SYSTOLIC AND DIASTOLIC HEART FAILURE – BARBARA BROWN DNP- FOOCUS.ppt

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SYSTOLIC AND DIASTOLIC HEART FAILURE – BARBARA BROWN DNP- FOOCUS.ppt

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SYSTOLIC AND DIASTOLIC HEART FAILURE – BARBARA BROWN DNP- FOOCUS

Systolic and Diastolic Heart Failure Barbara Brown, DNP, MSN, RN, ACNP-C, FNP FOCUS Conference The Gaylord Opryland Hotel - Nashville, TN May 9, 2013 Objectives of Study Participants will identify current diagnostic and testing methodologies for systolic and diastolic heart failure applying best-practice strategies. Participants will examine a strategy for multidisciplinary management of care for patients with systolic or diastolic heart failure and identify the benefits associated with utilizing this strategy in the care of these patients in improving outcomes for heart failure patients. Participants will identify the process for a heart failure patient in moving from hospital to home. Heart Failure Terminology Heart failure is a global term for the physiological state in which cardiac output is insufficient for the bodys needs. Heart Failure is a condition in which a problem with the structure or function of the heart impairs its ability to supply sufficient blood flow to meet the bodys needs. Heart Failure Pathophysiology Heart failure is caused by any condition which reduces the efficiency of the myocardium leading to overload on the myocardium. Over time the increased workload will produce changes to the heart: Reduced contractility, or force of contraction, due to overloading of the ventricle. A reduced stroke volume, as a result of a failure of systole, diastole or both. Reduced spare capacity. Increased heart rate, stimulated by increased sympathetic activity in order to maintain cardiac output. Hypertrophy of the myocardium, caused by the terminally differentiated heart muscle fibers increasing in size in an attempt to improve contractility. Enlargement of the ventricles, contributing to the enlargement and spherical shape of the failing heart. Heart Failure Statistics Prevalence Heart failure (HF) affects an estimated 5.1 million Americans 20 years of age. By 2013 the prevalence of HF will increase by 25%. 400,000 new cases of heart failure