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Related Concept Videos

Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

29
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...
29
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

36
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.
36
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

145
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,...
145
Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

38
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...
38
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

51
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...
51
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

38
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...
38

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Related Experiment Video

Updated: Sep 16, 2025

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
03:47

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Published on: July 12, 2024

880

Shared Decision-Making in Heart Failure.

Sarah Young1, Kelly Bosak2

  • 1AdventHealth, Shawnee Mission, Merriam, KS, USA.

Journal of Doctoral Nursing Practice
|July 10, 2025
PubMed
Summary
This summary is machine-generated.

Shared decision-making for pulmonary artery pressure monitoring devices was positively perceived by both patients and providers. This technology aids in timely heart failure management and remote monitoring.

Keywords:
advanced practice nursechronic heart failureclinical decision-makingpatient satisfactionpulmonary arter

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Area of Science:

  • Cardiovascular medicine
  • Biomedical engineering
  • Health informatics

Background:

  • Remote monitoring of pulmonary artery (PA) pressure using implanted microelectromechanical systems (MEMS) enables proactive management of fluid overload in heart failure patients.
  • This technology facilitates timely interventions, potentially improving patient outcomes and reducing hospital readmissions.

Purpose of the Study:

  • To investigate patient and healthcare provider perceptions of shared decision-making (SDM) regarding the implantation of a cardio-MEMS PA pressure monitoring device.
  • To assess the concordance between patient and provider views on the SDM process for this innovative cardiac monitoring technology.

Main Methods:

  • A qualitative study involving eight patient-provider dyads at an academic cardiology clinic.
  • Participants completed a shared decision-making questionnaire prior to the implantation procedure.

Main Results:

  • A high level of agreement was reported by the majority of healthcare providers, indicating that SDM occurred.
  • Patient responses to the SDM questionnaire were varied but consistently positive, reflecting a favorable experience.

Conclusions:

  • Patient and provider perceptions of shared decision-making for the implantation of the PA pressure monitoring device were positive and aligned.
  • Future research should focus on developing interventions to enhance specific SDM behaviors for this technology.