Order a unique copy of this paper i need help with answering case study questionsCongestive Heart Failure Case Study 1 Madeline Brunner is an 84-year-old woman that you are visiting in her facility for wound care.She developed a pressure ulcer during her hospitalization for a left total hip replacement.She also has osteoarthritis (OA) in her right hip and plans a right hip replacement soon.The wound and her hip are doing well but she complains that she is not feeling well today and thinks she is “coming down with a cold.” She has had a nonproductive cough with increased shortness of breath for the past two days and has needed to sleep in her recliner because she is uncomfortable lying in her bed.Her appetite has been lacking which she attributes to constipation with the narcotic prescribed after her surgery.She has taken ample quantities of beef and chicken broth only for the past few days due to an upset stomach. Typically Madeline can walk up and down her hall with the physical therapist without difficulty. Still yesterday she could only walk about 10 ft before needing to rest due to shortness of breath.Madeline lives alone in an assisted living facility and has two adult daughters who provide social support and manage her finances.She manages her medications and shows you her pillbox which is correctly set up and can explain each medications purpose.She does not smoke.Her past medical history includes the following: Current medications taken orally include the following: Seasonal flu shot was given in late October last year. On exam you take the following vital signs: BP 110/62; Pulse 102; Respirations: 22; O2 sat 92%; Temp 97 Oral You also document: Heart sounds: S1S2 with S3 gallop no murmurs or rubs Lung Sounds: Crackles in bases bilateral ABD: soft non-tender distended with positive hepatojugular reflux.Bowel sounds normal X 4 quadrants Extremities: Capillary refill <2 seconds 2+ edema in feet and ankles bilaterally Adapted with permission from Nelson J. (2011). Congestive Heart Failure. Gerontology Nursing Case Studies:100 Narratives for Learning. In D. J. Bowles (Ed.). Springer Publishing Co. (pp. 121-122)

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