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Related Concept Videos

Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

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,...
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

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...
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

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.
Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

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...
Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...

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Related Experiment Video

Updated: Jul 10, 2026

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
05:16

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

Published on: June 10, 2025

Associations Between Palliative Care Needs and Health Status in Heart Failure.

Ubolrat Piamjariyakul1, Stephanie Young1, Sijin Wen2

  • 1School of Nursing, West Virginia University, Morgantown, WV, USA.

The American Journal of Hospice & Palliative Care
|July 8, 2026
PubMed
Summary

Palliative care needs and depression significantly impact heart failure (HF) health status in rural Appalachia. Addressing these, alongside income adequacy, is crucial for patient-centered home-based care.

Keywords:
Kansas city cardiomyopathy questionnaireadvanced heart failuremultiple regressionpalliative care needspatient-centered carerural appalachia

Related Experiment Videos

Last Updated: Jul 10, 2026

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
05:16

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

Published on: June 10, 2025

Area of Science:

  • Cardiology
  • Geriatrics
  • Palliative Care

Background:

  • Heart failure (HF) presents a significant global health burden, particularly impacting functional status and quality of life (QOL) in rural populations.
  • Health status is a critical patient-reported outcome in HF management.
  • Palliative care interventions are recognized for their role in improving QOL for patients with chronic illnesses.

Purpose of the Study:

  • To evaluate HF-related health status as a patient-reported outcome.
  • To investigate the combined influence of palliative care and psychosocial factors on HF health status.
  • To focus on individuals receiving home-based care in rural Appalachia.

Main Methods:

  • A cross-sectional correlational design utilized baseline data from a clinical trial in rural Appalachia.
  • Seventy-nine adults (≥50 years) with advanced HF participated.
  • Patient-reported HF status was measured using the Kansas City Cardiomyopathy Questionnaire (KCCQ), alongside the Integrated Palliative Outcome Scale (IPOS) and psychosocial variables; stepwise multiple regression analysis was performed.

Main Results:

  • The final model explained 60% of the variance in HF health status (R² = .60, P < .001).
  • Increased palliative care needs (β = -.34) and depression (β = -.28) were significantly associated with poorer HF health status.
  • Higher income adequacy (β = .19) correlated with better HF health status.

Conclusions:

  • HF health status is a complex interplay of physical symptoms, psychological distress, and socioeconomic factors.
  • Integrating palliative and psychosocial assessments is vital for identifying unmet needs in rural HF populations.
  • This approach facilitates the delivery of more targeted, patient-centered home-based care for individuals with HF.