AI Article Synopsis
- A pilot study assessed 46 patients with advanced heart failure to see if they could benefit from home parenteral diuretic treatment and evaluated various assessment tools.
- Out of the patients, 30% received intravenous treatment, 24% received subcutaneous treatment, while 20% needed medication adjustments; however, 17% could not be treated due to staffing limitations.
- The treatment effectively minimized hospital admissions and alleviated heart failure symptoms, with positive feedback from both patients and caregivers regarding the care provided.
Article Abstract
Referrals of 46 patients with decompensated end-stage heart failure were reviewed by a community heart-failure specialist nurse as part of a pilot study to determine patient numbers suitable for parenteral diuretic treatment at home, and the appropriateness of the Mini Nutritional Assessment (MNA), Edmonton Symptom Assessment System (ESAS) and Carer's Stress Scales. Triage of patients resulted in the following care pathways: 14 (30%) received intravenous therapy, 11 (24%) received subcutaneous therapy, 9 (20%) required adjustment of medication, 8 (17%) could not be treated because of limited staffing resource, 4 (9%) met study exemption criteria. There were no adverse events following furosemide infusion. The majority of intravenous and subcutaneous treatments took 1-7 days (total 187 days). Parenteral diuretic therapy prevented admissions and reduced the severity heart failure symptoms in particular oedema. Patients and carers appreciated the service, which had a positive effect on carers stress. Of the nursing tools, the ESAS and the Carer's Stress Scales proved useful in the management of patients.
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| http://dx.doi.org/10.12968/bjcn.2013.18.11.528 | DOI Listing |
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