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Congestive Heart Failure

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Congestive Heart Failure
Scientific evidence reinforces the influence of supportive family relationships and correlates family support with positive patient outcomes. Alternatively, chronic disease is not only a stressor for the patient, but also for the family. This fact requires that nursing provide interventions to the family as well as the patient to ensure positive health and well being. The purpose of this paper is to discuss the nursing interventions of education, support and acting as an integrator to promote the health of a patient and family dealing with congestive heart failure.

Congestive heart failure is a chronic illness that affects nearly 5.7 million Americans (Piamjariyakul, Smith, Werkowitch, & Elyachar, 2012). Nearly 700,000
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However, because providing care for an ill family member creates stress for family members, support should also be directed towards caregivers (Löfvenmark et al., 2013). While the daily life of congestive heart failure is affected by physical and emotional limitations, family members are tasked with increased responsibility and role changes (Löfvenmark et al., 2013). In mitigating the stress with these factors, the nurse must include the caregiver and family members in her assessments. One study in particular demonstrates that information regarding care of the congestive heart failure patient targeted towards the caregiver are considered to be of great importance and contribute to a sense of preparedness and increase feelings of relief (Löfvenmark et al., 2013). Social support of caregivers is suggested to promote a sense of security and involvement that protects caregivers from the effects of stressors (Löfvenmark et al., 2013). Information would be provided to the caregiver regarding burn out and the importance of self care. In addition to providing education, resources such as respite care and community resources and support groups would also be …show more content…
B., Clark, P. C., Reilly, C. M., Gary, R. A., Smith, A., Mccarty, F., . . . Ryan, R. (2013, December). A Trial of Family Partnership and Education Interventions in Heart Failure. Journal of Cardiac Failure,19(12), 829-841. doi:10.1016/j.cardfail.2013.10.007
Kaakinen, J. R., Coehlo, D. P., Steele, R., Tabacco, A., & Hanson, S. M. (2015).Family health care nursing: Theory, practice, and research (5th ed.). Philadelphia, PA: F. A. Davis Company.
Löfvenmark, C., Saboonchi, F., Edner, M., Billing, E., & Mattiasson, A. (2013, January 04). Evaluation of an educational programme for family members of patients living with heart failure: A randomised controlled trial. Journal of Clinical Nursing, 22(1-2), 115-126. doi:10.1111/j.1365-2702.2012.04201.x
Piamjariyakul, U., Smith, C. E., Werkowitch, M., & Elyachar, A. (2012, November). Part I: Heart failure home management: Patients, multidisciplinary health care professionals and family caregivers' perspectives. Applied Nursing Research, 25(4), 239-245. doi:10.1016/j.apnr.2011.05.001
Villarruel, M. L. (2013). The effect of heart failure education on reducing readmissions (Unpublished doctoral dissertation). Valpraiso University. Retrieved June 26, 2016, from

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