lOMoARcPSD| 63525276
Case Study: Heart Failure Exacerbation
Final Diagnosis
• Acute decompensated heart failure with reduced ejection fraction
secondary to chronic hypertension and medication nonadherence.
Patient Identification
Name: Erika R.
• Age: 58 years
• Gender: Female
• Ethnicity/Nationality: Dominican Republic
• Residence: Miami, Florida
• Language: English and Spanish
• Marital Status: Married
• Occupation: Home health aide (part-time)
Chief Complaint
• “I can’t catch my breath, and my legs have been very swollen for the past
few days.”
Social History
• Immigrated from the Dominican Republic over 20 years ago.
• She lives in Miami with her husband and adult children.
• Works part-time and reports financial stress related to medication costs.
• Diet is high in traditional foods that are high in sodium.
• Denies tobacco or illicit drug use, occasional alcohol use.
Case Study: Heart Failure Exacerbation
Final Diagnosis
• Acute decompensated heart failure with reduced ejection fraction
secondary to chronic hypertension and medication nonadherence.
Patient Identification
Name: Erika R.
• Age: 58 years
• Gender: Female
• Ethnicity/Nationality: Dominican Republic
• Residence: Miami, Florida
• Language: English and Spanish
• Marital Status: Married
• Occupation: Home health aide (part-time)
Chief Complaint
• “I can’t catch my breath, and my legs have been very swollen for the past
few days.”
Social History
• Immigrated from the Dominican Republic over 20 years ago.
• She lives in Miami with her husband and adult children.
• Works part-time and reports financial stress related to medication costs.
• Diet is high in traditional foods that are high in sodium.
• Denies tobacco or illicit drug use, occasional alcohol use.
