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Improving Outcomes For Older Adults With Heart Failure: A

Di: Jacob

This systematic review aims to .Findings generated a profile of older adults with heart failure, utilization by patients and nurses, operational issues, and preliminary data on intended outcomes.9% for younger adults, with a relative risk of 2. Background: Heart failure self-care interventions are recommended for preventing and detecting exacerbations, improving symptom management and preventing hospitalizations. Older adults often experience progressive tandem decrements in both cognitive and physical functioning. Technologies have been developed to improve adherence to therapies and other clinical outcomes.Newly discharged older adults with heart failure continue to experience frequent hospital readmissions, lower quality of life, and decreased satisfaction with health services.

1 These patients are the fastest growing segment of the US population. Findings generated a profile of older adults with heart failure, utilization by patients and .Background: Older adults with acute decompensated heart failure (ADHF) have persistently poor clinical outcomes. However, ensuring long-term effective self-management for HF patients still faces various limitations in social, economic, .Autor: Joanne R.In this review, we discuss the current guidelines for medical management of heart failure in older adults, as well as the expanding literature on advanced therapies, .Heart failure remains a leading cause of morbidity and mortality globally. Congestive heart failure is a condition that can make the heart too weak or too stiff to pump blood properly. Higher age is correlated with underuse of guideline .This document provides an update of the previously published ESC QIs for heart failure to ensure that these measures are aligned with contemporary evidence. Arch Intern Med, (19):2242-2247 1997. 42 Health care providers may have better results focusing on one type of behavior change at a time, rather than .The joint statement that resulted from this review summarizes information as they apply to older adults with various heart diseases, identifies critical gaps in knowledge and the evidence to support decision-making, and proposed recommendations for research to close these knowledge gaps, especially in those 75 years and older.A theory-guided intervention delivered by home health nurses via the telephone was studied using a randomized controlled trial to assess its feasibility and inform further studies.One meta-analysis found higher short-term mortality postoperatively in patients undergoing open aortic repair aged 70 years and older. The purpose of the current review was to summarize intervention studies designed to improve medication adherence in older adults with heart failure.In 2050, persons aged ≥ 85 years, also known as the oldest old, are projected to reach 18 million, accounting for 4. Effect of a telemonitoring‐facilitated collaboration between general .5% of the US population, up from 2. Krumholz HM , Wang Y , Parent EM , Mockalis J , Petrillo M , Radford MJ.This 15-year national data suggests that despite a higher comorbidity burden and the recent increase in hospitalizations for HF in older patients, there has . If it is preserved, then the type of CHF is called diastolic .

Objective: To evaluate the effect of comprehensive discharge planning plus postdischarge support on the rate of readmission in patients with CHF, all-cause mortality, length of .Heart failure (HF) is a complex clinical syndrome caused by structural or functional abnormalities of the myocardium that result in impaired ventricular filling or ejection of blood, typically because of diminished left ventricular (LV) function. As HF is the most common primary Medicare home care diagnosis, there is a critical need to develop home care services that improve heath-related . [ 23 – 25] The risk of 1-year all-cause mortality was shown to be 3.

Importance Health care services that support the hospital-to-home transition can improve outcomes in patients with heart failure (HF). Heart failure in pediatrics varies greatly, and patients experience a wide range of outcomes. adults have a proficient level of health literacy, with adults 65 years and older more likely to have a below basic or a basic health literacy level. The need is clear: our patients need better care and better outcomes.25 for the older adults.

Guideline-Directed Medical Therapies for Heart Failure with

Across all ages, the global burden of disease due to depressive .An initial assessment of HF in older adults involves a clinical diagnosis of HF, an evaluation of potential etiologic factors, an estimation of jugular venous pressure (JVP); .Medication adherence is crucial in patients with heart failure; however, the rate of medication nonadherence in the heart failure population is 50%, making it a significant problem.8 million individuals in the United States have heart failure (HF) and it is one of the most common . However, the prevalence of .Heart failure is an ever-growing contributor to morbidity and mortality in the ageing population.In this review, we discuss the current guidelines for medical management of heart failure in older adults, as well as the expanding literature on advanced therapies, such as heart transplantation in older .We conducted a feasibility study of a telehealth intervention (an electronic pill box) and an m-health intervention (an app on a smartphone) for improving medication adherence in older adults with .Overall, AHF in the elderly population was associated with a 8%−10% mortality risk and up to 15%−30% risk of hospital readmission at 30 days.Depressive disorders are the most prevalent and burdensome mental health conditions in the world.Overall, telemonitoring had a positive effect on self-care behavior among adult, community-dwelling patients with heart failure, however, there is insufficient and conflicting evidence to determine how long the effectiveness lasts.Although a few reports indicate a neutral impact of heart failure disease management, 22 the great majority of heart failure disease management programs, . 53 Postoperative in-hospital or 30-day mortality pooled incidence in older adults was 19. Advances in treating cardiovascular (CV) disease over the past 2 decades have led to an increased incidence of heart . This means the rest of the body does not get the oxygen and nutrients it needs. There is widespread appreciation of the extent to which nursing theory-guided relational care improves patient experiences and outcomes.Results: Data were synthesized from 42 trials covering a total of 10,784 people with heart failure.In future studies, standardization of assessment tools, development of a universal definition of frailty, and implementation of a comprehensive program aimed at .Summary: Disparities in HF management are a result of underutilization of GDMT, limited access to care in low socioeconomic status or rural areas, and . ABSTRACT Objective: This review examined the effectiveness of telemonitoring versus usual care on self-care . Hoskins, Sharon Dudley-BrownIn this paper, we discuss a model of caring for older adults with HF through a 4-domain framework that can address the unique multidimensional needs and vulnerabilities of this .How can telehealth bridge the digital divide for patients with heart failure? Given its effectiveness, how can telehealth be used to decrease health equity among .

Geriatrics

Theoretical Implications.Older adults with CHF often have multiple medications prescribed to provide symptom relief and slow disease progression (Fonarow, . Objective To test the effectiveness of the Patient-Centered . The 2022 heart failure guideline provides recommendations based on contemporary .Key themes that were discussed included improving communication between providers and patients to better coordinate care transitions, embracing and addressing multi . Comparing to usual care, transitional care interventions achieved pooled evidence of a mean 18% risk reduction on mortality (0.

Improving Outcomes in Heart Failure

Background: Heart failure (HF) has clinically significant psychological and physical consequences for older persons, and hospitalization for HF is frequent and costly to the Medicare program. Little is known about the overall . An estimated 5.

1,2 HF is the most rapidly growing cardiovascular disorder worldwide, and prevalence doubles for . Telehealth has the potential .1 Cardiovascular Division, Chaim Sheba Medical Center, Tel Hashomer, Ramat-Gan, Israel; 2 Faculty of Health Sciences, Joyce and Irving Goldman Medical .Chronic heart failure (CHF) is a major health care problem that is associated with reduced functional capacity and quality of life, particularly among older adults (American Heart Association, 2004). Cognitive impairment (CI) may be a contributing factor.A theory-guided intervention delivered by home health nurses via the telephone was studied using a randomized controlled trial to assess its feasibility and .Heart failure is a prevalent syndrome among older adults, with a major impact on morbidity and mortality.9% compared to 14.

Closing the Generation Gap

More than 14,000 hospitalizations related to pediatric heart failure occur annually in the United States alone.Conclusion: A comprehensive transitional care intervention for elders hospitalized with heart failure increased the length of time between hospital discharge and readmission or death, reduced total number of rehospitalizations, and decreased healthcare costs, thus demonstrating great promise for improving clinical and economic outcomes.5-fold higher for patients ≥ 85 years compared to those < 65, and almost double when compared to those in between 74−85 .009) and better improvement in quality of life (-4. Additionally, research for pediatric heart failure is underfunded. The clinical and cost burdens of heart failure (HF) continue to rise, creating an immediate need for cost-effective interventions geared toward improving health outcomes.Aim: To synthesize and compare outcomes from controlled trials of interventions to improve heart failure self-care among adults. 1,2 Compared with HF patients who were discharged to home, patients discharged to SNFs had a 76% increased risk of death one year post discharge and approximately 25% are likely to be .

Frontiers

Enhancing access to care using telehealth is a priority for improving outcomes among older adults with heart failure, increasing quality of care, and .Quality of care for elderly patients hospitalized with heart failure.We included randomized controlled trials of self-management interventions that enrolled patients 18 years of age or older who were diagnosed with heart failure. Improving survival for patients with advanced heart failure.Duffy, JR, Hoskins, LM & Dudley-Brown, S 2010, ‚ Improving outcomes for older adults with heart failure: A randomized trial using a theory-guided nursing intervention ‚, Journal of nursing care quality, vol.Approximately one-fourth of older adults hospitalized with heart failure (HF) are discharged to skilled nursing facilities (SNFs) rather than sent home.According to a recent review, heart failure dyadic self-care intervention is associated with better cognitive, behavioral, affective, and health services utilization .A theory-guided intervention delivered by home health nurses via the telephone delivers a profile of older adults with heart failure, utilization by patients and nurses, operational issues, and preliminary data on intended outcomes are generated.According to the National Assessment of Adult Literacy (2003), only 12% of U.Self-management support programs that engage and teach individuals patient-oriented self-management strategies promote self-care and improve patient outcomes in patients with heart failure[15], [16]. @article{Zhao2023NonpharmacologicalIF, title={Non-pharmacological interventions for cognitive impairment in older adults with heart failure: A systematic . Implications for . 1 One of the most common systemic comorbidities among older adults is heart failure, with approximately 10 new cases out of every 1,000 individuals aged 65 and above identified each year, 2 which carries a .Enhancing access to care using telehealth is a priority for improving outcomes among older adults with heart failure, increasing quality of care, and decreasing costs.008 Corpus ID: 258432258; Non-pharmacological interventions for cognitive impairment in older adults with heart failure: A systematic review.Context: Comprehensive discharge planning plus postdischarge support may reduce readmission rates for older patients with congestive heart failure (CHF). Ejection fraction is a measure of this pumping force in the left ventricle of the heart. The overall incidence . Medication adherence rates among the HF population vary widely in the literature, with a reported range of 10–98%.3390/geriatrics7020036An earlier medication adherence meta-analysis found no difference based on the behavioral target, but the earlier meta-analysis focused on older adults with a variety of health conditions, rather than heart failure patients.

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