Assessing parenteral diuretic treatment of decompensated heart failure in the community.
Referrals of 46 patients with decompensated end-stage heart failure were reviewed by a community heart-failure specialist nurse as part of a pilot study to determine patient numbers suitable for parenteral diuretic treatment at home, and the appropriateness of the Mini Nutritional Assessment (MNA), Edmonton Symptom Assessment System (ESAS) and Carer's Stress Scales. Triage of patients resulted in the following care pathways: 14 (30%) received intravenous therapy, 11 (24%) received subcutaneous therapy, 9 (20%) required adjustment of medication, 8 (17%) could not be treated because of limited staffing resource, 4 (9%) met study exemption criteria. There were no adverse events following furosemide infusion. The majority of intravenous and subcutaneous treatments took 1-7 days (total 187 days). Parenteral diuretic therapy prevented admissions and reduced the severity heart failure symptoms in particular oedema. Patients and carers appreciated the service, which had a positive effect on carers stress. Of the nursing tools, the ESAS and the Carer's Stress Scales proved useful in the management of patients.
Heart Failure Services and Cardiac Rehabilitation, Aneurin Bevan University Health Board, Nevill Hall Hospital, Abergavenny. jackie.austin@wales.nhs.uk
Jackie
J
Austin
Nevill Hall Hospital, Abergavenny.
Denise
D
Hockey
Faculty of Life Sciences and Education, University of South Wales, Pontypridd.
W Robert
WR
Williams
Aneurin Bevan University Health Board, Nevill Hall Hospital, Abergavenny.
Stephen
S
Hutchison
D000368:Aged; D000369:Aged, 80 and over; D004232:Diuretics / Q000008:administration & dosage*; D005260:Female; D005665:Furosemide / Q000008:administration & dosage*; D006333:Heart Failure / Q000188:drug therapy* / Q000451:nursing; D006699:Home Care Services; D006801:Humans; D007262:Infusions, Intravenous; D055104:Infusions, Subcutaneous; D008297:Male; D017060:Patient Satisfaction; D010865:Pilot Projects; D016896:Treatment Outcome; D006113:United Kingdom
D004232:Diuretics; D005665:Furosemide