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Condition: Heart Failure

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Total 61 results found since Jan 2013.

Effects of introducing a fee for “bed blockers” on adverse events among patients hospitalized for chronic obstructive pulmonary disease, heart failure, hip fracture and stroke
Conclusion: Overall, there is no strong evidence to suggest that the Norwegian healthcare Coordination Reform is functioning in a manner that exacerbates risk for readmissions or death among the patients considered in this study. Even so, patients with heart failure appear somewhat vulnerable.   Published on 2018-10-23 00:00:00
Source: International Journal of Integrated Care - October 22, 2018 Category: Nursing Source Type: research

Validation of the 5-Item Medication Adherence Report Scale in Older Stroke Patients in Iran
Conclusions: The MARS-5 is a feasible and valid self-assessed medication adherence for older patients with stroke. In addition, several determinants were found to be related to medication adherence for older patients with stroke. Healthcare providers may want to take heed of these determinants to improve medication adherence for this population.
Source: Journal of Cardiovascular Nursing - October 11, 2018 Category: Nursing Tags: ARTICLES: Heart Failure Source Type: research

Portable Bladder Ultrasound Reduces Incidence of Urinary Tract Infection and Shortens Hospital Length of Stay in Patients With Acute Ischemic Stroke
Conclusions: Portable bladder ultrasound scanning reduced the incidence of UTI and shortened length of stay. We suggest routine PBU procedures for patients with acute ischemic stroke who fulfill the AGN3 criteria for a high risk of UTI.
Source: Journal of Cardiovascular Nursing - October 11, 2018 Category: Nursing Tags: ARTICLES: Heart Failure Source Type: research

Atrial Fibrillation Symptom Perception
This report reviews the (1) epidemiology and pathophysiology of AF, (2) symptoms associated with AF, and (3) implications for clinical practice based on disparate symptom perception.
Source: The Journal for Nurse Practitioners - September 12, 2018 Category: Nursing Authors: Megan Streur Tags: Feature Article Source Type: research

Ventricular Assist Devices: The Basics
As the cases of heart failure continue to rise, more ventricular assist devices are likely to be implanted. Providers in a variety of care environments are more likely to see patients with ventricular assist devices because they are living longer; therefore, it is necessary for providers to understand the unique care and complications related to these devices, such as thrombosis, stroke, bleeding, right-sided heart failure, ventricular dysrhythmias, and infection. The current literature regarding the complications and management of patients with these devices was reviewed and summarized, with a focus on HeartWare (HeartWar...
Source: The Journal for Nurse Practitioners - June 28, 2018 Category: Nursing Authors: Laura Starrh, Deborah Becker Tags: Feature Article Source Type: research

Putative mechanisms of cognitive decline with implications for clinical research and practice
The objective of this narrative review is to provide a synthesis of the intrinsic and extrinsic mechanisms of cognitive decline and conditions that are associated with cognitive decline. Well‐established intrinsic mechanisms of cognitive decline include aging, apolipoprotein E (APOE) ε4 carrier status, SORL1 mutations, neuroinflammation, mitochondrial dysfunction, amyloid deposition, and demyelination. Extrinsic risk factors include obesity, diabetes, hypertension, elevated lipid panel, metabolic syndrome, depression, traumatic brain injury, substance use, heart failure, and stroke. The various definitions of cognitive ...
Source: Nursing Forum - October 1, 2017 Category: Nursing Authors: Tadeu Oliveira, Angela Starkweather, Divya Ramesh, Joseph Fetta, Debra Lynch Kelly, Debra E. Lyon, Lana Sargent Tags: ORIGINAL ARTICLE Source Type: research

Barriers and enablers to adherence to anticoagulation in heart failure with atrial fibrillation: patient and provider perspectives
ConclusionsMany barriers remain to high risk individuals being prescribed anticoagulation for stroke prevention. There are a number of enabling factors that facilitate prescription and optimize treatment adherence. Nurses should challenge these treatment barriers and seek enabling factors to optimise therapy.This article is protected by copyright. All rights reserved.
Source: Journal of Clinical Nursing - February 7, 2017 Category: Nursing Authors: Caleb Ferguson, Sally C. Inglis, Phillip J. Newton, Sandy Middleton, Peter S. Macdonald, Patricia M. Davidson Tags: Original Article Source Type: research

Fatigue, dyspnea, and intermittent symptoms are associated with treatment-seeking delay for symptoms of atrial fibrillation before diagnosis
Conclusion: Experiencing fatigue, dyspnea and intermittent symptoms produced symptom representations and emotional and behavioral responses associated with treatment-seeking delay. There is a critical need to develop and test educational interventions to increase awareness of the spectrum and characteristics of AF symptoms and appropriate treatment-seeking behaviors.
Source: European Journal of Cardiovascular Nursing - September 25, 2016 Category: Nursing Authors: McCabe, P. J., Rhudy, L. M., Chamberlain, A. M., DeVon, H. A. Tags: Original Articles Source Type: research

Withdrawal of life-sustaining treatment: patient and proxy agreement: a secondary analysis of "contracts, covenants, and advance care planning".
This study explored patient and proxy decisions related to mechanical ventilator withdrawal in scenarios characterizing 3 distinct disease trajectories (cancer, stroke, and heart failure [HF]) with different prognoses. The relationship between patient directives, modification of directives, prognosis, trust, and EOL decisions were examined. METHODS: This secondary analysis of data obtained in the "Contracts, Covenants, and Advance Care Planning" study included a sample of 110 subjects with 50 patient-proxy pairs. Patient and proxy agreement was assessed in response to questions regarding mechanical ventilator withdrawa...
Source: Dimensions in Critical Care Nursing - February 14, 2016 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Symptom Representation and Treatment-Seeking Prior to Diagnosis of Atrial Fibrillation
Early treatment-seeking for symptoms of atrial fibrillation (AF) is critical to avert AF-related stroke and heart failure, but early treatment is hindered if symptoms are not accurately interpreted. The purpose of this research was to describe symptom representation and treatment-seeking responses prior to diagnosis of AF. For this descriptive study, 150 participants were surveyed to describe the type and temporality of symptoms, perceptions regarding the cause, seriousness, controllability of symptoms, and responses to symptoms prior to diagnosis. Participants’ mean age was 66.5 years, and 51% were female. Participa...
Source: Western Journal of Nursing Research - December 30, 2015 Category: Nursing Authors: McCabe, P. J., Chamberlain, A. M., Rhudy, L., DeVon, H. A. Tags: Research Reports Source Type: research

Hemodynamics of Acute Right Heart Failure in Mechanically Ventilated Patients with Acute Respiratory Distress Syndrome
In critically ill patients with circulatory shock, the role of the left ventricle has long been appreciated and the object of measurement and therapeutic targeting. The right ventricle is often under appreciated and dysfunction may be overlooked. Generally, the right ventricle operates passively to support the ejection of the left ventricular diastolic volume. A loss of right ventricular wall compliance secondary to pulmonary pressures may result in an alteration in the normal pressure-volume relationship, ultimately affecting the stroke volume and cardiac output. Traditional right heart filling indices may increase becaus...
Source: Critical Care Nursing Clinics of North America - September 24, 2015 Category: Nursing Authors: Barbara McLean Source Type: research

A Novel Noninvasive Device to Assess Sympathetic Nervous System Function in Patients With Heart Failure
Discussion: Although the VU-AMS version 5fs system detected anticipated hemodynamic and sympathetic nervous system changes to postural shift in participants (n = 10), the elimination of 64% (n = 18) of the sample because of scoring difficulties limits the use of this impedance cardiography device using standard scoring algorithms in persons with heart failure with reduced ejection fraction.
Source: Nursing Research - September 1, 2015 Category: Nursing Tags: Feature Articles Source Type: research

Heart Failure and Atrial Fibrillation
Atrial fibrillation is commonly experienced by patients with heart failure, and as the heart failure progresses and worsens, the more likely the patient is to develop atrial fibrillation. Several factors play into this, including common risk factors, such as advanced age, hypertension, and ischemic or valvular heart disease. Treatment is aimed at anticoagulation, to prevent thromboembolic stroke, and rate control to prevent further hemodynamic compromise. Rhythm control may be beneficial for many patients and this can be accomplished through the use of antiarrhythmic medications, cardioversion, and/or ablation.
Source: Critical Care Nursing Clinics of North America - August 26, 2015 Category: Nursing Authors: Brenda McCulloch Source Type: research

Self-monitoring and self-titration of antihypertensive medication reduces systolic blood pressure compared with usual care
This study represents a significant advance in hypertension self-management in high-risk patient groups, but the intervention's potential for wide implementation remains unclear. Context Hypertension is a major risk factor for cardiovascular disease, stroke, heart failure and chronic kidney disease.1 Effective treatment reduces risk for these devastating complications, but BP remains insufficiently controlled in up to half of adults.2 Because hypertension generates tremendous morbidity and costs, novel strategies for enhancing BP control are urgently needed. Interventions that enhance...
Source: Evidence-Based Nursing - June 22, 2015 Category: Nursing Authors: Bosworth, H. B., Crowley, M. J. Tags: General practice / family medicine, Drugs: cardiovascular system, Stroke, Hypertension, Ischaemic heart disease, Memory disorders (psychiatry) Primary healthcare Source Type: research

Hand grip strength linked to stroke and heart failure risk.
Authors: Abstract Testing hand grip strength could be used as a quick, low-cost screening tool to help healthcare professionals identify patients at risk of heart failure and stroke, research has found. PMID: 25990146 [PubMed - in process]
Source: Nursing Standard - May 20, 2015 Category: Nursing Tags: Nurs Stand Source Type: research