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Just In! Coming Soon Cardiac Imaging Cardiac Nursing Cardiac Surgery Cardiology (Assorted) Echo (Clinical) ECG Electrophysiology Fellows Heart Rhythm Society Interventional IBHRE (NASPExAM®) Prep Pacing & ICDs Cardiology - Clearance Browse All Subjects Cardiology (Assorted) Arrhythmia Cardiac Surgery Cardiovascular Diseases ECG Electrophysiology Heart Failure Interventional Pacing & ICDs Pediatric Vascular Diseases Just In! Coming Soon Computed Tomography Diagnostic Imaging (Assorted) Echo Tech MRI Test Prep (Self-assessment) Ultrasound Imaging - Clearance Browse All Subjects Diagnostic Imaging (Assorted) Computed Tomography Doppler Echocardiography Imaging - Test Prep MRI Nuclear Physics TEE Ultrasound Great Gift Idea! Give the gift of Cardiotext Sign up for free e-mail news about new titles and sales.	Product Detail Improving Outcomes in Heart Failure: An Interdisciplinary Approach Debra K. Moser Retail Price: $120.95 Cardiotext Price: $118.53 Availability: Processing time varies. Price is tentative. Alert me when this product is available Availability Questions? Product Information: ISBN-13: 9780834216440 ISBN-10: 0834216442 Publisher: ASPEN PUBLISHERS Format: Hardcover, 371 pages Pub Date: 01/2000 Edition Number: 1 Shipping Calculator Request a Quote for 10+ Copies Tell A Friend Synopsis Ohio State Univ., Columbus. Addresses innovative ways of dealing with issues such as quality of life, treatment compliance, effective patient and family education and counseling, nonpharmacologic therapy, and new healthcare delivery models for improving the management of heart failure. See These Other Titles Of Interest Understanding Electrocardiography by Mary Boudreau Conover Cardiovascular Nursing Secrets by Leslie Davis Practical Electrophysiology by Todd Cohen Resynchronization and Defibrillation for Heart Failure: A Practical Approach by David L. Hayes Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy, 3rd Edition by Kenneth A. Ellenbogen Critical Care Challenges by Springhouse Critical Care Nursing Certification by Thomas Ahrens Invasive Cardiology: A Manual for Cath Lab Personnel by Sandy Watson Customer Reviews Be the first to review this product Browse Titles In Related Subjects Nursing - Critical Care Nursing - Cardiac Heart Failure Additional Description Contents Contributors ix Foreword xiii Preface xv PART I- THE SYNDROME OF HEART FAILURE: PERSONAL AND SOCIETAL IMPACT 1 Chapter 1- Epidemiology of Heart Failure 3 Marjorie Funk, Kerry A. Milner, and Harlan M. Krumholz Causes and Risk Factors 4 Incidence 7 Prevalence 8 Morbidity 12 Prognosis and Morality 12 Conclusion 15 Chapter 2- Health-Related Quality of Life Outcomes in Heart Failure: A Conceptual Model 18 Martha Shively and Ira B. Wilson What Is Health-Related Quality of Life? 18 A Conceptual Model of HRQL for Clinicians 20 Understanding the HRQL Model in Heart Failure: Empirical Data 25 Conclusion and Implications 27 Chapter 3- Managing Heart Failure: Economic Impact and Outcomes 31 Kathleen M. McCauley and Mary D. Naylor Introduction 31 Economics of Heart Failure: Overview of Key Concepts 31 Incidence and Economic Impact 32 Cost-Effectiveness of Pharmacologic Therapy 33 Economic Outcomes Associated with Alternative Models of Care 35 Conclusion and Recommendations for Further Study 38 PART II- IMPROVING OUTCOMES BY INFLUENCING THE PERSONAL IMPACT OF HEART FAILURE 41 Chapter 4- Impact of Pharmacologic Therapy on Health-Related Quality of Life in Heart Failure: Findings from Clinical Trials 43 Derek V. Exner and Eleanor B. Schron Pathophysiology 43 Pharmacologic Therapy: Impact on Physiologic Parameters, Morbidity, and Morality 43 Pharmacologic Therapy: Impact on Quality of Life 44 Trials Evaluating Quality of Life in Heart Failure 44 Conclusion 49 Chapter 5- Impact of Surgical Therapy on Quality of Life in Heart Failure 52 Kathleen L. Grady, William Piccione, Jr., and Rick J Marcantonio Introduction 52 Methodologic Issues in Quality of Life Research 52 Surgical Revascularization in Heart Failure Patients 54 Mitral Valve Repair in Heart Failure Patients 56 Quality of Life after Surgical Revascularization and/or Mitral Valve Repair 58 Implantable Left Ventricular Assist Devices 60 Quality of Life after Ventricular Assist Device Implantation 63 Cardiac Transplantation 65 Quality of Life after Heart Transplantation 67 Recommendations for Future Research 71 Chapter 6- Impact of Nonpharmacologic Therapy on Quality of Life in Heart Failure 77 Debra K. Moser and Kathleen Dracup Association between Quality of Life and Morbidity and Morality Outcomes 77 Interventions To Improve Quality of Life in Patients with Heart Failure 78 Biobehavioral Therapy 85 Exercise Training 86 An Integrated Theory To Explain Mechanism 92 Conclusion and Recommendations for Research and Practice 92 PART III- IMPROVING OUTCOMES WITH NONPHARMACOLOGIC MANAGEMENT 97 Chapter 7- Nutritional Management of the Patient with Heart Failure 99 Susan J. Bennett, Laurie Hackward, and Sara A. Blackburn Nutrition Assessment 99 Management of Malnutrition/Cachexia 112 Management of Symptoms 117 Management of Sodium Retention and Hypervolemia 118 Management of Hypovolemia and Dehydration 119 Compliance with Medical Nutrition Recommendations 120 Recommendations for Future Research 121 Chapter 8- Exercise in Heart Failure 124 John R. Wilson, Don B. Chomsky, and Karen Dahle Pathophysiology of Exercise Intolerance in Heart Failure 124 Exercise Training and Heart Failure 128 Exercise Prescriptions in Clinical Practice131 Conclusion 133 Chapter 9- Risk Factor Modification in Heart Failure136 Lynn V. Doering, Susan J. Bennett, Laurie Hackward, Sara A. Blackburn, and Karol E. Watson Introduction 136 Behavioral Health Assessment in Heart Failure 136 Hypertension 138 Hyperlipidemia 142 Diabetes Mellitus and Insulin Resistance 143 Obesity 143 Smoking 144 Alcohol 146 Inactivity 146 Conclusion 148 Chapter 10- Biobehavioral Therapy in the Management of Patients with Heart Failure 152 Debra K. Moser and Lynne W. Stevenson Biobehavioral Therapy: Biofeedback and Relaxation in Patients with Cardiovascular Disease 153 Biobehavioral Therapy: Biofeedback and Relaxation in Patients with Heart Failure 155 Conclusion 159 PART IV- IMPROVING OUTCOMES BY ENHANCING TREATMENT COMPLIANCE 163 Chapter 11- Extent of the Problem of Noncompliance in Patients with Heart Failure 165 Martha N. Hill The Compliance Challenge 165 Impact of Noncompliance 165 Patient and Family Factors Contributing to Noncompliance 168 Provider Factors Contributing to Noncompliance 171 System Factors Contributing to Noncompliance 172 Research Recommendations To Enhance Compliance 173 Conclusion 175 Chapter 12- Heart Failure Patient and Family Education 178 Deborah Knox, Lisa Mischke, and Randall E. Williams Traditional Heart Failure Education 179 Conclusion 189 Appendix 12-A: Monitoring and Educating Using Disease Management To Improve Compliance Instrument (MEDICI) 192 Appendix 12-B: Consumer Information 197 PART V- THE ROLE OF FAMILY IN HEART MANAGEMENT 199 Chapter 13- Supportive Resources for the Patient with Heart Failure 201 Linda S. Baas, Robin Trupp, and William T. Abraham Overview of Supportive Resources 201 A Theoretical Approach To Facilitating Supportive Resources 202 Supportive External Resources 205 Supportive Internal Resources 212 The Role of Health Care Providers in Enhancing Supportive Resources 214 Aims of Intervention 215 Conclusion 216 Chapter 14- Transitioning Heart Failure Care to the Family 219 Peggy M. O'Connor Introduction 219 Family Theory 219 Caring for the Caregiver 222 Conclusion 229 PART VI- IMPROVING PERSONAL AND SOCIETAL OUTCOMES WITH NEW CARE DELIVERY MODELS 233 Chapter 15- Outcomes Measurement in Heart Failure 235 Christi Deaton, Derek Y. Exner, Eleanor B. Schron, Barbara Riegel, and Suzanne Prevost Initial Considerations in Outcomes Measurement 235 Selecting Appropriate Instruments for Outcomes Measurement 239 Measuring Health-Related Quality of Life 241 Measuring Financial Outcomes 251 Measuring Processes That Influence Outcomes 254 Suggestions for Future Outcomes Measurement in Heart Failure 258 Chapter 16- Heart Failure Disease Management Models 267 Barbara Riegel and Barbara LePetri Definition 267 Evolution of Disease Management 268 Designing a Disease Management Program 275 Chapter 17- Community Case Management Models of Heart Failure Care 282 Debra K. Moser, Marlene J. Macko, F. Kevin Hackett, and Maggie Roush Hutchins Rationale for Heart Failure Community Case Management 282 Tested Heart Failure Community Case Management Programs 284 An In-Depth View and Outcomes of One Heart Failure Community Case Management Program 290 Conclusion 298 Chapter 18- The Clinic Model of Heart Failure Care 301 Gregg C. Fonarow, Julie Walden Greaser, and Nancy Livingston Components of a Heart Failure Clinic 302 Heart Failure Patient Evaluation 307 Heart Failure Patient Management 307 The UCLA Heart Failure Program Experience 308 Patient Teaching 310 Evaluation of Outcomes 312 Analysis of Variables That May Influence Outcomes 313 Outcomes Measurement 314 Conclusion 315 Chapter 19- Telephonic Case Management Models of Heart Failure Care 318 Nancy Houston Miller and Jeffrey A. West An Overview of Case Management Models 318 The Stanford Cardiac Rehabilitation Program Experience 322 Conclusion 326 Appendix 19-A: Kaiser/Stanford Heart Failure Program Sodium Progress Report #2 329 Chapter 20- Multidisciplinary Disease Management Models of Heart Failure Care 331 Barbara Riegel and Michael W. Rich An In-Depth Analysis of Existing Programs 331 Analysis and Directions for Future Research 337 PART VII- SUMMARY AND THE FUTURE 341 Chapter 21- Summary and the Future of Heart Failure Care 343 Debra K. Moser and Barbara Riegel Improving Outcomes 344 Are We Focusing on the Best Outcomes? 347 What Does the Future Hold? 350 List of Sources 355 Index 359 Contributors William T. Abraham, MD, FACP, FACC Professor of Medicine Chief, Division of Cardiology University of Kentucky College of Medicine Lexington, Kentucky Linda S. Baas, PhD, RN, CS, ACNP Associate Professor University of Cincinnati College of Nursing Nurse Practitioner University Hospital Community Heart Failure Program Cincinnati, Ohio Susan J. Bennett, DNS, RN Professor Indiana University School of Nursing Clarian Health Partners, Inc. Bloomington, Indiana Sara A. Blackburn, RD, DSc Clinical Associate Professor Nutrition and Dietetics Program School of Allied Health Sciences Indiana University School of Medicine Indianapolis, Indiana Don B. Chomsky, MD Assistant Professor of Medicine Cardiology Division Vanderbilt University Nashville, Tennessee Julie Walden Greaser, MN, RN Clinical Nurse Specialist Ahmanson-UCLA Cardiomyopathy Center Los Angeles, California Karen Dahle, RNC, MSN, ACNP Nurse Practitioner Department of Cardiovascular Sciences at St. Thomas Heart Institute St. Thomas Health Services Nashville, Tennessee Christi Deaton, PhD, RN Assistant Professor Nell Hodgson Woodruff School of Nursing Emory University Atlanta, Georgia Lynn V. Doering, DNSc, RN Assistant Professor UCLA School of Nursing Los Angeles, California Kathleen Dracup, DNSc, RN Dean and Professor University of California, San Francisco, School of Nursing San Francisco, California Derek V. Exner, MD, MPH, FRCPC Clinician Scientist Medical Research Council of Canada Assistant Professor of Medicine and Community Health Sciences University of Calgary Calgary, Canada Gregg C. Fonarow, MD, FACC Associate Professor of Medicine Director, Ahmanson-UCLA Cardiomyopathy Center University of California, Los Angeles Los Angeles, California Marjorie Funk, PhD, RN Professor Yale University School of Nursing New Haven, Connecticut Kathleen L. Grady, PhD, RN, FAAN Professor, College of Nursing Associate Professor, College of Medicine Rush-Presbyterian-St. Luke's Medical Center Rush University Chicago, Illinois F. Kevin Hackett, MD Cardiologist Columbus Cardiology Consultants Clinical Assistant Professor of Medicine The Ohio State University College of Medicine and Public Health Columbus, Ohio Laurie Hackward, MS, RD Nutrition Manager Indiana University General Clinical Research Center Bloomington, Indiana Martha N. Hill, PhD, RN, FAAN Professor Johns Hopkins University School of Nursing Baltimore, Maryland Maggie Roush Hutchins, ACSW/LISW Case Manager Mount Carmel Health System Columbus, Ohio Deborah Knox, MS, RN, CORN Congestive Heart Failure Coordinator Evanston Northwestern Healthcare Evanston, Illinois Harlan M. Krumholz, MD, MSc Associate Professor Codirector, Robert Wood Johnson Clinical Scholars Program Yale University School of Medicine Director Center for Outcomes Research and Evaluation Yale-New Haven Hospital New Haven, Connecticut Barbara LePetri, MD, FACC Medical Director Cardiovascular Risk Factors Group Pfizer Pharmaceuticals, Inc. New York, New York Nancy Livingston, MN, RN, NP Advanced Practice Nurse Ahmanson-UCLA Cardiomyopathy Center Los Angeles, California Marlene J. Macko, MS, RN CHF Community Case Manager Mount Carmel Health System Columbus, Ohio Rick J. Marcantonio, PhD Master Analyst SPSS, Inc. Chicago, Illinois Kathleen M. McCauley, PhD, RN, CS, FAAN Associate Professor of Cardiovascular Nursing Cardiovascular Clinical Specialist University of Pennsylvania School of Nursing Philadelphia, Pennsylvania Nancy Houston Miller, RN, BSN Associate Director Stanford Cardiac Rehabilitation Program Stanford University School of Medicine Stanford, California Kerry A. Milner, DNSc, RN Research Scientist Yale University School of Nursing New Haven, Connecticut Lisa Mischke, MS, RN Congestive Heart Failure Coordinator Evanston Northwestern Healthcare Evanston, Illinois Debra K. Moser, DNSc, RN Associate Professor Ohio State University CHF Community Case Manager Mount Carmel Health System Columbus, Ohio Mary D. Naylor, PhD, RN, FAAN Ralston Endowed Term Chair and Professor University of Pennsylvania School of Nursing Philadelphia, Pennsylvania Peggy M. O'Connor, MSN, RN Home Health and Hospice Case Manager Sharp HealthCare San Diego, California William Piccione, Jr., MD, FACS Associate Professor of Surgery Rush-Presbyterian-St. Luke's Medical Center Chicago, Illinois Suzanne Prevost, PhD, RN, CNAA Professor and National HealthCare Chairholder Middle Tennessee State University Murfreesboro, Tennessee Michael W. Rich, MD, FACC Associate Professor of Medicine Washington University School of Medicine St. Louis, Missouri Barbara Riegel, DNSc, RN, CS, FAAN Professor School of Nursing San Diego State University Clinical Researcher Sharp HealthCare San Diego, California Eleanor B. Schron, MS, RN, FAAN Nurse Director Division of Epidemiology and Clinical Applications National Heart, Lung and Blood Institute Bethesda, Maryland Martha Shively, PhD, RN Professor San Diego State University School of Nursing Associate Chief Nursing Service/Research Veterans Affairs San Diego Healthcare System San Diego, California Lynne W. Stevenson, MD Associate Professor Harvard Medical School Brigham and Women's Hospital Boston, Massachusetts Robin Trupp, RN, MSN, CS-ACNP, CORN Nurse Practitioner and Heart Failure Program Manager University of Kentucky Lexington, Kentucky Karol E. Watson, MD Cardiologist and Assistant Professor of Medicine UCLA School of Medicine, Division of Cardiology Los Angeles, California Jeffrey A. West, MD Clinical Assistant Professor of Medicine (Cardiovascular Medicine) Stanford University School of Medicine Medical Director Care There, Inc. Stanford, California Randall E. Williams, MD Director Congestive Heart Failure Program Evanston Northwestern Healthcare Evanston, Illinois Ira B. Wilson, MD, MSc Assistant Professor of Medicine New England Medical Center Tufts University School of Medicine Boston, Massachusetts John R. Wilson, MD, BA Professor of Cardiology Director, Vanderbilt Heart Failure Program Vanderbilt University Nashville, Tennessee
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