DEFEAT heart failure: Assessment and management of heart failure in nursing homes made easy

被引：20

作者：

Ahmed, Ali ^{[1
,2
,3
,4
]}

Jones, Linda ^{[1
,3
,5
]}

Hays, Clare I. ^{[1
,6
]}

机构：

[1] Univ Alabama Birmingham, Dept Med, Div Gerontol Geriatr & Palliat Care, Sch Med, Birmingham, AL 35294 USA

[2] Univ Alabama Birmingham, Sch Publ Hlth, Dept Epidemiol, Birmingham, AL 35294 USA

[3] Univ Alabama Birmingham, Geriatr Heart Failure Clin, Birmingham, AL 35294 USA

[4] Vet Affairs Med Ctr, Birmingham, AL USA

[5] Univ Alabama Birmingham, Sch Nursing, Birmingham, AL 35294 USA

[6] Fairhaven Retirement Ctr, Birmingham, AL USA

来源：

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION | 2008年 / 9卷 / 06期

关键词：

chronic heart failure; nursing home; assessment; management;

D O I：

10.1016/j.jamda.2008.03.004

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Heart failure (HF) in older adults presents challenges that are different in many ways than those for younger adults. Diagnosis of HF in older adults can be delayed due to attributing early symptoms to normal changes of aging or, in the setting of a normal ejection fraction, failing to appreciate diastolic heart failure. Moreover, treatment of HF in the elderly is often complicated by comorbidities and polypharmacy. The long-term care setting can present even more challenges, yet can be made easy by following a simple mnemonic DEFEAT-HF. After making a clinical Diagnosis and determining the Etiology, Fluid volume must be assessed to achieve euvolemia, and Ejection frAction must be determined to guide Therapy.

引用

页码：383 / 389

页数：7

共 36 条

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