Domain Management Approach to Heart Failure in the Geriatric Patient
| Autor: | Scott L. Hummel, Karen P. Alexander, Ashok Krishnaswami, Nanette K. Wenger, Parag Goyal, Daniel E. Forman, Linda L. Hart, Sarah J. Goodlin, James N. Kirkpatrick, Eiran Z. Gorodeski |
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| Rok vydání: | 2018 |
| Předmět: |
Gerontology
education.field_of_study Isolation (health care) business.industry Population 030204 cardiovascular system & hematology medicine.disease Health outcomes 03 medical and health sciences Geriatric patient 0302 clinical medicine Older patients Heart failure Medicine 030212 general & internal medicine Approaches of management Cardiology and Cardiovascular Medicine business education Depression (differential diagnoses) |
| Zdroj: | Journal of the American College of Cardiology. 71:1921-1936 |
| ISSN: | 0735-1097 |
| DOI: | 10.1016/j.jacc.2018.02.059 |
| Popis: | Heart failure (HF) is a quintessential geriatric cardiovascular condition, with more than 50% of hospitalizations occurring in adults age 75 years or older. In older patients, HF is closely linked to processes inherent to aging, which include cellular and structural changes to the myocardium, vasculature, and skeletal muscle. In addition, HF cannot be considered in isolation of physical functioning, or without the social, psychological, and behavioral dimensions of illness. The role of frailty, depression, cognitive impairment, nutrition, and goals of care are each uniquely relevant to the implementation and success of medical therapy. In 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 population. We believe that clinicians who embrace this approach can improve health outcomes for older adults with HF. |
| Databáze: | OpenAIRE |
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