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Chronic Cardiac Care: A Practical Guide to Specialist Nurse by Simon Stewart

By Simon Stewart

It is a sensible publication for nurses at the administration of sufferers with power cardiac illness. With the variety of sufferers who've survived a middle assault yet want non-stop tracking expanding, the function of nurse experts is changing into ever extra vital. This publication offers the required details for them to fulfil the function. It enhances the lead author's past e-book, bettering results in persistent center Failure, through supplying the main points of medical administration for operating at once with sufferers (e.g. healing goals in high blood pressure) and for operating with sufferers to make sure compliance with medicine.

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Extra resources for Chronic Cardiac Care: A Practical Guide to Specialist Nurse Management

Example text

R Abnormal neurohormonal regulation. BLUK028-Stewart December 6, 2005 11:18 Pathophysiology and epidemiologic burden of chronic cardiac disease 21 r r r r Unmet metabolic demand. Breathlessness and intolerance to exercise. Fluid retention. Premature death. In typically old and fragile individuals CHF is rarely an isolated condition. Comorbidities that form part of, or negatively interact with, the pathology summarized below commonly include renal and respiratory failure, anemia and, of course, other chronic manifestations of the disease [83].

It has been suggested that relative to other cardiac conditions chronic angina pectoris has a good prognosis in the majority of patients [47]; however, studies such as the Renfrew/Paisley follow-up [74] and others [71,75,76] which have examined the long-term prognosis of those with this symptomatic form of coronary heart disease have indicated that it is associated with an increased risk relative to those without angina of both cardiac morbidity and mortality. Not only are patients with chronic angina at risk of developing other cardiac conditions but the condition itself also impacts significantly on the patient’s life.

G. a BLUK028-Stewart 42 December 6, 2005 11:21 Chapter 2 recurrent AMI). Unfortunately, there are very few studies that have examined the natural history of heart disease in a whole population. Anecdotal evidence suggests that the permutations for acute on chronic manifestations of heart disease are complex and that a generic and often “reactive” approach to management is often adopted. Clearly, this book outlines a more individualized and “proactive” approach to management by stressing the importance of maintaining “secondary prevention” and working with the individual and the best aspects of the local health care system in order to optimize treatment strategies (see Chapters 5 and 6) and improve subsequent health outcomes.

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