Heart Failure: A Clinical Nursing Handbook offers practical information that considers concerns raised by patients, questions asked by student nurses and clinical issues that arise frequently. The introduction examines the epidemiology, physiology, causes and outcomes of heart failure, whilst continuing chapters explore:
- Diagnosis and assessment: past medical history, the role of clinical assessment, medication reviews and the use of investigations.
- Treatment: the impact of education and lifestyle, exercise physiology, the role of medicines and invasive procedures and end stage heart failure.
- Policy and service issues: the historical perspective, specialist services, funding and patient participation and caseload management.
Also discussed is the setting up and running of a heart failure service the processes, documents, staffing, costs, data handling and business case issues that need to be understood. Practical techniques and tips to support patient understanding, minimise adverse events and treat side effects are also given to help the reader in their practice.
This concise handbook is ideal for clinicians caring for patients with heart failure, pre–registration nursing students, qualified nurses on cardiology courses and community matrons undertaking advanced practise courses.
Part I Introduction.
Grading of Heart Failure.
Ischaemic Heart Disease.
Genetic Heart Failure.
Other Rare Rauses of Heart Failure.
Iatrogenic Heart Failure.
Quality of Life.
The Normal Heart.
The Failing Heart.
Part II Diagnosis and Assessment.
6 Clinical Assessment.
Role of Clinical Assessment.
Past Medical History.
Lifestyle Review (Social History).
Symptoms of Heart Failure.
Signs of Heart Failure.
Signs of Structural Change.
Assessment Tools and Competency.
Use of Investigations.
Investigations for Diagnosis.
Investigations for Follow–up.
Heart Failure Screening.
Chest X–ray (CXR).
Impedance Cardiography (ICG).
Part III Treatment.
8 Treatment Essentials.
9 Exercise Training.
Rationale for Exercise Training.
Types of Exercise Training.
Angiotensin II Receptor Blockers (A2RB).
Drugs to Avoid.
11 Invasive Treatments.
Role of Invasive Treatments.
12 End–Stage Heart Failure.
Defining End–Stage Heart Failure.
The Dying Heart.
Psychological and Spiritual Dimension.
Family and Carers.
Specialist Palliative Care.
Part IV Policy and Service Issues.
13 Policy Framework.
National Service Frameworks.
Professional Guidelines Specific to Heart Failure.
Primary and Secondary Care.
14 Service Issues.
Heart Failure Services.
Heart Failure: Clinical Trials Index.
Glossary and Abbreviations.
This useful handbook introduces the reader to key issues in enhancing the care of patients with heart failure. (British Journal of Cardiac Nursing, July 2008)
"An absolute must for any practitioner involved in running a heart failure service and should also be on the shelf of every university library, coronary care unit, medical unit and GP surgery." (Nursing Standard, May 2008)