Congestive heart failure is a chronic disease the patient will have to live with for the rest of their lives. It is often disabling to the patient and causes difficulties with numerous activities. Anxiety and frustration are common with this disease. Symptoms that occur with these patients often increase anxiety levels such as dyspnea. There is also a high risk for depression. Lifestyles changes and issues with quality of life can cause depression to occur months after the initial diagnosis of heart failure. This anxiety and depression may also occur in the patient’s family. There may be an increase amount of stress due to having to become a caregiver for the individual. On the other hand, hope is a major indicator of well being for patients with heart failure. The patients who have hope about their diagnosis are more socially involved. (Ignatavicius & Workman, 2010)
AH show signs of anxiety if she has to lie down to sleep. She states, “It is hard to breathe when I am flat”. This is the reason that AH sleeps either in a high-fowlers position in the bed or in a cardiac chair while in the hospital. AH does not take any medications to reduce anxiety or help her sleep. AH does not show any signs of depression. She stated that she feels taken care of by her son and loves that he is always around for her. She does not have any depression related to the death of her husband either. She stated, “We had a good life together and a good marriage”. She shows no need for depression medications at this time.