Graduate-Level Heart Failure Case Study | Acute Decompensated

GRADUATE-LEVEL HEART FAILURE CASE STUDY | ACUTE DECOMPENSATED CHF | DETAILED SOAP NOTE, DIAGNOSTICS, ICD-10 CODES, APA REFERENCES (AHA/ACC 2022 GUIDELINES) | NP/BSN ASSIGNMENT READYPatient Profile Name: Linda Martinez Age: 60 years Gender: Female Ethnicity: Hispanic Source: Self Reliability: Good historian Chief Complaint (CC): Ive been short of breath for the past week, and its getting worse. Section 1: Initial Data Collection 1.1. History of Present Illness (HPI) Mrs. Eleanor Vance, a 60-year-old Caucasian female with a history of hypertension and hyperlipidemia, presents to the clinic complaining of progressively worsening shortness of breath over the past three days. She reports that the dyspnea initially occurred only with moderate exertion, such as climbing the stairs to her bedroom, but it now occurs with minimal activity, like walking from her living room to the kitchen. She also notes that she becomes short of breath when lying flat (orthopnea) and has had to sleep propped up on three pillows for the past two nights. She woke up suddenly last night gasping for air (paroxysmal nocturnal dyspnea). She reports a new, non-productive cough and significant fatigue. She denies chest pain, pressure, or palpitations. She has noticed mild swelling in both of her feet and