Symptom Burden Among Patients Who Were Hospitalized for Heart Failure

Khan, Rabeea F.; Feder, Shelli; Goldstein, Nathan E.; Chaudhry, Sarwat I.

doi:10.1001/jamainternmed.2015.3871

Cited by 24 publications

(15 citation statements)

References 4 publications

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“…One study showed that symptoms in patients with HF that were recognized at the start of a hospitalization were often not improved at discharge. (180) The consequences of uncontrolled symptoms while hospitalized is especially problematic for pain, as the level of pain during hospitalization is strongly associated with increased levels of pain following discharge home. (181) When symptom management is challenging, collaboration with palliative care for expert symptom management can benefit the patient.…”

Section: Collaborative Management and A Call To Actionmentioning

confidence: 99%

Symptom burden in heart failure: assessment, impact on outcomes, and management

et al. 2016

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Evidence-based management has improved long-term survival in patients with heart failure (HF). However, an unintended consequence of increased longevity is that patients with HF are exposed to a greater symptom burden over time. In addition to classic symptoms such as dyspnea and edema, patients with HF frequently suffer additional symptoms such as pain, depression, gastrointestinal distress, and fatigue. In addition to obvious effects on quality of life, untreated symptoms increase clinical events including emergency department visits, hospitalizations, and long-term mortality in a dose-dependent fashion. Symptom management in patients with HF consists of two key components: comprehensive symptom assessment and sufficient knowledge of available approaches to alleviate the symptoms. Successful treatment addresses not just the physical but also the emotional, social, and spiritual aspects of suffering. Despite a lack of formal experience during cardiovascular training, symptom management in HF can be learned and implemented effectively by cardiology providers. Co-management with palliative medicine specialists can add significant value across the spectrum and throughout the course of HF.

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Section: Collaborative Management and A Call To Actionmentioning

confidence: 99%

Symptom burden in heart failure: assessment, impact on outcomes, and management

et al. 2016

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“…28 With the need for intensive symptom management for ESHF patients, incorporation of the PC approach in transitional care support may be beneficial to patients upon hospital discharge. 29 Home PC not only saves costs but can also increase patient satisfaction 30 and improve QOL 31 and caregiver distress. 32 Evidence of the effects of home PC in reducing the symptom burden, particularly for cancer patients, but not caregiver grief was reported in a recent Cochrane review.…”

Section: Introductionmentioning

confidence: 99%

Effects of a Home-Based Palliative Heart Failure Program on Quality of Life, Symptom Burden, Satisfaction and Caregiver Burden: A Randomized Controlled Trial

Wong

2018

Journal of Pain and Symptom Management

104

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“…These symptoms are regularly present, even after a hospitalization, when more than 40 % of patients report no improvement in dyspnea, anxiety, fatigue, and pain [9]. Major clinical guidelines recommend the inclusion of symptom monitoring as part of routine self-care management of patients with heart failure [10].…”

Section: Introductionmentioning

confidence: 99%

Gerontechnologies for Older Patients with Heart Failure: What is the Role of Smartphones, Tablets, and Remote Monitoring Devices in Improving Symptom Monitoring and Self-Care Management?

Creber

Hickey

Maurer

2016

Curr Cardiovasc Risk Rep

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Older adults with heart failure have multiple chronic conditions and a large number and range of symptoms. A fundamental component of heart failure self-care management is regular symptom monitoring. Symptom monitoring can be facilitated by cost-effective, easily accessible technologies that are integrated into patients’ lives. Technologies that are tailored to older adults by incorporating gerontological design principles are called gerontechnologies. Gerontechnology is an interdisciplinary academic and professional field that combines gerontology and technology with the goals of improving prevention, care, and enhancing the quality of life for older adults. The purpose of this article is to discuss the role of gerontechnologies, specifically the use of mobile applications available on smartphones and tablets as well as remote monitoring systems, for outpatient disease management among older adults with heart failure. While largely unproven, these rapidly developing technologies have great potential to improve outcomes among older persons.

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Symptom Burden Among Patients Who Were Hospitalized for Heart Failure

Abstract: guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults.

Cited by 24 publications

References 4 publications

Symptom burden in heart failure: assessment, impact on outcomes, and management

Symptom burden in heart failure: assessment, impact on outcomes, and management

Effects of a Home-Based Palliative Heart Failure Program on Quality of Life, Symptom Burden, Satisfaction and Caregiver Burden: A Randomized Controlled Trial

Gerontechnologies for Older Patients with Heart Failure: What is the Role of Smartphones, Tablets, and Remote Monitoring Devices in Improving Symptom Monitoring and Self-Care Management?

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