Heart Failure in Post-Acute and Long-Term Care: Evidence and Strategies to Improve Transitions, Clinical Care, and Quality of Life.

Arif Nazir, William D Smucker

Journal: Journal of the American Medical Directors Association 2016;16(10):825-31

PMID: 26089116

Full Text on Elsevier Science View on PubMed

Abstract

Heart failure (HF) is highly prevalent among older patients in skilled nursing facilities (SNFs). HF outcomes for SNF patients suffer because of many factors, including staff training, lack of physician availability, and failure to implement evidence-based care. AMDA - The Society for Post-Acute and Long-Term Care Medicine has recently updated the Clinical Practice Guidelines for Heart Failure Management in SNFs. This review supplements the Guidelines with a robust focus on best practices for transitional care, symptom management, treatment and monitoring, and palliative care in patients with HF.

Address: Indiana University School of Medicine, Indianapolis, IN. Electronic address: [email protected].; Summa Health Systems, Family Medicine Residency, Akron, OH; Northeastern Ohio Medical University, Rootstown, OH.

DOI: 10.1016/j.jamda.2015.05.006

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MeSH Terms: Cognition Disorders, Comorbidity, Delirium, Dementia, Depression, Diet, Sodium-Restricted, Diuretics, Dyspnea, Heart Failure, Hospices, Humans, Palliative Care, Patient Care Team, Practice Guidelines as Topic, Quality of Life, Skilled Nursing Facilities, Transitional Care