title: Heart Failure in Post-Acute and Long-Term Care: Evidence and Strategies to Improve Transitions, Clinical Care, and Quality of Life.
abstract: Heart failure (HF) is highly prevalent among older patients in skilled nursing facilities (SNFs). HF outcomes for SNF patients suffer because of many factors, including staff training, lack of physician availability, and failure to implement evidence-based care. AMDA - The Society for Post-Acute and Long-Term Care Medicine has recently updated the Clinical Practice Guidelines for Heart Failure Management in SNFs. This review supplements the Guidelines with a robust focus on best practices for transitional care, symptom management, treatment and monitoring, and palliative care in patients with HF.
authors.affiliation: Indiana University School of Medicine, Indianapolis, IN. Electronic address: anazir@iu.edu.
authors.forename: Arif
authors.initials: A
authors.lastname: Nazir
authors.affiliation: Summa Health Systems, Family Medicine Residency, Akron, OH; Northeastern Ohio Medical University, Rootstown, OH.
authors.forename: William D
authors.initials: WD
authors.lastname: Smucker
mesh_terms: D003072:Cognition Disorders / Q000175:diagnosis; D015897:Comorbidity; D003693:Delirium / Q000175:diagnosis; D003704:Dementia / Q000175:diagnosis; D003863:Depression / Q000175:diagnosis; D004039:Diet, Sodium-Restricted; D004232:Diuretics / Q000627:therapeutic use; D004417:Dyspnea / Q000209:etiology / Q000628:therapy; D006333:Heart Failure / Q000150:complications / Q000628:therapy*; D006738:Hospices; D006801:Humans; D010166:Palliative Care; D010348:Patient Care Team; D017410:Practice Guidelines as Topic; D011788:Quality of Life; D012866:Skilled Nursing Facilities; D000069341:Transitional Care
chemical_list: D004232:Diuretics
keywords: Heart failure; palliative care; post-acute care; transitional care