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Related Concept Videos

Heart Failure VII: Nursing Interventions01:30

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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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Heart Failure VI: Adjunct Therapies01:22

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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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Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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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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A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
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Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
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Producing an effective care plan in advanced heart failure.

Loreena Hill1

  • 1Queen's University, Belfast, Northern Ireland, UK.

European Heart Journal Supplements : Journal of the European Society of Cardiology
|January 8, 2020
PubMed
Summary

Effective discharge planning and patient-centered care improve outcomes for advanced heart failure (HF) patients. Telemedicine offers optimized monitoring but faces limited implementation in European clinical practice.

Keywords:
Care planHeart failure

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Area of Science:

  • Cardiology
  • Health Services Research
  • Digital Health

Background:

  • Advanced heart failure (HF) management requires effective discharge planning for better patient outcomes.
  • Patient-centered care planning enhances satisfaction, quality of life, and self-care in HF patients.
  • Telemedicine presents opportunities for optimized monitoring of advanced HF patients.

Purpose of the Study:

  • To summarize key expert discussions on effective management plans for advanced heart failure patients.
  • To highlight challenges and opportunities in implementing physiological monitoring and telemedicine for complex HF patients.

Main Methods:

  • Expert panel discussions during a Heart Failure Association meeting.
  • Focus on physiological monitoring of complex, multimorbid heart failure patients.

Main Results:

  • Effective discharge plans are linked to improved outcomes in advanced HF.
  • Patient-centered care improves patient satisfaction, quality of life, and self-care.
  • Telemedicine's potential for optimized monitoring is recognized, but clinical implementation is limited across Europe.

Conclusions:

  • Integrated management plans incorporating discharge planning, patient-centered care, and potentially telemedicine are crucial for advanced HF.
  • Further efforts are needed to overcome barriers to telemedicine implementation in European clinical practice for HF management.