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Heart Failure III: Clinical Manifestations

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 VII: Nursing Interventions

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,...

Heart Failure VI: Adjunct Therapies

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.

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...

Heart Failure V: Medical Management

Heart Failure V: Medical Management

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...

Heart Failure IV: Classification and Diagnostic Evaluation

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...

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Related Experiment Video

Updated: Jul 12, 2026

A Pacing-Controlled Procedure for the Assessment of Heart Rate-Dependent Diastolic Functions in Murine Heart Failure Models

A Pacing-Controlled Procedure for the Assessment of Heart Rate-Dependent Diastolic Functions in Murine Heart Failure Models

Published on: July 21, 2023

Promoting palliative care for people with heart failure: the P3HF study protocol.

Yutong Men¹, Nathan Wright², Giselle O'Connor²

¹Yale School of Public Health, 60 College St, New Haven, CT, 06510, USA. yutong.men@yale.edu.

BMC Palliative Care

|July 10, 2026

Summary

Palliative care improves quality of life for heart failure patients, but is underutilized. The Promoting Palliative Care for People with Heart Failure (P3HF) Clinical Decision Support (CDS) tool aims to increase palliative care consultations for hospitalized patients.

Keywords:

Clinical decision support tool Heart failure Palliative care

Related Experiment Videos

Last Updated: Jul 12, 2026

A Pacing-Controlled Procedure for the Assessment of Heart Rate-Dependent Diastolic Functions in Murine Heart Failure Models

A Pacing-Controlled Procedure for the Assessment of Heart Rate-Dependent Diastolic Functions in Murine Heart Failure Models

Published on: July 21, 2023

Area of Science:

Cardiology
Palliative Medicine
Health Informatics

Background:

Heart failure (HF) is a chronic, life-limiting illness with significant symptom burden and end-of-life suffering.
Palliative care (PC) is recommended for HF patients but is received by fewer than 20%.
The Promoting Palliative Care for People with Heart Failure (P3HF) Clinical Decision Support (CDS) tool was developed to address this gap.

Purpose of the Study:

To describe the development of the P3HF CDS tool.
To outline the protocol for a pragmatic randomized clinical trial evaluating the P3HF CDS tool's effectiveness.
To assess the usability, acceptability, feasibility, and efficacy of the P3HF CDS tool in increasing inpatient palliative care consultations.

Main Methods:

A pragmatic randomized clinical trial will be conducted at two urban hospitals within a single health system.
Eligible patients include hospitalized adults (≥18 years) with heart failure, NT-proBNP ≥500 pg/mL, and recent IV diuretic use.
A mixed-methods design will analyze EHR data, surveys, and interviews with clinicians to evaluate implementation outcomes and clinical efficacy.

Main Results:

The P3HF CDS tool integrates a prognostic-risk model, tiered functionality, and behavioral nudges within the EHR.
The primary clinical outcome is an increase in inpatient palliative care consultations.
Secondary outcomes include increased outpatient PC referrals, improved advance care planning, higher hospice enrollment, and reduced hospital length of stay and readmissions.

Conclusions:

The P3HF CDS tool is an evidence-based, user-informed intervention designed to facilitate timely palliative care for heart failure patients.
The P3HF trial will provide crucial data on the acceptability and real-world effectiveness of this CDS tool in clinical settings.