title: Managing Heart Failure in Long-Term Care: Recommendations from an Interprofessional Stakeholder Consultation.
abstract: Heart failure (HF) affects up to 20 per cent of residents in long-term care (LTC) and is associated with substantial morbidity, mortality, and health service utilization. Our study objective was to formulate recommendations on implementing HF care processes in LTC. A three-phase and iterative stakeholder consultation process, guided by expert panel input, was employed to develop recommendations on implementing care processes for HF in LTC. This article presents the results of the third phase, which consisted of a series of interdisciplinary workshops. We developed 17 recommendations. Key elements of these recommendations focus on improving interprofessional communication and improving HF-related knowledge among all LTC stakeholders. Engaging frontline staff, including personal support workers, was stated as an essential component of all recommendations. System-level recommendations include improving communication between LTC homes and acute care and other external health service providers, and developing facility-wide interventions to reduce dietary sodium intake and increase physical activity.
authors.affiliation: Schlegel-University of Waterloo Research Institute for Aging and School of Public Health and Health Systems,University of Waterloo.
authors.forename: George A
authors.initials: GA
authors.lastname: Heckman
authors.affiliation: School of Health & Life Sciences and Community Services,Conestoga College Institute of Technology and Advanced Learning,Kitchener.
authors.forename: Veronique M
authors.initials: VM
authors.lastname: Boscart
authors.affiliation: Institute for Work & Health,Toronto.
authors.forename: Teresa
authors.initials: T
authors.lastname: D'Elia
authors.affiliation: School of Social Work,Lakehead University,Thunder Bay.
authors.forename: Mary Lou
authors.initials: ML
authors.lastname: Kelley
authors.affiliation: Faculty of Health Sciences,McMaster University,Ontario.
authors.forename: Sharon
authors.initials: S
authors.lastname: Kaasalainen
authors.affiliation: Department of Psychiatry and Behavioural Neurosciences,McMaster University and Director of Research and Evaluation,Seniors Mental Health Service,St. Joseph's Healthcare Hamilton.
authors.forename: Carrie A
authors.initials: CA
authors.lastname: McAiney
authors.affiliation: Schlegel-University of Waterloo Research Institute for Aging,Waterloo.
authors.forename: Mary-Lou
authors.initials: ML
authors.lastname: van der Horst
authors.affiliation: Department of Medicine,Western University,London,Ontario.
authors.forename: Robert S
authors.initials: RS
authors.lastname: McKelvie
mesh_terms: D032722:Advance Care Planning; D000368:Aged; D032921:Consensus; D015444:Exercise; D005081:Exercise Therapy; D006333:Heart Failure / Q000517:prevention & control / Q000628:therapy*; D006707:Homes for the Aged; D006801:Humans; D008134:Long-Term Care / Q000379:methods*; D009735:Nursing Homes
keywords: -lle; -te; aging; aidant; fragilité; frailty; health care aides; heart failure; insuffisance cardiaque; interprofessional; interprofessionnel; long-term care; soins à longue durée; vieillissement