Nursing 3910A/B Lecture Notes - Lecture 5: Perspiration, Vasoconstriction, Pneumothorax
Document Summary
Restraints are likely to be resisted, and resistance inevitably increases the cardiac workload. In addition to anxiety, patients with hf have a high incidence of depression and should be screened for this condition as they may hesitate to report their symptoms. Patients need to recognize that they are not helpless and that they can influence the direction of their lives and the outcomes of treatment. Contributing factors may include lack of knowledge and lack of opportunities to make decisions, particularly if healthcare providers and family members behave in maternalistic or paternalistic ways. The nurse provides patient education and involves the patient in the therapeutic regimen to promote understanding and adherence to the plan. Patients and their families are taught to follow the medication regimen as prescribed, maintain a low-sodium diet, perform and record daily weights, engage in routine pa, and recognize and report symptoms that indicate worsening hf.