scholarly journals Educational settings in the management of patients with heart failure

2007 ◽  
Vol 15 (2) ◽  
pp. 344-349 ◽  
Author(s):  
Graziella Badin Aliti ◽  
Eneida Rejane Rabelo ◽  
Fernanda Bandeira Domingues ◽  
Nadine Clausell
Keyword(s):  
Heart Failure ◽  
Public Health System ◽  
Negative Impact ◽  
Signs And Symptoms ◽  
Epidemiological Data ◽  
Educational Process ◽  
Pharmacological Treatments ◽  
Educational Settings ◽  
The Public ◽  
Patients With Heart Failure

Congestive heart failure (CHF) presents, besides the magnitude of epidemiological data, relevant characteristics, including frequent hospitalizations caused by severe signs and symptoms, which should be studied to reduce the negative impact of the disease on the public health system. With the advent of several clinical trials in the area of CHF, the treatment has become more complex, with the need of a more organized structure to assist these patients. Education is considered essential to reduce morbidity and mortality. The setting, to begin or to continue the educational process, can be a hospital (hospitalization), outpatient clinic, home, a day-hospital or yet, a combination of these. The main researches in this area recognize and motivate an investigation of other paths to get better results in the pharmacological and non-pharmacological treatments. In this study we review recent data, approaching several educational settings in the management of patients with CHF.

scholarly journals Telecuidado como uma estratégia de saúde para a adesão do paciente com insuficiência cardíaca – revisão integrative

2020 ◽  
Vol 19 (2) ◽  
pp. 591-639
Author(s):  
Maria Auxiliadora Ribeiro de Jesus Guerreiro ◽  
Selma Petra Chaves Sá Guerreiro ◽  
Kyra Vianna Alochio ◽  
Martha Tudrej Sattler Ribeiro
Keyword(s):  
Heart Failure ◽  
Signs And Symptoms ◽  
Adherence To Treatment ◽  
Pharmacological Treatments ◽  
Treatment Results ◽  
Monitoring Strategies ◽  
Number Of Patients ◽  
Patients With Heart Failure ◽  
Insuficiencia Cardiaca ◽  
Tele Monitoring

Objetivo: Identificar estrategias de telecuidado para pacientes con insuficiencia cardíaca que colaboran para la adhesión al tratamiento.Material y Método: Revisión integrativa de la literatura realizada en las bases de datos CINAHL, PubMed, Scielo y LILACS. La elaboración del problema fue guiada por la estrategia PICO que originó la siguiente pregunta: ¿Cuáles son las estrategias del telecuidado para los pacientes con insuficiencia cardíaca que contribuyen a su adhesión al tratamiento?Resultados: Dieciséis artículos atendieron a los criterios definidos por el estudio y por lo tanto, participaron del análisis de esta revisión.Conclusión: El telecuidado posibilita el acompañamiento de un número mayor de pacientes, contribuyendo al control de signos y síntomas de la insuficiencia cardiaca. Favorece la optimización de los tratamientos farmacológico y no farmacológico disminuyendo tasas de re-hospitalización y mortalidad. Objective: Identify tele-monitoring strategies for patients with heart failure who collaborate for adherence when it comes to treatment.Material and Method: Integrative review of the literature carried out in the databases CINAHL, PubMed, Scielo and LILACS. The elaboration of the problem was guided by the PICO strategy that gave rise to the following question: "What are the tele-monitoring strategies for patients with heart failure that contribute to their adherence to treatment?".Results: Sixteen articles met the criteria defined by the study and, therefore, participated in the analysis of this review.Conclusion: Tele-monitoring allows the monitoring of a larger number of patients, contributing to the control of signs and symptoms of heart failure. Also, It favors the optimization of pharmacological and non-pharmacological treatments, reducing rates of rehospitalization and mortality.

scholarly journals What to teach to patients with heart failure and why: the role of nurses in heart failure clinics

2007 ◽  
Vol 15 (1) ◽  
pp. 165-170 ◽  
Author(s):  
Eneida Rejane Rabelo ◽  
Graziella Badin Aliti ◽  
Fernanda Bandeira Domingues ◽  
Karen Brasil Ruschel ◽  
Anelise de Oliveira Brun
Keyword(s):  
Heart Failure ◽  
Self Care ◽  
Signs And Symptoms ◽  
Educational Process ◽  
Multidisciplinary Teams ◽  
Key Points ◽  
Patients With Heart Failure ◽  
Systematic Education ◽  
Education Process

The most important objective of heart failure (HF) treatment is to reach and preserve patients' clinical stability. Several studies have shown that programs aimed at systematic education, developed by multidisciplinary teams, are positive strategies to work with these patients. Nurses active in HF clinics play a fundamental role in the educational process and continuity of patient care. The objectives of these processes are to teach, reinforce, improve and constantly evaluate patients' self-care abilities, which include weight monitoring, sodium and fluid restrictions, physical activities, regular medication use, monitoring signs and symptoms of disease worsening and early search for medical care. Therefore, education to understand HF and the development of self-care abilities are considered key points to improve adherence, avoid decompensation crises and, consequently, to maintain patients clinically stable. This article presents a careful review of the aspects involved in the patient education process by nurses in the context of HF clinics.

P2263Prognostic impact of perceived social isolation in patients with heart failure

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
T Ikeda ◽  
K Iwatsu ◽  
K Matsumura ◽  
H Ashikawa ◽  
K Takabayashi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Social Isolation ◽  
Roc Curve ◽  
Negative Impact ◽  
Roc Curve Analysis ◽  
Rehospitalization Rate ◽  
Kaplan Meier ◽  
Patients With Heart Failure ◽  
Perceived Social Isolation ◽  
The Relationship

Abstract Background Perceived social isolation (SI), the subjective sense of feelings of loneliness or isolation, has a negative impact on health outcomes, particularly in older adults. Although SI may also contribute to poor prognosis in patients with HF, evidence on the relationship between SI and outcomes in patients with HF is limited. Purpose The aim of this study was to investigate the relationship between SI and hospital readmission in patients with HF. Methods This study was a single center prospective cohort study. We consecutively enrolled 203 patients (mean age 72.9±11.7) who admitted for acute HF or exacerbation of chronic HF. At hospital discharge, we assessed perceived SI by using Lubben Social Network Scale - 6 (LSNS-6). Lower scores in LSNS-6 represents greater SI. Study outcome was rehospitalization for worsening HF within 180 days after discharge. We selected the optimal cutoff point of LSNS-6 that predict a worse outcome by the receiver operating characteristic (ROC) curve analysis. We investigate the association between SI and 180-days HF rehospitalization by using Cox proportional-hazard models, controlling for potential confounding factors. Results During follow up, A total of 40events (19.7%) were observed. The optimal cut-off point of LSNS-6 score was 17 points (the area under the ROC curve: 0.62, p<0.05, sensitivity: 82.5%, specificity 42.4%). Kaplan-Meier survival curves showed that those patients with greater SI (LSNS-6≤17) presented significantly higher HF rehospitalization rate (Figure). After adjusting for several pre-existing prognostic factors, LSNS-6≤17 was independently associated with HF rehospitalization (hazard ratio2.15,95% confidence interval 1.00–4.89). Conclusion The present study shows that SI is a independent predictor of HF rehospitalization in patients with HF. Assessing SI in the clinical practice with a brief screening tool may help identify patients with heart failure at greater risk of rehospitalization.

Chronic heart failure diagnosis: symptoms, signs, and the ECG

ESC CardioMed ◽  
2018 ◽  
pp. 1758-1762
Author(s):  
Pardeep S. Jhund
Keyword(s):  
Heart Failure ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Clinical History ◽  
Response To Treatment ◽  
Cardiac Resynchronization ◽  
Patients With Heart Failure ◽  
Third Heart Sound ◽  
Therapeutic Decision Making ◽  
Heart Failure Diagnosis

The clinical history aims to elicit the symptoms that are commonly experienced by patients with heart failure such as dyspnoea, paroxysmal nocturnal dyspnoea, orthopnoea, and fatigue. The history may also provide clues as to the aetiology of heart failure and symptoms that suggest alternative diagnoses. Similarly, signs that are elicited on clinical examination are used to support the diagnosis of heart failure. In addition, they can be used to determine prognosis and assess response to treatment or the need for more intensive treatment. Common signs such as peripheral oedema, jugular venous distension, and pulmonary crackles are less specific for the diagnosis of heart failure than others such as a third heart sound. The presence of some clinical signs may help determine the aetiology of heart failure and indicate other potential diagnoses that may present like heart failure but require very different treatment. While signs and symptoms are used in conjunction with imaging evidence and raised natriuretic peptides to make the diagnosis of heart failure, the electrocardiogram (ECG) still plays a central role. The ECG can be used to determine underlying aetiology (such as evidence of prior myocardial infarction) and guide therapeutic decision-making such as the need for cardiac resynchronization therapy in those with bundle branch block. Information on symptoms, signs, and investigations such as the ECG need to be integrated to ensure the accurate diagnosis and optimal treatment of patients with heart failure.

scholarly journals Gambaran karakteristik gagal jantung pada anak di RSUP Prof. Dr. R. D. Kandou Manado

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Agnes A. Anthonius ◽  
Erling D. Kaunang ◽  
Ari L. Runtunuwu
Keyword(s):  
Heart Failure ◽  
Signs And Symptoms ◽  
Health Department ◽  
The Body ◽  
Shortness Of Breath ◽  
Design Data ◽  
Cross Sectional ◽  
Patients With Heart Failure ◽  
Characteristic Features ◽  
Cross Sectional Design

Abstract: Heart failure is the inability of the heart to pump adequate blood that fulfils the metabolic demands of the body, including growth. In Indonesia, it is still difficult to find the prevalence and incidence of heart failure in children. This study was aimed to determine the characteristic features of heart failure in children at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective descriptive study with a cross-sectional design. Data were obtained from the medical records of pediatric patients with heart failure within the period of January 2013 to August 2016 in the Child Health Department at Prof. Dr. R. D. Kandou Hospital. The results showed that there were 69 children with heart failure; the most common were females and age 12-18 years. The most common signs and symptoms were shortness of breath, fever, and cough. Heart murmurs and gallop were frequently found. Hepatomegaly, splenomegaly, ascites and edema of the legs were not commonly found. The electrocardiogram results were mostly sinus rhythm. The echocardiography results were mostly mitral regurgitation. The most common comorbid disease was rheumatic heart disease. Conclusion: At Prof. Dr. R. D. Kandou Hospital, heart failure in children was mostly found among females and age of 12-18 years. Most of the children showed shortness of breath, fever, and cough.Keywords: heart failure, child, characteristic features Abstrak: Gagal jantung merupakan ketidakmampuan jantung sebagai pompa darah untuk memenuhi secara adekuat kebutuhan metabolisme tubuh termasuk pertumbuhan. Di Indonesia sendiri masih sulit menemukan data prevalensi dan insiden gagal jantung pada anak. Penelitian ini bertujuan mengetahui gambaran karakteristik gagal jantung pada anak di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deksriptif retrospektif dengan desain potong lintang. Data penelitian diambil dari rekam medik pasien anak dengan gagal jantung periode Januari 2013 sampai Agustus 2016 di Bagian Ilmu Kesehatan Anak RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian mendapatkan 69 anak, terbanyak pada usia 12-18 tahun dan jenis kelamin perempuan. Tanda dan gejala terbanyak ialah sesak napas, demam, dan batuk. Bising jantung dan galop banyak ditemukan. Hepatomegali, splenomegali, ascites dan edema tungkai tidak banyak ditemukan. Hasil elektrokardiogram terbanyak ditemukan ialah irama sinus. Hasil ekokardiografi terbanyak ditemukan ialah regurgitasi mitral. Penyakit penyerta terbanyak ialah penyakit jantung rematik. Simpulan: Gagal jantung anak di RSUP Prof. Dr. R. D. Kandou Manado terbanyak pada usia 12-18 tahun, jenis kelamin perempuan, dengan gejala klinik sesak napas, demam, dan batuk. Kata kunci: gagal jantung, anak, gambaran karakteristik

scholarly journals NON-ADHERENCE TO HEPATITIS C TREATMENT: A BRAZILIAN REPORT

2021 ◽  
Vol 58 (4) ◽  
pp. 456-460
Author(s):  
Claudia Alexandra Pontes IVANTES ◽  
Bernardo Carvalho da SILVA ◽  
Gabriel Gonçalves ACOSTA ◽  
Fabiane Beatriz Neves El TAWIL ◽  
Renato NISIHARA
Keyword(s):  
Public Health ◽  
Hepatitis C ◽  
Health System ◽  
Public Health System ◽  
Epidemiological Data ◽  
Hepatitis C Treatment ◽  
The Public ◽  
Direct Acting Antiviral ◽  
Private Medicine ◽  
Direct Acting

ABSTRACT BACKGROUND: In Brazil, since 2015, the treatment of hepatitis C is provided by SUS (Public Health System) with direct-acting antiviral (DAA). OBJECTIVE: To describe the rate of non-adherence patients to hepatitis C treatment by DAA, investigating the epidemiological data in a large database from Curitiba, Brazil. METHODS: Retrospective study with patients treated between January 2015 and June 2019. Patients were considered adherent when received all medication doses during their treatment. The following data were evaluated: gender, age, type of treatment, period of treatment, presence of diabetes or HIV, previous therapy, originated from SUS or private medicine, fibrosis grade and HCV genotype. RESULTS: 1248 patients (56.8% males) were studied and 102/1248 (8.2%) were non-adherent to treatment. Age or gender not influenced significantly; 10.2% patients from SUS and 3.7% individuals from private medicine were non-adherent (P<0.0001; OR=2.9; CI95%=1.6-9.1); 13.1% patients were co-infected with HIV and among them, 15.9% abandoned treatment. Individuals without co-infection presented 7.0% of non-adherence (P<0.0001; OR=2.5; CI=1.5-4.1). All the other variables showed no differences in the adhesion rate. CONCLUSION: Our study showed that 8.2% of patients were non-adherent to HCV treatment, and that patients from the Public Health System and co-infected with HIV were significantly less adherent.

Strategies for Behavior Change in Patients With Heart Failure

2004 ◽  
Vol 13 (4) ◽  
pp. 305-313 ◽  
Author(s):  
Sara Paul ◽  
Nancee V. Sneed
Keyword(s):  
Heart Failure ◽  
Behavior Change ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Signs And Symptoms ◽  
Lifestyle Changes ◽  
Readiness For Change ◽  
Dietary Sodium ◽  
Actual Behavior ◽  
Patients With Heart Failure

Appropriate management of chronic heart failure and its signs and symptoms requires a considerable amount of participation by patients. Behavioral changes that prevent or minimize signs and symptoms and disease progression are just as important as the medications prescribed to treat the heart failure. The most difficult lifestyle changes include smoking cessation, weight loss, and restriction of dietary sodium. The Transtheoretical Model is a framework for assessing and addressing the concept of readiness for behavior change, which occurs in a 6-step process. The model consists of 3 dimensions: the stages of change, the processes of change on which interventions are based, and the action criteria for actual behavior. The stages of change are discussed, and interventions are presented to assist patients with heart failure in progressing through those stages toward maintenance of changed lifestyle behaviors. Methods for measuring the level of readiness for change of patients with heart failure are also presented, because correct staging is required before appropriate interventions matched to a patient’s stage can be delivered.

Sleep-disordered Breathing and Heart Failure – Insights from Speckle Tracking Echocardiography

2012 ◽  
Vol 8 (1) ◽  
pp. 40
Author(s):  
Masaaki Takeuchi ◽  
Nobuhiko Haruki ◽  
Yutaka Otsuji ◽  
◽  
◽  
...  
Keyword(s):  
Heart Failure ◽  
Speckle Tracking ◽  
Sleep Disordered Breathing ◽  
Speckle Tracking Echocardiography ◽  
Negative Impact ◽  
Two Dimensional ◽  
Patients With Heart Failure ◽  
Significant Negative Impact ◽  
Recent Developments ◽  
Disordered Breathing

Patients with heart failure frequently have associated sleep-disordered breathing, which has a significant negative impact on cardiac function. Echocardiography is a versatile modality for the management of heart failure. Recent developments in speckle tracking analysis have demonstrated that two-dimensional strain has potential for the quantification of subclinical abnormalities in ventricular function. This article outlines the utility of speckle tracking echocardiography in patients with heart failure and sleep-disordered breathing.

Sign in / Sign up

Export Citation Format

Share Document