Treatment of Heart Failure: An Update
Course #30934 - $60 -
- Participation Instructions
- Review the course material online or in print.
- Complete the course evaluation.
- Review your Transcript to view and print your Certificate of Completion. Your date of completion will be the date (Pacific Time) the course was electronically submitted for credit, with no exceptions. Partial credit is not available.
Heart failure is still a leading cause of hospital admissions for elderly patients and poses a tremendous financial burden on society. Heart failure continues to rank high in morbidity and mortality despite advances in medical interventions. However, there have been major advances in the diagnosis, treatment, and management of heart failure in an effort to reduce hospitalizations and allow patients to live a better quality of life. Knowledge of these innovations and the role of the multidisciplinary team at certified heart failure clinics is vital to improving the prognosis of this costly disease.
- INTRODUCTION
- INCIDENCE OF HEART FAILURE
- STAGES OF HEART FAILURE
- ETIOLOGY
- NEUROHORMONAL COMPONENTS IN HEART FAILURE
- ROLE OF VASOACTIVE SYSTEMS IN HEART FAILURE
- DIAGNOSTIC ROLE OF CIRCULATING BNP
- MANAGEMENT OF PATIENTS WITH SYMPTOMATIC AND ASYMPTOMATIC HEART FAILURE
- AN INTEGRATED APPROACH TO HEART FAILURE MANAGEMENT: HEART FAILURE CLINIC DISEASE MANAGEMENT PROGRAMS
- TREATMENT PLAN
- FUTURE OF HEART FAILURE TREATMENT
- JOINT COMMISSION GUIDELINES FOR HEART FAILURE
- CONCLUSION
- Works Cited
- Evidence-Based Practice Recommendations Citations
This course is designed for nurses and ancillary nurse personnel involved in the treatment and continued assessment of patients with heart failure.
The purpose of this course is to provide nurses and ancillary nursing personnel with current information about the scientific advances in the treatment of acute heart failure.
Upon completion of this course, you should be able to:
- Summarize the incidence and financial impact of heart failure.
- Identify the four stages of heart failure.
- Discuss the neurohormonal components of heart failure.
- Describe the role of B-type natriuretic peptide (BNP) in the diagnosis of heart failure.
- Define the role of vasoactive systems in the pathogenesis of heart failure.
- Review the use of BNP as a point-of-care testing tool and in guiding therapy of heart failure in the outpatient setting.
- Outline the management of patients with symptomatic and asymptomatic heart failure.
- List devices used in the management of heart failure.
- Describe impedance cardiography as a noninvasive tool to assess cardiovascular status of patients with heart failure.
- Discuss the role of members of the multidisciplinary team in the heart failure clinic.
- Outline the treatment plan of those patients enrolled in the heart failure clinic.
- Discuss the future directions in the treatment of heart failure.
- Summarize the Joint Commission guidelines for heart failure-specific care.
Patricia Lea, RN, DNP, MSEd, CCRN, received a Bachelor of Science degree in Nursing in 1973 from Houston Baptist University in Houston, Texas. She returned to graduate school to complete a Master’s degree in Education, specifically Health Education, in 1996 from Baylor University in Waco, Texas, and a Doctorate in Nursing Practice in Executive Leadership in 2014 from American Sentinel University in Aurora, Colorado. Dr. Lea specializes in critical care nursing, with an emphasis on heart failure and sepsis. She started her career at the Houston Methodist Hospital in the cardiovascular ICU and opened an acute dialysis unit at what is now Baylor St. Luke’s Medical Center in the Houston Medical Center. Dr. Lea was a Cardiovascular Clinical Coordinator and Director of the Heart Failure Clinic at Hillcrest Baptist Medical Center in Waco, Texas. In 2004, Dr. Lea returned to Houston and was employed as a Senior Research Clinical Nurse Specialist at the Texas Heart Institute coordinating stem cell and cardiac stent trials. She is currently Associate Professor and Baccalaureate Program Director at the University of Texas Medical Branch School of Nursing in Galveston, Texas.
Contributing faculty, Patricia Lea, RN, DNP, MSEd, CCRN, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
Jane C. Norman, RN, MSN, CNE, PhD
The division planner has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
Sarah Campbell
The Director of Development and Academic Affairs has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
The purpose of NetCE is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare.
Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice.
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The role of implicit biases on healthcare outcomes has become a concern, as there is some evidence that implicit biases contribute to health disparities, professionals' attitudes toward and interactions with patients, quality of care, diagnoses, and treatment decisions. This may produce differences in help-seeking, diagnoses, and ultimately treatments and interventions. Implicit biases may also unwittingly produce professional behaviors, attitudes, and interactions that reduce patients' trust and comfort with their provider, leading to earlier termination of visits and/or reduced adherence and follow-up. Disadvantaged groups are marginalized in the healthcare system and vulnerable on multiple levels; health professionals' implicit biases can further exacerbate these existing disadvantages.
Interventions or strategies designed to reduce implicit bias may be categorized as change-based or control-based. Change-based interventions focus on reducing or changing cognitive associations underlying implicit biases. These interventions might include challenging stereotypes. Conversely, control-based interventions involve reducing the effects of the implicit bias on the individual's behaviors. These strategies include increasing awareness of biased thoughts and responses. The two types of interventions are not mutually exclusive and may be used synergistically.