the person in question was
informed of the consequences of their conduct.
Mr Silveria was feeling better and more optimistic about his development on his third visit to the clinic. However, his systolic blood pressure had increased to 80mmHg, and his dizziness had not worsened. His
prescription was not changed any further, and a follow-up appointment with a specialist cardiologist was scheduled. Mr Silveria was started on spironolactone 25mg od by the consultant since he was still
experiencing symptoms (hypertension, dizziness) despite practically ideal treatment with an ACE-inhibitor and a beta-blocker.
Mr Silveira Case Study 2 Heart Failure
RUBRIC
Excellent Quality
95-100%
Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support
91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology
58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score
50-85%
40-38 points
More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points
Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points
Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality
0-45%
37-1 points
The background and/or significance are missing. No search history information is provided.
75-1 points
Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points
There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
You Can Also Place the Order at www.collegepaper.us/orders/ordernow or www.crucialessay.com/orders/ordernow Mr Silveira Case Study 2 Heart Failure