Related Experiment Video
Updated: Jun 11, 2025
07:09
A Surgical Model of Heart Failure with Preserved Ejection Fraction in Tibetan Minipigs
Published on: February 18, 2022
1.8K
Heart Failure in Older People Part 2: Guideline-Directed Medical Therapy
Elizabeth Pogge1, Stephanie Sibicky2
11 Midwestern University College of Pharmacy-Glendale, Glendale, Arizona.
The Senior Care Pharmacist
|October 3, 2024
Summary
Older adults with heart failure are often undertreated with guideline-directed medications. Senior care pharmacists are crucial in optimizing heart failure treatment and improving patient outcomes through recommendations and education.
Area of Science:
- Cardiology
- Geriatrics
- Pharmacology
Background:
- Heart failure (HF) is a prevalent cardiovascular disease, particularly in older populations, associated with high mortality rates.
- Recent advancements in HF treatment include novel evidence-based therapies and refined medication initiation/titration strategies.
- Despite established guidelines recommending four key medications, older adults frequently receive suboptimal treatment for HF.
Purpose of the Study:
- To highlight the critical role of senior care pharmacists in managing heart failure in older adults.
- To emphasize the importance of guideline-directed medical therapy (GDMT) in this demographic.
- To underscore the need for pharmacist-led interventions to improve HF care for seniors.
Main Methods:
- Review of current literature on heart failure management in older adults.
- Analysis of the impact of guideline-directed medications on HF outcomes.
- Examination of the pharmacist's role in therapeutic recommendations, monitoring, and patient/provider education.
Main Results:
- Older adults with heart failure are often undertreated with guideline-directed medications.
- Senior care pharmacists actively contribute to heart failure management through expert recommendations.
- Pharmacist interventions include monitoring therapeutic progress and educating patients and caregivers.
Conclusions:
- Senior care pharmacists are integral to optimizing heart failure treatment in older individuals.
- Effective management of heart failure in the elderly requires adherence to guideline-directed therapies.
- Pharmacist involvement can significantly improve therapeutic interventions and patient education in heart failure care for seniors.
More Related Videos
Related Concept Videos
01:30Heart Failure V: Medical Management
2
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...
2
01:22Heart Failure VI: Adjunct Therapies
5
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.
5
01:30Heart Failure V: Nursing Interventions
2
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,...
2
01:26Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
395
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
395
01:30Heart Failure IV: Classification and Diagnostic Evaluation
2
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...
2
01:28Mitral Regurgitation IV: Nursing Management
3
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...
3