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Related Concept Videos

Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

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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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Mitral Regurgitation IV: Nursing Management01:28

Mitral Regurgitation IV: Nursing Management

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Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
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Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

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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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Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

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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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Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

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Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
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Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

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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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Developing and Implementing an mHealth Heart Failure Self-care Program to Reduce Readmissions: Randomized Controlled

Amber E Johnson1,2, Shuvodra Routh3, Christy N Taylor4

  • 1Division of Cardiology, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.

JMIR Cardio
|March 21, 2022
PubMed
Summary

A mobile health (mHealth) program can help heart failure (HF) patients manage their condition after hospital discharge. This pilot study found the mHealth tool feasible and acceptable, showing promising trends in improving quality of life and reducing rehospitalization.

Keywords:
cardiologyheart failurehospital readmissionmHealthmobile healthpatient-centeredremote monitoringself-careself-managementtelehealth

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Area of Science:

  • Digital health interventions
  • Cardiovascular disease management
  • Patient-centered outcomes research

Background:

  • Patients with decompensated heart failure (HF) face high readmission risks and reduced quality of life post-discharge.
  • Lifestyle modifications improve quality of life in chronic cardiac conditions.
  • The effectiveness of mobile health (mHealth) programs for HF self-management post-discharge is not well-established.

Purpose of the Study:

  • To develop and assess the feasibility of an mHealth program for enhancing HF self-management.
  • To increase patient knowledge, self-efficacy, and symptom detection in HF management.
  • To hypothesize patient willingness to use a deployed mHealth program post-discharge.

Main Methods:

  • A patient-centered outcomes research methodology was used to design the mHealth program.
  • Adult HF patients were randomized to an mHealth intervention or usual care.
  • Feasibility outcomes included deployment ease, clinical escalation, recruitment duration, and attrition; surveys assessed demographics and HF characteristics at baseline and 30/90 days post-discharge.

Main Results:

  • The study enrolled 31 patients (mean age 60.4 years; 58% male; 77% White).
  • The mHealth program was found to be feasible to deploy and acceptable to patients.
  • Trends suggested improved quality of life and longer time to rehospitalization for mHealth users, indicating potential for better HF prognosis.

Conclusions:

  • The mHealth tool shows promise for supporting HF patients in leading healthier, independent lives.
  • Further assessment in larger comparative effectiveness trials is warranted.
  • Patient-centered mHealth tools can empower high-risk HF patients in post-discharge management.