This is a standalone scenario for managing congestive heart failure. Pt. is an elderly women in hospital with progressive respiratory distress. In this scenario the students/learners are expected to recognize the patients increased level of anxiety and increased respiratory distress. Students are to conduct a focused cardiopulmonary assessment and apply appropriate interventions such as repositioning, apply O2, call for assistance using SBAR, and administer correct dosage of ordered medication. Patient improves with appropriate and timely interventions.