Case Studies . Mr. C:  Dyspnea/FatigueMr. C. is a 75-year-old African American man with en

Case Studies . Mr. C:  Dyspnea/FatigueMr. C. is a 75-year-old African American man with end-stage cardiac disease and long standing congestive heart failure including pulmonary edema.  He experienced his first myocardial infarction at 45 years of age, had a quadruple bypass procedure at 58, and repair of an abdominal aortic aneurysm at 62.  He has been retired for 15 years after working as an engineer.  He lives at home with his wife, who is a cancer survivor.  He has led a very active life, even after retirement, but in the past few months has experienced severe fatigue that leaves him unable to participate in or enjoy previous activities.  He often says, “I feel as if I have no ambition,” and “I can’t do anything anymore.  I am worthless.”  In the past few weeks, Mr. C. has been experiencing shortness of breath, initially relieved with oxygen.  Unfortunately, the dyspnea has progressed during the past week and he has developed a dry cough. He has no advance directive.Discussion Questions: What interventions might you consider? What patient/family teaching is essential? What long-term planning should be considered? Discuss how to approach the patient’s physician who is opposed to hospice.  Health Science Science Nursing NURSING 301 Share QuestionEmailCopy link Comments (0)

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