The researcher states that the Shortness of breathing is a common symptom of the heart failure. The Dyspnea of shortness of breath is caused because the fluids from the pulmonary capillary bed will normally spread into the surrounding tissue. This consecutively results in the decrease of Oxygen exchange to the blood and the vital capacity of both the lungs. The shortness of breath is worse on exertion. It is a typical problem related to the heart failure The Dyspnea is also caused a feeling of nausea. Nausea and vomiting are common symptoms in patients with terminal, incurable illnesses and can be distressing. In Herbert’s case, it is caused by the breathlessness. Nausea is one of the problems among palliative care patients and effective management of these symptoms can make a major contribution to improving quality of life in these patients. There are seven steps in developing a nursing care plan for the patients who are suffering from nausea which is one of the symptoms of heart failure. The seven stages for the care plan are assessment, diagnosis, inference, planning, intervention, rationale and evaluation. 1. Environmental aspects: When the case of Herbert is referred, he is assessed and diagnosed with nausea in relation to the heart disease and type 2 Diabetes. The planning stage assumes that after one weak of nursing intervention, Herbert would be able to recover from nausea. Intervention stage is very important in this care plan. Hyperactive sounds and smell must be avoided from the environment he lives. 2. Nutritional care: A particular food item may create abdominal problems and it is to be avoided. The caretaker must know Herbert’s favorite food and the food items he does not like must be avoided. The weight of Herbert must be assessed every day.

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