Please guide me in the project?  Seattle Heart Failure Model Case Study Introduction: The Universi

  Please guide me in the project?  Seattle Heart Failure Model Case Study Introduction: The University of Washington Seattle Heart Failure Model is used by clinicians not only to understand the potential impact of an intervention on the survival or mortality statistics for a patient experiencing heart failure but also to provide a tool that can be used to assist with patient understanding of the multifaceted approach of treating their heart failure. The tool opens up with baseline data present but is intended to be individualized with insertion of the specific patient’s own data. The following case study will assist you in understanding the impact of various interventions. Instructions:  Access the University of Washington Seattle Heart Failure Model interactive tool at http://depts.washington.edu/shfm/?width=1024&height=768 Click that you are a health care provider and accept the agreement. You do not need to log in to use the site.  Follow the instructions on the website to adjust the parameters to the patient-specific ones and answer the questions.  Read all questions first, as some are related to each other. You may use this form, but you must have an APA formatted reference page with at least 3 references: textbook, one menu, and one scholarly reference from the CSP library including the link. When finished, you will upload this form into the dropbox for grading by your professor. Case Study: Mr. Jones is a 68 year old male with a history of coronary artery disease, having received coronary artery stents in his right coronary artery (RCA) and left anterior descending artery (LAD) following an acute myocardial infarction three years ago. Since then, he has noticed increasing fatigue with activity, difficulty climbing stairs and ankle edema. An echocardiogram was completed revealing moderate global hypokinesis and an ejection fraction (EF) of 35%. His heart rate is 92 bpm and his BP is 132/82. Place these parameters into the tool (Pay attention to each one so you can answer #2):Gender: Male                                    Furosemide: 0 mg                            EF: 35%Age: 68 years                                     Hgb: 12.5                                             Total Cholsterol: 235Weight 92 kg                                      Lymphocytes: 35                              Systolic BP: 132NYHA Class: 2                                     Uric acid: 6.2                                      Sodium: 134 Following the placement of these parameters, what was the baseline 1 year, 2 year and 5-year survival percent?The survival Baseline for the one year is 91 percent. The survival Baseline for the two years is 83 percent of the survival. The survival Baseline for the five years is 59 percent. As you were placing the parameters, which did you noticed caused the most change, positive or negative to the survival statistic? Least change?  What may be the pathophysiologic reasoning for at least one of these changes? 3.  How do you think a patient receiving this news would react? What support (resources, education, emotional, interdisciplinary) could be offered? Provide one example for each with rationales. Now, add some medication interventions and follow the changes.Add an ACE inhibitorAdd a beta-blockerAdd a statin Mr. Jones was placed on a daily multivitamin with 8 mg of iron, a 2 Gm sodium diet, and a 2-liter fluid restriction.  4. Following the additions of the ACE-I, beta-blocker, and statin, what changes are noted in his survival statistics? Why/how? Three months later, following the addition of the medications and introduction to an outpatient cardiac rehab program, Mr. Jones numbers have changed.  Place these parameters into the tool and see the outcome changes:Add an ARB and an aldosterone blockerHis Hgb is now 14 gm/dlHis total cholesterol is now 200 mg/dl and his weight is 85 kgHis HR is 68 bpm and his BP is 112/70 5. Which pharmacologic and physiologic changes seemed to make the biggest positive difference in his survival? Why/how? 6. Mr. Jones states he is invited to a birthday dinner at a local restaurant.  Given he has 2 gm sodium and 2 liter/day water restrictions, provide an example of a dinner with drink and dessert that Mr. Jones could partake in.   Select a restaurant (needs citation and reference) and choose appropriate menu items including sodium levels and fluid amounts.Health ScienceScienceNursing NUR 376 Share QuestionEmailCopy linkComments (0)

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