CHF Review
Is CHF a syndrome or a disease?
syndrome!
What was his main symptom?
shortness of breath
What mineral helps reduce Rogers fluid retention and blood pressure
sodium!
What SDOH factor may affect Rogers ability to maintain a healthy diet?
food access and money security
True or False: CHF affects men more than women
false: equally frequent in men and women
What are the typical underlying conditions that cause CHF?
heart attack, coronary heart disease, high blood pressure
What type of CHF does Roger have?
left sided
What physical and environmental changes could an OT make for Roger?
Sit while cooking
Take breaks on walks
Low endurance activities with grandkids like coloring
How could Rogers social relationships with his wife, children and grandchildren impact his overall well being?
they provide social connection and meaningful participation
Maintaining a healthy level of this can reduce strain on the heart and lower cardiovascular risk.
Body weight
What is the main treatment to cure CHF?
NO CURE!
goal is to relieve symptoms and slow damage
medication and lifestyle changes can help
What was his risk factors?
There may be physical and environmental changes for Roger to help support him, what are the lifestyle changes he needs to make?
stop smoking, start eating healthier, slow and low impact physical activity
What previous change in Rogers life could affect his daily routine?
CHF diagnosis
retirement
What is the ratio of americans who develop heart failure?
1 in 5
Describe the difference between diastolic and systolic heart failure
Systolic = squeezing/pumping problem
Diastolic = relaxation problem/can't fill effectively
Roger came to the hospital with severe shortness of breath and was diagnosed with CHF. What is happening to the heart that ultimately causes many of his symptoms?
The heart cannot pump blood effectively causing blood and fluid to back up. This can lead to fluid buildup in the lungs, making it difficult to breathe.
Roger has fluid buildup and is prescribed a diuretic. What is the purpose of the diuretic in CHF?
It helps the body remove excess sodium and water, reducing fluid overload and congestion.
Roger is having difficulty remembering to take his medication daily. As an OT what tools can you implent?
Have his wife help support
sticky notes as reminders
day of the week pill organizer
Name 2 team members that would work with Roger
cardiologist, primary care, PT, OT, dietician, mental health, social worker
Describe the difference between left and ride sided CHF
Left sided: most common, build up of fluid in the lungs from left ventricle not properly pumping blood out to the body
Right sided: difficulty pumping blood to the lungs causes a blood backup and fluid retention occurring in lower extremities and abdomen
Roger is nervous his heart will stop beating. Is this a practical concern related to CHF?
No, the heart is unable to pump blood effectively not a beating problem.
True or False: Roger's depression is unrelated to his CHF because depression is a psychological condition.
False: His physical limitations from CHF can affect his ability to participate in meaningful occupations, which may contribute to depression.
His wife is experiencing caregiver burden. What are some symptoms she is experiencing?
Fatigue due to increase responsibilty
less time for leisure activities/self care
anxiety and stress
using most of her time caring for Roger
Roger is gaining weight but has a loss of appetite, and nausea. In a patient with CHF this weight gain is most likely caused by?
fluid retention