Heart Failure, An Issue of Critical Nursing Clinics

Jennifer Kitchens

Description

Heart failure is the only cardiovascular disease that is increasing. The impact on the critical care environment and the health care system, as a whole, is significant from both a cost and burden to the system perspective. There are 6.5 million hospital days a year and nearly $40 billion dollars in yearly health care costs attributed to heart failure in the United States. There are more Medicare monies spent for diagnosing and treating heart failure than any other Diagnosis Related Group. There is a 24% hospital re-admission rate for this diagnosis which leads to financial implications for health care systems.The human cost is also significant. Less than half of Americans diagnosed with heart failure survive greater than 5 years. The ongoing health care needs and cost of this chronic disease takes a significant toll on patients’ finances, time and quality of life. Over $2.9 billion dollars is spent annually on the pharmaceutical management of heart failure in the United States. This diagnosis is the leading cause of hospitalization for patients who are 65 years of age and older. Few health care providers in the critical care environment are not affected by heart failure on a routine basis. Caring for these patients and their families is both a challenging and yet a rewarding experience. This edition will provide critical care nurses with a comprehensive heart failure review which is essential in caring for this challenging population given the dynamic health and critical care environments.

Sujets

• Médecine
• Spécialités médicales
• Médecine d'urgence
• Critical Care
• Medical

Informations

• Publié par: Elsevier
• Date de parution: 07 janvier 2016
• Nombre de lectures: 0
• EAN13: 9780323402439
• Langue: English
• Poids de l'ouvrage: 3 Mo

Extrait

Heart Failure
Critical Care Nursing Clinics of North America
Editors
Jennifer Kitchens, MSN,RN,ACNS-BC,CVRN
Acuity Adaptable, Risk Management, Eskenazi Health, Indianapolis, IN, USA
Lenora Maze, MSN, RN, CNRN
Critical Care and Neuroscience, Risk Management, Eskenazi Health, Indianapolis, IN, USA
Consulting Editor
Jan Foster

Clinics Review Articles

www.ccnursing.theclinics.com

December 2015 Volume 27 Number 4
Table of Contents
Cover image
Title page
Copyright
Contributors
Consulting Editor
Editors
Authors
Forthcoming Issues
Forthcoming Issues
Recent Issues
Preface. Heart Failure
Heart Failure: A Primer
Key points
Introduction
Heart failure defined
Common causal pathways to heart failure
Prevailing pathophysiologic mechanisms of heart failure
Diagnosing heart failure
Heart failure management strategies
Summary
References
Heart Failure and Atrial Fibrillation
Key points
Introduction
The heart failure-atrial fibrillation connection
Anticoagulation
Rate control
Rhythm control
Cardioversion
Device therapy
Catheter ablation
Hybrid ablation
Surgical ablation
Left atrial appendage occlusion
Other strategies
Summary
References
Hypertensive Crisis: A Review of Pathophysiology and Treatment
Key points
Introduction
Definitions
Clinical presentation
Pathophysiology
Etiology
Pharmacologic treatment approach
Summary
References
Hemodynamics of Acute Right Heart Failure in Mechanically Ventilated Patients with Acute Respiratory Distress Syndrome
Key points
Introduction
Acute right ventricular failure
Oxygenation
Compensation
Key concepts
Key concepts
Summary
Simple strategies
Case presentation
References
Mechanisms of Cardiotoxicity and the Development of Heart Failure
Key points
Introduction
Cancer therapies and cardiotoxicity
Biological agents and heart failure
Alcoholic cardiomyopathy
Cocaine and the development of heart failure
Summary
References
Characteristics, Complications, and Treatment of Acute Pericarditis
Key points
Introduction
Structure and function of the pericardium
Definition of acute pericarditis
Incidence
Causes
Diagnosis
Prognosis
Clinical management
Disease complications
Current Evidence
Summary
References
High-Output Heart Failure Caused by Thyrotoxicosis and Beriberi
Key points
Introduction
Thyrotoxicosis
Beriberi
Caring for the patient with high-output heart failure caused by thyrotoxicosis or beriberi
Summary
References
Sleep and Heart Failure
Key points
Introduction
Sleep physiology
Sleep-disordered breathing
Consequences of sleep-disordered breathing on heart failure
Identifying patients with sleep-disordered breathing
Treatment of sleep-disordered breathing in heart failure
Clinical implications
Summary
References
Patient Safety Coalition: A Focus on Heart Failure
Key points
Introduction
Background of patient safety coalitions
Tactics to reduce readmission rates
Transitions of care: hospital to skilled nursing facilities
Implementation of minimum care standards for the care of patients with heart failure
Better verbal communication
Transitions of care: hospital to home health care
Outcomes
Discussion
Summary
Acknowledgments
References
The Role of the Nurse Navigator in the Management of the Heart Failure Patient
Key points
The nurse navigator
Heart Success Transition Clinic
Virtual Heart Success Transition Clinic
Standardization of patient education
Group visit model implementation
Heart failure nurse navigator
References
Ventricular Assist Device and Destination Therapy Candidates from Preoperative Selection Through End of Hospitalization
Key points
Pulsatile/continuous flow physiology
Patient selection and preoperative considerations
Intraoperative considerations
Postoperative considerations
Patient and caregiver education
Summary
References
Cardiac Transplantation: Considerations for the Intensive Care Unit Nurse
Key points
Introduction
Preoperative preparation
Perioperative period
Postoperative period
Summary
References
Palliative Care in Heart Failure
Key points
Heart failure background
What is palliative care?
Complexities of heart failure and palliative care
Basic palliative care for heart failure
Future direction of palliative care in heart failure
References
Copyright
ELSEVIER
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CRITICAL CARE NURSING CLINICS OF NORTH AMERICA Volume 27, Number 4 December 2015 ISSN 0899-5885, ISBN-13: 978-0-323-40242-2
Editor: Kerry Holland
Developmental Editor: Colleen Viola
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Contributors
Consulting Editor
AN FOSTER, PhD, APRN, CNS , Formerly, Associate Professor, College of Nursing, Texas Woman s University, Houston; Currently, President, Nursing Inquiry and Intervention Inc., The Woodlands, Texas
Editors
ENNIFER KITCHENS, MSN, RN, ACNS-BC, CVRN , Clinical Nurse Specialist, Acuity Adaptable, Risk Management, Eskenazi Health, Indianapolis, Indiana
LENORA MAZE, MSN, RN, CNRN , Clinical Nurse Specialist, Critical Care and Neuroscience, Risk Management, Eskenazi Health, Indianapolis, Indiana
Authors
WINDY ALONSO, MS, RN , Research Assistant and Doctoral Student, The Pennsylvania State University College of Nu