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October 2010 sc, mlg

Congestive Heart Failure (CHF) Presented by: APS Healthcare Southwestern PA Health Care Quality Unit (HCQU). October 2010 sc, mlg. Disclaimer.

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October 2010 sc, mlg

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  1. Congestive Heart Failure (CHF)Presented by: APS HealthcareSouthwestern PA Health Care Quality Unit(HCQU) October 2010 sc, mlg

  2. Disclaimer Information or education provided by the HCQU is not intended to replace medical advice from the consumer’s personal care physician, existing facility policy or federal, state and local regulations/codes within the agency jurisdiction. The information provided is not all inclusive of the topic presented. Certificates for training hours will only be awarded to those who attend a training in its entirety. Attendees are responsible for submitting paperwork to their respective agencies.

  3. Note of Clarification While mental retardation (MR) is still recognized as a clinical diagnosis, in an effort to support the work of self-advocates, the APS SW PA HCQU will be using the terms intellectual and/or developmental disability (ID/DD) to replace mental retardation (MR) when feasible.

  4. OBJECTIVES The participants will: • 1. Recognize risk factors for CHF • 2. Identify symptoms of CHF • 3. List methods of support for individuals with CHF

  5. Congestive Heart Failure Is… • A decrease in the heart’s pumping ability • Inability of heart to meet the needs of the body • Progressive

  6. Facts About CHF • Affects 1.2-2% of the U.S. population • 75% of individuals are over 65 • 3.5 million hospitalizations per year

  7. Normal Blood Flow TO BODY FROM BODY TO LUNGS FROM LUNGS FROM BODY

  8. Risk Factors for CHF • Injury / damage to heart • Increased strain on heart • Structural problems

  9. CHF and ID/DD • Down Syndrome • Fragile X Syndrome • Williams Syndrome • Prader-Willi Syndrome • Smith-Magenis Syndrome • Velo-cardial Facial Syndrome • Cornelia de Lange Syndrome

  10. Diagnosis of CHF • Medical history • Physical exam • Diagnostic tests

  11. Symptoms of CHF • Shortness of breath • With activity • At rest • Orthopnea • Paroxysmal nocturnal dyspnea • Fatigue / activity intolerance • Dizziness / fainting spells

  12. Symptoms of CHF • Swelling • Pronounced neck veins • Weight gain • Cough

  13. Symptoms of CHF • Rapid heart rate • Depression • Anemia • Lack of appetite

  14. Is There a Cure for CHF? • There is no cure • Slow progression • Minimize symptoms • Improve quality of life • Save lives

  15. Treatment Goals • Treat underlying cause • Improve symptoms and quality of life • Slow progression • Prolong life

  16. Treatment Modes • Medications • Lifestyle Changes • Surgery

  17. Medication Therapy • Diuretics • Digoxin • ACE inhibitors • Beta Blockers • Other Medications

  18. Diuretics • Purpose • Increase urine production • Decrease blood volume • Side Effects • Low potassium • Thirst • Increased urination • Examples: • Lasix, Bumex, Demadex, Zaroxolyn, Aldactone, Hydrochlorthiazide(HCTZ)

  19. Digoxin (Lanoxin) • Purpose • Increases pumping action of heart • Slows heart rate • Side effects • Slow pulse • Digoxin toxicity

  20. ACE Inhibitors • Purpose • Dilation of blood vessels • Side effects • Persistent cough • Dizziness • Weakness • Examples • Capoten, Vasotec, Zestril, Accupril, Monopril,

  21. BETA Blockers • Purpose • Decrease workload of the heart • Side effects • Decreased heart rate • Decreased blood pressure • Fatigue • Insomnia • Examples • Tenormin, Lopressor, Coreg, Betapace, Inderal, Carvedilol

  22. Other Medications • Angiotensin II Receptor Blockers (ARB’s) • Vasodilators • Iron Supplements • Potassium Supplements • Coenzyme Q-10

  23. Over the Counter Interactions • Cold and cough remedies • May increase blood pressure • May increase workload of heart • Anti-inflammatory medications • May cause fluid retention

  24. Lifestyle Changes • Weight loss • Exercise program • Stop smoking • Reduce stress • Avoid alcohol • Dietary changes

  25. Dietary Changes • Increase potassium • Fluid restrictions • Low fat diet • Low sodium diet

  26. Heart Failure Clinics • Active partners in care • Avoid re-hospitalization • Education • Follow-up care

  27. Surgical Interventions • Valve replacement • Bi-ventricular pacemaker • Left ventricular assistive device (LVAD) • Transplant • Artificial heart • Implantable sensors

  28. Monitor symptoms Ensure medications are taken Encourage moderate exercise Encourage rest Elevate lower extremities Read food labels Avoid temperature extremities Encourage appropriate clothing Avoid colds, flu, and pneumonia Listen and be positive Supporting an Individual with CHF

  29. WITH YOUR SUPPORT, AND FOLLOWING THE PLAN OF CARE, INDIVIDUALS WITH CHF CAN LIVE A HAPPY AND FULL LIFE

  30. Suggested Trainings • Heart Disease • Heart: Congenital Abnormalities • Heart Healthy Nutrition

  31. References • Mayo Clinic Staff (2009, December 23). Heart failure. Retrieved October 19, 2010 fromhttp://www.mayoclinic.com/health/heart-failure/DS00061 • Heart Failure Society of America (n.d.). Quick facts and questions about heart failure. Retrieved October 19, 2010 from http://www.hfsa.org/heart_failure_facts.asp • American Heart Association (2009, March 20). Medications commonly used to treat heart failure. Retrieved October 19, 2010 from http://www.americanheart.org/presenter.jhtml?identifier=118 • American Heart Association (2009, April 10). Treating and living with heart failure. Retrieved October 19, 2010 fromhttp://www.americanheart.org/presenter.jhtml?identifier=1579

  32. To register for future trainings,orfor more information on this or any other physical or behavioral health topic, please visit our website at www.hcqu.apshealthcare.com

  33. EvaluationPlease take a few moments to complete the evaluation form found in the back of your packets.Thank You!

  34. Test ReviewThere will be a test review after all tests have beencompleted and turned in to the Instructor.

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