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Related Concept Videos

Pathophysiology of Heart Failure01:17

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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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β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation,...
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Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
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Heart Failure Drugs: Diuretics01:22

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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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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Related Experiment Video

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Development of a Heart Failure Palliative Care Educational Program for Nurses: A Multi-Method Approach.

Imane Bagheri1, Alireza Irajpour2, Narges Hashemi3

  • 1Student Research Committee, Department of Adult Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran, Research Center for Nursing and Midwifery Care, Non-communicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Iranian Journal of Nursing and Midwifery Research
|May 9, 2024
PubMed
Summary

This study designed a palliative care educational program for cardiac nurses. The program equips nurses with knowledge to better manage the complex needs of heart failure patients.

Keywords:
Heart failurenursespalliative careprogram development

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Area of Science:

  • Cardiology
  • Nursing Education
  • Palliative Care

Background:

  • Palliative care for heart failure patients can be improved through specialized nursing education.
  • Cardiac nurses require targeted training to address the multifaceted needs of heart failure patients.

Purpose of the Study:

  • To design a comprehensive palliative care educational program for nurses caring for heart failure patients.
  • To enhance the capacity of cardiac nurses in delivering holistic palliative care.

Main Methods:

  • A multi-method approach was employed, incorporating steps from the Uys educational program development model.
  • Educational needs were identified through literature review, patient and nurse interviews, medical record analysis, and observation.
  • A Delphi technique with 15 expert panel members was used to assess the necessity and importance of proposed topics and teaching/evaluation methods.

Main Results:

  • Six general fields and 26 learning topics were identified as crucial for nurses' palliative care education.
  • Consensus was not reached on specialized knowledge and social support aspects, leading to their exclusion from the initial program design.
  • The program structure was finalized, including mission, vision, learning topics, goals, objectives, teaching strategies, and evaluation strategies.

Conclusions:

  • The developed educational program provides nurses with current information on the physical, psychological, social, and spiritual needs of heart failure patients.
  • Implementation of this program is expected to improve the quality of care and services provided to heart failure patients.