PICOT Analysis on Chronic Heart Failure
One may describe heart failure (HF) as a complicated medical condition which may arise due to functional or structural cardiac disorders capable of hindering ventricular capability of ejecting or filling blood. Chronic HF (CHF) represents a serious health issue. Its prevalence in America stands at over 5.8 million, while over 23 million individuals across the globe are affected by this problem. The mortality rate linked to HF is 40% in the initial diagnostic year, which reduces to 10% subsequently. Individuals most impacted by the condition lie in the age group of over 65 years. This age group is associated with rather high healthcare costs and high mortality and morbidity rates. HF patients get admitted to hospitals often and their re-hospitalization rates continually increase. In this paper, peer-reviewed articles will be employed for shedding light on the clinical issue, its diagnosis, patient care and the potential positive impact of nurse interventions on HF patient outcomes.
Clinical Problem
HF can surface because of LVSD (left ventricular systolic dysfunction) which largely arises on account of impairment in the left ventricle's contraction. Diagnosed individuals possess a narrowed LVEF (left ventricular ejection fraction). HF takes another form: as PEF (preserved ejection fraction) which is characterized by impairment in left ventricle relaxation and preserved or normal LVEF. HF patients may experience dyspnea with recumbency or with exertion. Other associated signs include dependent swelling, early satiety, swift tiredness and cough. HF has been related closely to hypertension, valvular heart disease, myocardial...
Lastly, the condition may be a secondary element of diseases not linked typically to LVSD (for instance, infiltrative disorders (like sarcoidiosis and amyloidosis), pericardial disease, and hypertrophic cardiomyopathy).
HF-diagnosed individuals ought to be tested for LVEF, and the test ought to be repeatedly performed with modification in clinical situation when physical tests or patient history cannot easily explain it. Also, it ought to be tested six months following surgical revascularization (Nicklas et al. 2013).
Evidence-Based Solution
Appropriate clinical evaluation will be able to identify patients that may display response to electro-physiological device implantation and pharmacologic therapy. Experts revealed that beta blockers, aldosterone inhibitors, and angiotensin-converting EIs (enzyme inhibitors) help decrease HF morbidity and mortality rates. They also indicate the potential of biventricular pacemakers and cardiac defibrillators in improving results among particular patients with reduced LVEF (Nicklas et al. 2013).
Nursing Intervention
Healthcare professionals, including nurses, ought to aim at treating triggering/causal factors and decreasing cardiac workload. This may be achieved through approaches like oxygen delivery for relieving ischemia; the flow rate must depend on individual patient state and hospital policy. The maintenance of activity restrictions ought to be guided by the activity tolerance of patients. Nursing staff must constantly appraise and record electrocardiogram rhythm, mental health condition, vital signs, urine output, lung and heart…
Heart failure is a serious medical condition that is brought by the failure of the heart to pump sufficient blood throughout the body at the right pressure. Generally, this condition is a progressive and chronic disease in which the heart muscle is incapable to pump adequate blood for all blood and oxygen needs of the body. Since the heart cannot keep up with its workload under this condition, it attempts
Heart failure has been described as a "complex clinical syndrome that results from either structural or functional impairment of ventricular filling or ejection," (Alspach, 2014, p. 1). Because of the multifaceted nature of heart failure, it is important to recognize its various symptoms and dimensions. Heart failure in general presents a major public health concern, with current prevalence at over five million adults in the United States and over 650,000
Heart Failure Literature Critique of Articles concerning Heart Failure The two articles in this literature review are concerned with different aspects of care for patients diagnosed with some stage of heart failure (HF). Heart failure is one of the most prevalent and debilitating diseases worldwide and is the leading cause for hospitalizations for people older than 65 years (Schwarz, Mion, Hudock & Litman, 2007). These two articles look at ways of
Treatment of Heart Failure in Nursing Home Residents Heart failure (HF) symptoms may occur because of systemic and pulmonary congestion, structural defects arising on account of HF, structural defects leading to HF, or from treatment complications. At first, studies addressing the issue of heart failure focused on HF patients and decreased left ventricular contraction. As a result, therapies were tested within this patient cluster. This patient cluster's agreed description is HF
Heart Failure Medication The purpose of the article by Gordin and Fonarow (2016) entitled “New Medications for Heart Failure” is to examine and discuss established guidelines for medical treatment for heart failure. Specifically, the article examines pharmacological interventions for heart failure with regard to ACE inhibitors, beta blockers, aldosterone antagonists and reduced ejection fraction. It looks at recent studies that have allowed new therapeutic methods to be developed using ivabradine and
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