Comprehensive Geriatric Assessment in the Management of Older Patients With Cardiovascular Disease

Abstract

Cardiovascular disease (CVD) disproportionately affects older adults. It is expected that by 2030, one in five people in the United States will be older than 65 years. Individuals with CVD now live longer due, in part, to current prevention and treatment approaches. Addressing the needs of older individuals requires inclusion and assessment of frailty, multimorbidity, depression, quality of life, and cognition. Despite the conceptual relevance and prognostic importance of these factors, they are seldom formally evaluated in clinical practice. Further, although these constructs coexist with traditional cardiovascular risk factors, their exact prevalence and prognostic impact remain largely unknown. Development of the right decision tools, which include these variables, can facilitate patient-centered care for older adults. These gaps in knowledge hinder optimal care use and underscore the need to rigorously evaluate the optimal constructs for providing care to older adults. In this review, we describe available tools to examine the prognostic role of age-related factors in patients with CVD.

Clinical Significance of Frailty on Treatment Outcome in Nongeriatric Patients With Head and Neck Cancer and Esophageal Cancer Undergoing Curative-Intent Concurrent Chemoradiotherapy

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Influence of Diversity Nursing on Patients’ Rehabilitation in Cardiology Treatment

“…Subjectively, the patient feels that the heart is beating rapidly, irregularly or forcefully, but also that the heart rate is too fast, too slow or too slow; dyspnoea, which is a combination of subjective sensations and objective signs. Subjectively, the patient feels that breathing is laboured, and objectively, the number of breaths is increased and the movements are fast and large causing cyanosis, which is a bluish colour on the mucous membranes and skin, and the absolute value of reduced haemoglobin in the body to be over 59% of unoxygenated haemoglobin [ 19 , 20 ].…”

Healthcare practices and interventions in Europe towards families of older patients with cardiovascular disease: A scoping review

“…Greater awareness of the needs of older adults living with CVD is pivotal, as are the coping strategies adopted by the patients and their family members. A comprehensive geriatric assessment has been recognised as a good way to assess the functioning of older patients [74], but systematic assessment of family functioning requires skills which nurses may not always have been taught or had further developed.…”