Nursing Care Plan for Patient with Chf

Care Plan for Patient living with CHF

Nursing Diagnosis | Goals/Expected Outcomes | Nursing Interventions | Rationale | Evaluation Date |

Risk for acute pain related to decreased myocardial blood flow as evidenced of pain 7/10. | -Patient will be pain free.-Patient will report angina episodes decreased.-Patient will state relief of pain. | -Patient will have routine pain medication.-Patient will instructed when to notify nurse for pain in jaw, neck, shoulder, and arm.-Patient will be observed for symptoms of dyspnea, nausea, vomiting, dizziness, & palpitations. | By providing pain relief, knowledge of signs and symptoms of heart disease progression will minimize risk of serious effects of heart disease. | |

Risk for acute pain related to tissue ischemia as evidenced of changes in pulse and blood pressure. | -Patient will remain pain free.-Patient will verbalize relief of chest pain upon implantation of interventions-Patient will display reduced tension. | -Patient will be observed and monitored for pain.-Patient will use 0- 10 scale to rate pain.-patient will have a health history review and have input in pain relief measures. | By observing and monitoring pain in addition to patient rating pain and a review of health history will provide pain relief and knowledge of health history will aid in developing future risk. | |

Risk for excess fluid volume related to increased sodium/water retention as evidenced by edema in lower extremities. | -Patient will comply with fluid restrictions.-Patient will maintain fluid balance.-Patient’s will be free of edema. | -Patient will have I&O record.-Patient will weigh daily.-Patient will be assessed for edema. | By monitoring I&O, daily weight recorded, in addition to assessment of edema daily will aid in decreasing and identifying excess fluid volume. | |