Congestive Heart Failure in the Elderly (CE)

Most Frequent Nursing Diagnoses, Nursing Interventions, and Nursing‐Sensitive Patient Outcomes of Hospitalized Older Adults With Heart Failure: Part 1

“…A comparison of the rankings of NNNs for the HF population for the study site hospitals and studies found in the literature is shown in Table 1. Findings from the present study reflect the recommendations from the literature related to HF that nursing should be concerned with patient problems of decreased cardiac output, ineffective breathing pattern, impaired gas exchange (Gardetto & Carroll, 2007), deficient knowledge (Harrison et al., 2007), and activity intolerance (Assis & Barros, 2003; Stanley, 1999); nursing interventions of teaching: individual and teaching: family (Gardetto & Carroll, 2007; Jaarsma et al., 2000; Stanley, 1999), exercise promotion (Roberts et al., 1999; Stanley, 1999), and discharge planning (Gardetto & Carroll, 2007; Phillips et al., 2004); and the patient outcome of cardiac pump effectiveness (Lee et al., 2004).…”

“…In a search of the literature, nursing diagnoses pertinent for the HF population were decreased cardiac output, ineffective breathing pattern, impaired gas exchange (Gardetto & Carroll, 2007), deficient knowledge (Harrison, Graham, Logan, Toman, & Friederg, 2007), excess fluid volume, disturbed sleep pattern (Assis & Barros, 2003), low self‐esteem, fatigue, social isolation (Stanley, 1999), activity intolerance (Assis & Barros, 2003; Stanley, 1999), hopelessness (Roberts, Johnson, & Keely, 1999), and anxiety (Scott, Setter‐Kline, & Britton, 2004). Identified nursing interventions were teaching: individual and teaching: family (e.g., diet, exercise, medication, symptom relief, disease process) (Gardetto & Carroll, 2007; Jaarsma et al., 2000; Stanley, 1999), reminiscence therapy, exercise promotion, spiritual support, hope instillation, family involvement promotion, active listening, advocacy/health system guidance, mutual goal setting (Roberts et al., 1999), weight management, assisting with end‐of‐life decisions/decision‐making support (Stanley, 1999), behavior management (Gardetto & Carroll, 2007), smoking/tobacco cessation assistance (Gardetto & Carroll, 2007; Gies, Buchman, Robinson, & Smolen, 2008), oral health promotion (O'Connor, 2008), and discharge planning (Gardetto & Carroll, 2007; Phillips et al., 2004). Patient outcomes reported as important to the HF population were cardiac pump effectiveness (Lee et al., 2004), symptom severity (Stanley, 1999), self‐care status (Gardetto & Carroll, 2007; Jaarsma et al., 2000), and quality of life (Gardetto & Carroll, 2007; Scott et al., 2004; Stanley, 1999).…”

Heart failure and its impact on older women's lives

“…As in previous research involving heart failure patients (Hawthorne & Hixon 1994, Bennett et al . 1997, Stanley 1999, Freedland & Carney 2000), all five participants in the current study had experienced depression.…”

“…In addition to more than 900 000 hospitalizations in the USA resulting from HF each year (Cahalin 1996), HF is also increasingly being seen as a primary or secondary diagnosis in patients admitted to transitional care units, home health, and long‐term care facilities (Stanley 1999). In the USA, HF is the leading cause of in‐hospital deaths and repeat hospitalizations for patients over 65 (Friedman 1997), and is responsible for the highest reported hospital readmission rate for all patient groups (Hawthorne & Hixon 1994).…”

Palliative and supportive needs of older adults with heart failure

“…2000) although detailed understanding of social support needs is lacking. Social isolation has been described in older patients with CHF (Stanley 1999). Cardiac support or self‐help groups have been shown to be effective in improving social support and coping in patients following myocardial infarction (MI) and cardiac surgery (Stewart et al.…”