End-of-life care in heart failure.

نویسنده

  • Sarah J Goodlin
چکیده

The clinical syndrome of heart failure is increasing in prevalence, as is the number of elderly persons with heart failure. Increasing frailty and progression of heart failure in large numbers of patients means clinicians are increasingly challenged to provide end-of-life care for heart failure patients. End-of-life care has been little studied, but management can be understood from early clinical trials of advanced heart failure. Evidence-based heart failure medications, including angiotensin-converting enzyme inhibitors and beta blockers, improve symptoms in patients with advanced heart failure and depressed ejection fraction and should usually be continued in end-stage disease. Patients also should have ongoing meticulous management of fluid status to maximize quality of life. End-of-life care should be planned with the patient and family and should incorporate comprehensive symptom management, bereavement support, and spiritual support. Ongoing communication with patients and families about prognosis can ease the planning of care when the end of life nears.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Effect of applying the specific situation theory on the quality of life in patients with heart failure

Background & Aim: Self-care education is one of the effective ways to improve the quality of life and health in patients with heart failure. The purpose of this study was to determine the effect of applying the specific situation theory on the quality of life in patients with heart failure. Methods & Materials: In a clinical trial study, 80 patients with class 2 or 3 heart failure, referred to...

متن کامل

Relationship Between Health-Promoting Lifestyle and Self-Care Behaviors in Patients With Heart Failure

Background: Healthy lifestyle is the mainstay of improving people’s health. Also, self-care helps increase the quality of life and maintaining independence. This study aimed to determine the relationship between health-promoting lifestyle and self-care behaviors in patients with heart failure. Methods: In this predictive correlational study, a total of 200 patients with heart failure were sele...

متن کامل

Designing a Home Care Model for Patients with Heart Failure: A Mixed Method Study

 Background and purpose: A major reason for readmission in patients with heart failure is inadequate transfer of care from hospital to home. The aim of this study was to design a comprehensive model of home care for these patients. Materials and methods: This mixed-method study was performed in Rasht Heshmat Hospital in 2020-21. In qualitative phase, interviews were conducted with 28 people, s...

متن کامل

Self-care behaviors in patients with systolic heart failure

Background and Purpose: To improve life quality, and lower mortality and rehospitalization for heart failure patients, awareness and adherence to self-care behaviors are essential. This study aims to determine the adherence level to self-care behaviors in the patients with systolic heart failure hospitalized in Alborz hospital in Karaj andShahriar hospital, and it was conducted in 2013. Methods...

متن کامل

Relationship between Health Literacy and Quality of Life in Patients with Heart Failure

 Background and purpose: Health literacy is one of the factors affecting the knowledge, attitude and behavior change, and quality of life of patients with heart failure. The purpose of this study was to determine the relationship between health literacy and quality of life in patients with heart failure. Materials and methods: This correlational study was performed in 250 patients with heart f...

متن کامل

The Effect of an Educational Self-Care Program on Knowledge and Performance in Patients with Heart Failure

Introduction: The most important causes for mortality rate and poor quality of life in patients with heart failure arise from insufficient and inappropriate self-care. This study determines the effect of an educational self- care program on knowledge and performance in patients with heart failure. Methods: This quazi-experimental study included 80 patients with heart failure hospitalized in Ke...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Current cardiology reports

دوره 11 3  شماره 

صفحات  -

تاریخ انتشار 2009