What to teach to patients with heart failure and why: the role of nurses in heart failure clinics

Rabelo, Eneida Rejane; Aliti, Graziella Badin; Domingues, Fernanda Bandeira; Ruschel, Karen Brasil; Brun, Anelise de Oliveira

doi:10.1590/s0104-11692007000100024

Cited by 38 publications

(36 citation statements)

References 23 publications

(27 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

Section: National Contributions On Pccmentioning

confidence: 99%

“…In the Patients' participation perspective the contributions cluster around the concepts autonomy 21,[24][25][26]30 , self-care 12,19,21,22,29,31 , valuing experience 20,23 and patients' participation 13,21,28,32 .…”

Section: National Contributions On Pccmentioning

confidence: 99%

“…The national and international literature about the attributes of PCC points to a consensus around three core elements: 1) enlarged approach to care [16][17][18][28][29][30]53 as an answer to the need of acknowledging and responding in holistic way to users, families and communities' demands; 2) Patients' participation in their care 27,42,43 and the need of empowering and support for self care and autonomy 15,19,21,22,24-27, 30,34,42,43 and 3) Patientprovider relationship 13,14,[18][19][20]24,25,30,42,43 integrating the subjectivity of the parties, as autonomous subjects.…”

Section: Core Components Of Pcc and Icpmentioning

confidence: 99%

“…These studies focused on PCC in connection with the following aspects: 1) Enlarged healthcare perspective, 2) Patients' participation in care and 3) Humane care. In regard to the Enlargement of the healthcare perspective there is a cluster of contributions on holistic care 13,[19][20][21][22][23][24][25][26] , comprehensive care 13,20,[24][25][26][27][28] and health needs oriented care 13,19,21,22,24,25,28,29 .In the Patients' participation perspective the contributions cluster around the concepts autonomy 21,[24][25][26]30 , self-care 12,19,21,22,29,31 , valuing experience 20,23 and patients' participation 13,21,28,32 .Patients' participation in care is defined as an opportunity for the exercise of citizens' rights in the quest for autonomy (related to ideas of freedom, leading role, COMUNICAÇÃO SAÚDE EDUCAÇÃO 2016; 20(59):905-16 respect for subjectivity 33 as an important condition for self-care 19,20,33 . The concept of self-care is understood as a way of managing the healthcare process, implying the collaboration of the health te...…”

mentioning

confidence: 99%

See 3 more Smart Citations

Atenção centrada no paciente na prática interprofissional colaborativa

Agreli

Peduzzi

Silva

2016

Interface (Botucatu)

View full text Add to dashboard Cite

The aim of this study is to describe key-elements of patient-centred care and its relationship with interprofessional collaborative practice in Primary Health Care, in the context of Unified Health System. Based on national and international review. The outcomes show that as professionals shift their focus towards patient centred care and patient's needs, their scope of view is broadened beyond the limits of their own professional activities. This shift is an enabler for changes in the current health care model towards comprehensive care and potentially impacting the quality of services.Keywords: Patient-centred care. Primary Health Care. Interprofessional relations. COMUNICAÇÃO SAÚDE EDUCAÇÃO 2016; 20(59):905-16 IntroductionThe present study analyzes patient-centered care (PCC) in interprofessional collaborative practice (ICP) following two leads: the first is a consequence of the emphasis of the health policies and of the research centers that are devoted to ICP [1][2][3][4] in PCC, highlighting its essential role in interprofessional collaboration. The current literature is also in agreement in considering the PCC as a key element in teamwork and ICP 5 .The second lead for this study comes from the fact that in spite of the agreement in the literature seeing the PCC as a competency domain of the ICP 1,6 and the existence of successful empirical outcomes related to PCC 7,8 , there is a lack of a consensual definition for PCC, hampering its implementation 9 and hindering the dialogue between national and international literature. This dialogue is central to understand how international contributions on PCC may be comparable to the user-centered approaches present in Brazilian literature.The academic publications on the issue represent PCC as a central domain for interprofessional collaboration and a core element in teamwork and ICP 5 . A PCC-oriented team is an indicator for differentiating three increasing levels of collaboration 5 (potential collaboration, collaboration in development, active collaboration and in this classification the denomination of a group as a "team" is restricted to those presenting "active collaboration", that guide their actions with the patients and their health needs in focus. MethodsTo identify the Brazilian contributions on this subject, a review was performed in BDENF, LILACS and SciELO, using as descriptor the Portuguese equivalent of "patient centered care" e.g. "assistência centrada no paciente" without timeline delimiters. The search was performed from September 2013 to February 2014, using as criteria: Studies dealing with PCC as main subject and freely available in full-text versions, excluding thesis, dissertations and books. From the search, a total of 14 articles were selected, adding later four more that came as references in the articles found in the search engines and that were previously known to the researchers 10-14 .The international literature search was performed in Medline, Scopus and CINAHL in the same period of time, using as descriptors "client centered car...

show abstract

Section: National Contributions On Pccmentioning

confidence: 99%

Section: National Contributions On Pccmentioning

confidence: 99%

Section: Core Components Of Pcc and Icpmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Atenção centrada no paciente na prática interprofissional colaborativa

Agreli

Peduzzi

Silva

2016

Interface (Botucatu)

View full text Add to dashboard Cite

show abstract

“…Weight monitoring is a simple task that can help monitor the progression of fluid status and diuretic responsiveness in patients with HF (18) . In addition to weight monitoring during hospitalization, it is essential that patients be given guidance on this aspect, i.e., be taught that rapid weight gain is indicative of fluid overload (19) .…”

Section: Discussionmentioning

confidence: 99%

Manejo não farmacológico de pacientes com insuficiência cardíaca descompensada: estudo multicêntrico - EMBRACE

Rabelo

Aliti

Linch³

et al. 2012

Acta paul. enferm.

Self Cite

View full text Add to dashboard Cite

Objective: To identify the prescription and execution of non-pharmacological care in the medical or nursing prescriptions in three reference centers for the treatment of patients with heart failure. Methods: A study using a quantitative, cross-sectional approach of a multicenter cohort. It included: patients admitted for decompensated heart failure, New York Heart Association function III / IV; any etiology; age of 18 years or older; and both genders. Results: The study included 562 patients; among non-pharmacological care, salt restriction was the most prescribed (95.4%), followed by the control of diuresis (48%). The proportion of treatment prescribed and performed was higher in the third, and in the other two centers the difference between the prescribed and the performed was higher than 20%. Conclusions: Non-pharmacological care interventions are not fully incorporated into clinical practice. Strategies that can mobilize the multidisciplinary team with a view to the interventions and achievements of this care merit study. Keywords: Heart failure/therapy; Multicenter study; Questionnaires RESUMOObjetivo: Identificar a prescrição e execução dos cuidados não farmacológicos nas prescrições médicas ou de enfermagem em três centros de referência no atendimento de pacientes com insuficiência cardíaca. Métodos: Estudo de abordagem quantitativa, transversal de uma coorte multicêntrica. Incluíram-se pacientes admitidos por IC descompensada, classe funcional III/IV; de qualquer etiologia; idade ≥ 18 anos; de ambos os gêneros. Resultados: Foram incluídos 562 pacientes, dentre os cuidados não farmacológicos, a restrição de sal foi o mais prescrito (95,4%), seguido pelo controle de diurese (48%). A proporção de cuidados prescritos e realizados foi maior no terceiro, e nos outros dois a diferença entre o prescrito e o realizado foi superior a 20%. Conclusões: Os cuidados não farmacológicos não estão totalmente incorporados à prática clínica. Estratégias que possam mobilizar a equipe multiprofissional com vistas às prescrições e realizações desses cuidados merecem ser estudadas. Descritores: Insuficiência cardíaca/terapia; Estudo multicêntrico; Questionário RESUMEN Objetivo: Identificar la prescripción y ejecución de los cuidados no farmacológicos en las prescripciones médicas o de enfermería en tres centros de referencia en la atención de pacientes con insuficiencia cardíaca. Métodos: Estudio de abordaje cuantitativo, transversal de una cohorte multicéntrica. Se incluyeron pacientes admitidos por IC descompensada, clase funcional III/IV; de cualquier etiología; edad ≥ 18 años; de ambos géneros. Resultados: Fueron incluídos 562 pacientes, de los cuidados no farmacológicos, la restricción de sal fue el más prescrito (95,4%), seguido por el control de diuresis (48%). La proporción de cuidados prescritos y realizados fue mayor en el tercero, y en los otros dos la diferencia entre el prescrito y el realizado fue superior a 20%. Conclusiones: Los cuidados no farmacológicos no están totalmente incorporados a la práctica c...

show abstract

Current status of outpatient heart failure management in Egypt and recommendations for the future

Hassanein,

Tageldien,

Badran

et al. 2023

ESC Heart Failure

View full text Add to dashboard Cite

Heart failure (HF) represents one of the greatest healthcare burdens worldwide, and Egypt is no exception. HF healthcare programmes in Egypt still require further optimization to enhance diagnosis and management of the disease. Development of specialized HF clinics (HFCs) and their incorporation in the healthcare system is expected to reduce HF hospitalization and mortality rates and improve quality of care in Egypt. We conducted a literature search on PubMed on the requirements and essential infrastructure of HFCs. Retrieved articles deemed relevant were discussed by a panel of 10 expert cardiologists from Egypt and a basic HFC model for the Egyptian settings was proposed. A multidisciplinary team managing the HFC should essentially be composed of specialized HF cardiologists and nurses, clinical pharmacists, registered nutritionists, physiotherapists, and psychologists. Other clinical specialists should be included according to patients' needs and size and structure of individual clinics. HFCs should receive patients referred from primary care settings, emergency care units, and physicians from different specialties. A basic HFC should have the following fundamental investigations available: resting electrocardiogram, basic transthoracic echocardiogram, and testing for N‐terminal pro‐B‐type natriuretic peptide. Fundamental patients' functional assessments are assessing the New York Heart Association functional classification and quality of life and conducting the 6 min walking test. guideline‐directed medical therapy should be implemented, and device therapy should be utilized when available. In the first visit, once HF is diagnosed and co‐morbidities assessed, guideline‐directed medical therapy should be started immediately. Comprehensive patient education sessions should be delivered by HF nurses or clinical pharmacists. The follow‐up visit should be scheduled during the initial visit rather than over the phone, and time from the initial visit to the first follow‐up visit should be determined based on the patient's health status and needs. Home and virtual visits are only recommended in limited and emergency situations. In this paper, we provide a practical and detailed review on the essential components of HFCs and propose a preliminary model of HFCs as part of a comprehensive HF programme model in Egypt. We believe that other low‐to‐middle income countries could also benefit from our proposed model.

show abstract

What to teach to patients with heart failure and why: the role of nurses in heart failure clinics

Abstract: Rabelo ER, Aliti GB, Domingues FB, Ruschel KB, Brun AO. What to teach to patients with heart failure and why: the role of nurses in heart failure clinics. Rev Latino-am Enfermagem 2007 janeiro-fevereiro; 15(1):165-70.The most important objective of heart failure (HF)

Cited by 38 publications

References 23 publications

Atenção centrada no paciente na prática interprofissional colaborativa

Atenção centrada no paciente na prática interprofissional colaborativa

Manejo não farmacológico de pacientes com insuficiência cardíaca descompensada: estudo multicêntrico - EMBRACE

Current status of outpatient heart failure management in Egypt and recommendations for the future

Contact Info

Product

Resources

About