PubMed · 1998 · 34 citations · 0 references
MedicineCardiologyGeriatric MedicineGeriatric AssessmentGeriatric NursingGeriatricsComprehensive Geriatric AssessmentContinuing CareDischarge PlanningDischarge Planning For Older AdultsHeart FailurePost-discharge Follow-upChronic Heart Failure ManagementDischarge Care PlanningHome-based Follow-upHospital Discharge PathwaysPatient Discharge PlanningPatient-centered Discharge PlanningPost-discharge Transition Of CareReadiness For Home Discharge
Older adults with heart failure have extensive and complex care needs. This article presents a framework for assessment and intervention with this fragile patient group. Comprehensive assessment of elders with heart failure includes gathering information about care, advocacy, and knowledge needs. Nursing interventions are focused on providing direct care, counseling, teaching, and advocacy. The unique role of the advanced practice nurse in discharge planning and home follow-up of elders with heart failure is emphasized.