Cognitive deficits and self-care behaviors in elderly adults with heart failure.

Uchmanowicz, Izabella; Jankowska-Polanska, Beata; Mazur, Grzegorz; Froelicher, Erika Sivarajan

doi:10.2147/CIA.S140309

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Cognitive deficits and self-care behaviors in elderly adults with heart failure.

Author(s): Izabella Uchmanowicz ¹ , Beata Jankowska-Polańska ¹ , Grzegorz Mazur ² , Erika Sivarajan Froelicher ³ ^, ⁴

Publication date (Electronic): 2017

Journal: Clinical interventions in aging

Publisher: Informa UK Limited

Keywords: aging care, self-care behaviors

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Abstract

Elderly adults with heart failure (HF) may have problems with self-care behaviors because of cognitive deficits. Self-care deficits have been found to be significantly associated with negative health care outcomes among HF patients. The aim of this paper was to assess cognitive deficits and the level of self-care ability in elderly patients with HF, and to determine if a relationship exists between cognitive deficits and self-care.

Most cited references 39

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Epidemiology and risk profile of heart failure.

Anh Bui, Tamara B Horwich, Gregg C. Fonarow (2011)

Heart failure (HF) is a major public health issue, with a prevalence of over 5.8 million in the USA, and over 23 million worldwide, and rising. The lifetime risk of developing HF is one in five. Although promising evidence shows that the age-adjusted incidence of HF may have plateaued, HF still carries substantial morbidity and mortality, with 5-year mortality that rival those of many cancers. HF represents a considerable burden to the health-care system, responsible for costs of more than $39 billion annually in the USA alone, and high rates of hospitalizations, readmissions, and outpatient visits. HF is not a single entity, but a clinical syndrome that may have different characteristics depending on age, sex, race or ethnicity, left ventricular ejection fraction (LVEF) status, and HF etiology. Furthermore, pathophysiological differences are observed among patients diagnosed with HF and reduced LVEF compared with HF and preserved LVEF, which are beginning to be better appreciated in epidemiological studies. A number of risk factors, such as ischemic heart disease, hypertension, smoking, obesity, and diabetes, among others, have been identified that both predict the incidence of HF as well as its severity. In this Review, we discuss key features of the epidemiology and risk profile of HF.

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State of the science: promoting self-care in persons with heart failure: a scientific statement from the American Heart Association.

Barbara Riegel, Debra Moser, Stefan D. Anker … (2009)

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Self-care management of heart failure: practical recommendations from the Patient Care Committee of the Heart Failure Association of the European Society of Cardiology.

Anna Strömberg, H M Ryder, Kenneth Dickstein … (2011)

Guidelines on heart failure (HF) stress the importance of lifestyle advice, although there is little evidence that such recommendations improve symptoms or prognosis. Patients experience symptoms of different intensities which impair their daily activities and reduce the quality-of-life. To cope with their clinical condition, many patients seek advice about lifestyle and self-management strategies when in contact with medical care providers, particularly specialized HF services. Self-care management is an important part of HF treatment, thus health professionals working with patients with HF have recognized the need for more specific recommendations on lifestyle advice. The present paper summarizes the available evidence, promotes self-care management, and aims to provide practical advice for health professionals delivering care to HF patients. It also defines avenues of research to optimize self-care strategies in a number of key areas to derive further benefits.