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Related Concept Videos

Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

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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...
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Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

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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...
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Heart Failure I: Introduction01:27

Heart Failure I: Introduction

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Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
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Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

301
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Heart Failure Drugs: Diuretics01:22

Heart Failure Drugs: Diuretics

893
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
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Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

256
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...
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Updated: Jan 26, 2026

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
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Evidence-Based Practice Guideline: Assessing Heart Failure in Long-Term Care Facilities.

Candace C Harrington

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    Summary

    Effective heart failure (HF) management in long-term care (LTC) requires staff education, integrated communication, and advanced care planning. This guideline offers evidence-based practices for improving HF care quality in LTC settings.

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    Area of Science:

    • Gerontology
    • Cardiovascular Nursing
    • Healthcare Quality Improvement

    Background:

    • Heart failure (HF) management in long-term care (LTC) faces challenges despite available best practices.
    • Quality HF care improves when all team members, including direct caregivers, are involved in resident care planning.

    Purpose of the Study:

    • To summarize a revised evidence-based practice guideline for HF management in LTC.
    • To outline a systematic approach to HF care delivery and quality improvement initiatives.

    Main Methods:

    • Review and synthesis of evidence-based practices for HF management.
    • Development of a revised guideline focusing on assessment, care delivery, and quality improvement.

    Main Results:

    • Key elements for successful HF management in LTC include staff HF knowledge, interprofessional communication, risk stratification, and advanced care planning.
    • Implementation of evidence-based practices can enhance HF care quality in LTC, post-acute, and rehabilitation settings.

    Conclusions:

    • A systematic, team-based approach incorporating enhanced staff knowledge and communication is crucial for optimal HF management in LTC.
    • Revised evidence-based guidelines provide a framework for improving HF quality initiatives in various care settings.