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Related Concept Videos

Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...

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Related Experiment Video

Updated: Jul 26, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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A clinical pathway for congestive heart failure.

L M Hoskins1, H M Clark, M A Schroeder

  • 1FAAN, School of Nursing, The Catholic University of America, Cardinal Station, Washington, DC 20064, USA. hoskins@cua.edu

Home Healthcare Nurse
|May 3, 2002
PubMed
Summary

Clinical pathways improve patient outcomes. Further coordination strategies, like telehealth, are needed for enhanced healthcare delivery under prospective payment systems (PPS).

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Area of Science:

  • Healthcare Management
  • Clinical Informatics

Background:

  • Clinical pathways have demonstrated efficacy in improving patient outcomes.
  • Prospective Payment Systems (PPS) necessitate enhanced care coordination strategies.
  • Existing care models may require augmentation to meet evolving healthcare demands.

Purpose of the Study:

  • To evaluate the impact of clinical pathways on patient outcomes.
  • To identify necessary advancements in healthcare coordination under PPS.
  • To explore the potential of telehealth in improving patient care.

Main Methods:

  • Review of existing literature on clinical pathways and PPS.
  • Analysis of healthcare coordination models.
  • Exploration of telehealth applications in patient management.

Main Results:

  • Clinical pathways are associated with improved patient outcomes.
  • Enhanced coordination between healthcare providers and patients is crucial under PPS.
  • Telehealth presents a viable option for improving care coordination.

Conclusions:

  • While clinical pathways enhance outcomes, additional coordination mechanisms are vital for PPS.
  • Telehealth integration offers a promising avenue for improved healthcare delivery and patient engagement.
  • Future research should focus on implementing and evaluating telehealth-based coordination strategies.