Outpatient Management of Heart Failure: Program Development and Experience in Clinical Practice PDF Download

Author: Marc A. Silver
Publisher:
ISBN:
Category :
Languages : en
Pages : 26

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Author: Michael McIvor
Publisher: John Wiley & Sons
ISBN: 1405167505
Category : Medical
Languages : en
Pages : 183

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Book Description
". . . every critical examination of HF therapy in the United States has documented that we are not using all the weapons in our arsenal. We know what works, yet we are not systematically applying these proven therapies." —from the Introduction If you are interested in a better way to treat heart failure, this book is for you. Dr. Michael McIvor – who has taught thousands of healthcare professionals how to effectively care for patients with chronic HF through CME symposia – takes a logical, step-by-step approach to setting up and operating the kind of program that reduces hospital admissions and improves patient care. Establishing a Heart Failure Program: The Essential Guide answers the different questions posed by physicians, nurse practitioners, nurses, and hospital administrators, all of whom need to work as a team to achieve success. The three major sections of the book address: Taking the first steps toward building your heart failure program - developing a business plan, choosing your model of care, and making accurate financial projections Assembling the pieces of your program – managers, front line staff, and the physical facility Day-to-day operations A companion website presents forms you can download and use in your own heart failure center. Drawing from experience, Dr. McIvor helps you avoid common problems by identifying potential problems and sharing advice that has proven effective to your colleagues. He gives you the essential tools – unavailable elsewhere – to set up and maintain a heart failure program that achieves superior clinical outcomes.

Author: Gregg C. Fonarow
Publisher: Elsevier Health Sciences
ISBN: 0323391001
Category : Medical
Languages : en
Pages : 177

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Book Description
This issue of Heart Failure Clinics examines the critical role of team-based care in the management of patients with heart failure. Articles address Team-Based Care for Prevention, Patients Hospitalized with Heart Failure, Transitions of Care, Outpatients, Managing Cardiac Comorbidities, Managing Non-cardiac Conditions, Cardiac Rehabilitation and Exercise Training, External Telemonitoring, Ambulatory Hemodynamic Cardiac Device Monitoring, Advanced Heart Failure, and Palliative and End-of-Life Care.

Author: Kathleen Marie Mackessy
Publisher:
ISBN:
Category :
Languages : en
Pages :

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Patients with heart failure experience high numbers of hospital admissions, readmissions and emergency department visits due to poor or unmanaged HF. The proposed intervention of a Nurse Practictioner run heart failure clinic that would provide adult Hispanic patients with heart failure with clinical assessments, medication management, treatment for related heart failure complications, disease management, and diet and lifestyle modification education will reduce the numbers of hospital admissions, readmissions and emergency room visits. With the Nurse Practitioner run clinics managing the heart failure patients' medications and care, and increasing health care knowledge and family involvement in the plan of care, patient quality of life and emergency department use, increase quality of life, and decrease the incidence of depression in this patient population. Hence, a nurse practitioner run heart failure clinic in Southern California will provide an invaluable service that is at this time unavailable to many patients. Sources of Data: An aggregate of adult Hispanic patients with the diagnosis of heart failure will be the sample that data will be collected from. Data will include demographic information, health status information including laboratory results. In addition, participants will complete the Minnesota Living with Heart Failure and Beck Depression instruments and item responses will be included as data sources.

Author: Alexandre Mebazaa
Publisher: Springer Science & Business Media
ISBN: 1846287820
Category : Medical
Languages : en
Pages : 922

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For many years, there has been a great deal of work done on chronic congestive heart failure while acute heart failure has been considered a difficult to handle and hopeless syndrome. However, in recent years acute heart failure has become a growing area of study and this is the first book to cover extensively the diagnosis and management of this complex condition. The book reflects the considerable amounts of new data reported and many new concepts which have been proposed in the last 3-4 years looking at the epidemiology, diagnostic and treatment of acute heart failure.

Author: Debra K. Moser
Publisher: Jones & Bartlett Learning
ISBN: 9780834216440
Category : Congestive heart failure
Languages : en
Pages : 392

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Book Description
Recent advances have changed the way heart failure is treated and have resulted in substantial improvements in heart failure management. Improving Outcomes in Heart Failure addresses innovative ways of dealing with issues such as quality of life, treatment compliance, effective patient and family education and counseling, nonpharmacologic therapy, and new health care delivery models for improving the management of heart failure. With an interdisciplinary approach, this reference shows how heart failure outcomes and health care resource utilization can be improved significantly. Written by the editors of the distinguished Journal of Cardiovascular Nursing, Debra K. Moser, DNSc, RN and Barbara Riegel, DNSc, RN, CS, FAAN are well-known and nationally recognized experts in the field of cardiovascular nursing. Moser and Riegel have received numerous prestigious awards and honors and have contributed to many renowned journals on a wide variety of cardiovascular topics.

Author: Simon Stewart
Publisher: John Wiley & Sons
ISBN: 0470750197
Category : Medical
Languages : en
Pages : 264

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Book Description
Heart failure is a condition that often results in chronic tiredness and shortness of breath. It also requires complex nursing and medical treatment, especially after a hospital admission, which is all too frequent for persons with heart failure. This book describes and discusses the latest research concerning the benefits of having specially trained nurses manage the care of patients with heart failure after they have been discharged from hospital to their own home. Leading nurses and doctors from around the world discuss their experiences with this type of innovative and effective care program. Building upon these experiences, the book also contains a practical guide to developing this type of care program into a fully functional service that provides quality care to those patients admitted to hospital with heart failure.

Author: Yasser Sammour
Publisher:
ISBN:
Category : Ambulatory medical care
Languages : en
Pages : 37

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Book Description
The COVID-19 pandemic led to a dramatic change in the process of delivering outpatient care for patients with heart failure, including more reliance on telehealth to maintain care delivery. Excess mortality has been reported during the COVID-19 era. Heart failure patients represent a vulnerable patient population. Whether the increased use of telehealth was associated with a difference in outcomes for outpatients with heart failure is unclear. Further, there are multiple demographic and socioeconomic factors that are associated with reduced access to telehealth. I sought to describe the transition to telehealth in a cohort of heart failure patients and its association with outcomes during 2020 and to compare this with similar periods in 2018 and 2019, prior to the emergence of COVID-19. I also assessed disparities in access to video telehealth visits and compared outcomes between patients treated with video and telehealth visits. In March 2020, a large Midwestern healthcare system, encompassing 16 cardiology clinics, 16 emergency departments, and 12 hospitals, initiated a predominantly telehealth-based model for outpatient care in the setting of the COVID-19 pandemic. A propensity-matched analysis was performed to compare outcomes between outpatients seen in-person in 2018-2019 and via telemedicine in 2020. Adjusted multivariable analyses were used to determine predictors of access to video telehealth visits and compare outcomes between video versus telephone telehealth visits that were conducted in 2020. Among 8,263 unique heart failure patients with 15,421 clinic visits seen from March 15-June 15 in the years 2018, 2019 and 2020, telehealth was employed in 88.5% of 2020 visits but none in 2018 or 2019. Despite the pandemic, more outpatients were seen in 2020 (n=5,224) as compared with 2018 and 2019 (n=5,099/year). Using propensity matching, 4,541 telehealth visits in 2020 were compared with 4,541 in-person visits in 2018-2019. The comparison groups were well matched. Mortality was similar for telehealth compared with in-person visits at both 30 (0.8% vs 0.7%) and 90 days (2.9% vs 2.4%). Similarly, there was no excess in hospital encounters or need for intensive care associated with telehealth visits. In a sub-analysis, older age, African American race, lack of spouse or significant other, lack of college education, and lower median household income were associated with less use of video telehealth visits. Additionally, video visits were associated with fewer subsequent emergency department visits and hospitalization in comparison with telephone visits with no difference in mortality. The data suggested that telehealth outpatient visits in patients with heart failure can be safely incorporated into clinical practice without increases in subsequent acute care or mortality. There are certain demographic and socioeconomic factors that associated with reduced access to video visits and sensitivity to these issues may be needed to support equity in the use of telehealth care strategies.

Author: Clyde Yancy
Publisher: Elsevier Health Sciences
ISBN: 0323755534
Category : Medical
Languages : en
Pages : 352

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Book Description
This issue of Heart Failure Clinics, guest edited by Drs. Clyde W. Yancy and R. Kannan Mutharasan, will cover Process Improvement in Heart Failure. This issue is one of four issues selected each year by our series consulting editor, Dr. Eduardo Bossone. Topics discussed in this issue will include: Approaching Process Improvement, Identifying Heart Failure Patients, Predicting High-risk Patients and High-Risk Outcomes in Heart Failure, Selecting the Correct Target for Improvement in Heart Failure Care and Improving Adherence, Empowering Patients Living with Heart Failure with Social Media and Technology, Transitioning Heart Failure Patients to Outpatient Care, Innovating Outpatient Processes of Care and Anticipating Complex Care Algorithms, Addressing Co-morbidities in Heart Failure, Systematizing Heart Failure Population Health, Defragmenting Heart Failure Care, and Adapting to the Payment Landscape.

Author: Christopher O'Connor
Publisher: CRC Press
ISBN: 0203421345
Category : Medical
Languages : en
Pages : 644

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Book Description
Although the majority of heart failure represents the exacerbation of chronic disease, about 20% will present as a first time diagnosis. And although there are a number of intravenous agents that can be used for acute decompensated heart failure, there are no national guidelines currently available. Edited by a well-known expert and his team of con