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Information for AuthorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Heart & Lung® invites original articles describing investigations, advances, or observations regarding the care of critically ill patients or the chronically critically ill. Manuscripts should be submitted online at http://ees.elsevier.com/hl/. All articles are subject to expert review and are accepted for publication with the understanding they are contributed solely to Heart & Lung®.
Source: Heart & Lung - September 1, 2009 Category: Intensive Care Source Type: journals

Reviewer ApplicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I would like to serve on the Board of Review for Heart & Lung®. I understand that the manuscripts I receive will need to be reviewed within a period of 2 to 3 weeks and that I may be asked to provide assistance in developing editorial policy and procedure for the Journal.
Source: Heart & Lung - September 1, 2009 Category: Intensive Care Source Type: journals

Reader CommunicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication is important to us. This easy-to-use form is provided in each issue so that readers can immediately express their opinions and provide feedback. Our goal is to make Heart & Lung® responsive to the needs of readers by maintaining an open line of communication. Please take a moment to fill in this form and FAX or mail it to us.
Source: Heart & Lung - September 1, 2009 Category: Intensive Care Source Type: journals

Guidelines for the Care of Heart Failure PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A recent graduate student I was precepting asked me about existing guidelines and algorithms for caring for the patient with heart failure. I dutifully pulled out the ACCF/AHA guidelines, the Heart Failure Society of America (HFSA) guidelines, and the European Society of Cardiology (ESC) guidelines, along with their websites and pocket guides (and slide sets and PDA downloads….). We looked through them together and then he asked, “Well, where is the guideline information on the nursing care for these patients?”
Source: Heart & Lung - September 1, 2009 Category: Intensive Care Authors: Sue Wingate Tags: President's Message Source Type: journals

Influence of a symptom management telehealth intervention on older adults' early recovery outcomes after coronary artery bypass surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Subjects were able to return to preoperative levels of functioning between 3 and 6 months after CABS and to increase their physical activity over reported preoperative levels of activity. Further study of those patients undergoing CABS who could derive the most benefit from the SM intervention is warranted.
Source: Heart & Lung - September 1, 2009 Category: Intensive Care Authors: Susan Barnason, Lani Zimmerman, Janet Nieveen, Paula Schulz, Connie Miller, Melody Hertzog, Chunhao Tu Tags: Issues in Cardiovascular Nursing Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Heart & Lung - September 1, 2009 Category: Intensive Care Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Heart & Lung - September 1, 2009 Category: Intensive Care Tags: Frontmatter Source Type: journals

Information for ReadersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communications regarding original articles and editorial management should be addressed to Kathleen S. Stone, PhD, RN, FAAN, Editor, Heart & Lung®, Ohio State University, College of Nursing, 180 Newtown Hall, 1585 Neil Avenue, Columbus, OH 43210-1289; kstone@columbus.rr.com. Information for authors appears in each issue. Authors should consult these instructions before submitting manuscripts to this Journal.
Source: Heart & Lung - September 1, 2009 Category: Intensive Care Tags: Frontmatter Source Type: journals

Fever of unknown origin (FUO) caused by Kikuchi's disease mimicking lymphomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fever of unknown origin (FUO) refers to infectious, neoplastic, or rheumatic/inflammatory disorders that present with fevers of 101°F or greater for 3 weeks and that remain undiagnosed after an intensive in-hospital or outpatient workup. The noninfectious causes of FUO in adults are most often lymphomas or rheumatic/inflammatory disorders. Among the rare causes of rheumatic/inflammatory FUOs is Kikuchi's disease. Kikuchi's disease (Kikuchi-Fujimoto disease) is also known as histiocytic necrotizing lymphadenitis, a benign, self-limited disorder usually in middle-aged women of Asian descent. Cervical adenopathy is typical a...
Source: Heart & Lung - July 13, 2009 Category: Intensive Care Authors: Burke A. Cunha, Nardeen Mickail, Nicole Durie, Francisco M. Pherez, Stephanie Strollo Tags: Issues in Infectious Disease Source Type: journals

Professional Associations and Conflict of InterestEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There has been much discussion and public debate lately about the relationship between medical institutions (academic medical centers, professional societies, patient advocacy groups, medical journals) and pharmaceutical, medical device, and biotechnology companies. Although it is clearly acknowledged that collaboration among these groups promotes new health care discoveries and developments, financial ties between medical institutions and industry present a risk for conflict of interest which may influence professional judgment and affect the integrity of research programs, the objectivity of professional education, the q...
Source: Heart & Lung - July 1, 2009 Category: Intensive Care Authors: Sue Wingate Tags: President's Message Source Type: journals

Information for AuthorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Heart & Lung® invites original articles describing investigations, advances, or observations regarding the care of critically ill patients or the chronically critically ill. Manuscripts should be submitted online at http://ees.elsevier.com/hl/. All articles are subject to expert review and are accepted for publication with the understanding they are contributed solely to Heart & Lung®.
Source: Heart & Lung - July 1, 2009 Category: Intensive Care Tags: President's Message Source Type: journals

Reviewer ApplicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I would like to serve on the Board of Review for Heart & Lung®. I understand that the manuscripts I receive will need to be reviewed within a period of 2 to 3 weeks and that I may be asked to provide assistance in developing editorial policy and procedure for the Journal.
Source: Heart & Lung - July 1, 2009 Category: Intensive Care Tags: President's Message Source Type: journals

Reader CommunicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication is important to us. This easy-to-use form is provided in each issue so that readers can immediately express their opinions and provide feedback. Our goal is to make Heart & Lung® responsive to the needs of readers by maintaining an open line of communication. Please take a moment to fill in this form and FAX or mail it to us.
Source: Heart & Lung - July 1, 2009 Category: Intensive Care Tags: President's Message Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Heart & Lung - July 1, 2009 Category: Intensive Care Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Heart & Lung - July 1, 2009 Category: Intensive Care Tags: Frontmatter Source Type: journals

Information for ReadersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communications regarding original articles and editorial management should be addressed to Kathleen S. Stone, PhD, RN, FAAN, Editor, Heart & Lung®, Ohio State University, College of Nursing, 180 Newtown Hall, 1585 Neil Avenue, Columbus, OH 43210-1289; kstone@columbus.rr.com. Information for authors appears in each issue. Authors should consult these instructions before submitting manuscripts to this Journal.
Source: Heart & Lung - July 1, 2009 Category: Intensive Care Tags: Frontmatter Source Type: journals

President's messageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Welcome to the inaugural collaboration between AAHFN and Heart & Lung!! I can't think of a better way to kick off the celebration of our 5th annual meeting than to establish a partnership with this prestigious journal. It is a marker of how far we've come in just five short years to be able to collaborate on this venture and give AAHFN a strong editorial presence in the heart failure arena.
Source: Heart & Lung - May 21, 2009 Category: Intensive Care Authors: Sue Wingate Source Type: journals

Information for AuthorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Heart & Lung® invites original articles describing investigations, advances, or observations regarding the care of critically ill patients or the chronically critically ill. Manuscripts should be submitted online at http://ees.elsevier.com/hl/. All articles are subject to expert review and are accepted for publication with the understanding they are contributed solely to Heart & Lung®.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Source Type: journals

Reviewer ApplicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I would like to serve on the Board of Review for Heart & Lung®. I understand that the manuscripts I receive will need to be reviewed within a period of 2 to 3 weeks and that I may be asked to provide assistance in developing editorial policy and procedure for the Journal.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Source Type: journals

Reader CommunicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication is important to us. This easy-to-use form is provided in each issue so that readers can immediately express their opinions and provide feedback. Our goal is to make Heart & Lung® responsive to the needs of readers by maintaining an open line of communication. Please take a moment to fill in this form and FAX or mail it to us.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Source Type: journals

The Difference in Outcomes for the Use of Telemonitoring on Elderly Home Care Patients With a Primary or Secondary Diagnosis of Heart FailureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose: The purpose of this study was to examine telemonitoring (TM) services for HF patients receiving home care using an adapted version of Donabedian's quality model. Background: In order to reduce the impact of HF through maintenance or improvement of functional status, early detection of progressing HF symptoms through TM are gaining attention as a method to monitor health more frequently and assist with the provision of quality efficient home care services.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: C. Hoover Tags: Research Abstracts Source Type: journals

Factors Associated With Perceived Control in Patients With Heart FailureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose: The purpose of this study was to determine factors related to perceived control. Background: Health-related quality of life (HRQOL) is as important as survival to symptomatic patients with heart failure (HF). Perceptions of loss of control are common in HF and negatively affect HRQOL. Because perceived control is important to HRQOL, knowledge of factors associated with perceived control could guide development of interventions to improve perceived control and subsequently, HRQOL.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: S. Heo, D.K. Moser, T.A. Lennie, M.L. Chung, S.J. Pressler, S.B. Dunbar Tags: Research Abstracts Source Type: journals

Self-Care Strategies Are Critical to Disease Manaagment in Home CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose: The purpose of the study was to evaluate improvement in 6 self-care data points in patients admited to home care with a primary diagnosis of heart failure and whether improvement of these data points would lead to the endpoint of decrease in hospitalization and emergent visit rates.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: B.K. Papasifakis, S. Vanderveen Tags: Research Abstracts Source Type: journals

Spirituality and Quality of Life in Heart Failure PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose: To assess the relationship between spirituality and quality of life in patients living with chronic heart failure. Background: Spirituality is a personal expression that may have an important effect on quality of life going beyond religious affiliation. Spiritual beliefs can serve as a buffer for stressful events associated with chronic illness. Studies exploring the interface between and spirituality in heart failure (HF) are limited.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: M. Wilson, L. Steele, M. Stewart, W. Cascio Tags: Research Abstracts Source Type: journals

Nutrient Intake of Women With Heart Failure Following a Sodium-Restricted DietEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose: The purpose of this study is to describe the nutrient intake of women with HF who are following a prescribed sodium-restricted diet. Background: The incidence of malnutrition in persons with heart failure (HF) is reported to be greater than 50%. Research suggests that recommended levels of nutrients may be inadequate to meet the nutritional demands of persons with HF and that a deficiency in certain nutrients may contribute to the pathogenesis of HF. Currently, no nutritional guidelines specific to persons with HF exist. While sodium has received considerable attention, little is known about the effects of follow...
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: K.A. Sethares Tags: Research Abstracts Source Type: journals

Perceived Barriers and Outcomes of a Nurse-Led Heart Failure ProgramEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose: The purpose of this study was to examine barriers and outcomes of a hospital based out-patient multidisciplinary nurse–led HF program. Background: Hospital discharges for Heart Failure (HF) rose from 1979 to 2005, by 171% and the current estimated direct and indirect cost for 2008 is $34.8 billion.1 Many hospital admissions for HF result from the lack of quality evidence-based care in the outpatient setting and patients' lack of knowledge and understanding regarding their disease and treatment plan. Nurse led HF disease management programs are felt to be a potential strategy to improve patient outcomes.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: M.A. Prasun, D. Webster, T. Kesinger, M.A. Short, K. Baur Tags: Research Abstracts Source Type: journals

Baccalaureate Student's Knowledge of Heart Failure Education ConceptsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose: The purpose of this study was to examine the effect of an online Heart Failure (HF) module on student learning and student perceptions of using the module. Background: Undergraduate students need to master the content of HF to provide quality patient care. Nursing faculty face instructional challenges: (1) timing of HF content in the classroom may not match timing of clinical experiences; (2) availablility of hospitalized HF patients for each student is uncertain; and (3) standardized patients and experiences do not exist. In collaboration with a university's computer support staff, an online HF learning module w...
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: K.S. Yehle, K. Chang Tags: Research Abstracts Source Type: journals

The Use of Physiological Triggers for Heart Failure Education in Hospitalized Adults Without a Diagnosis of Heart FailureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study measured the effectiveness of a protocol for registered nurses in which patient-specific physiological data, such as an ejection fraction less than 40 percent or a BNP greater than 100, served as triggers for heart failure (HF) education.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: C.L. Dunlap, T. Upper Tags: Research Abstracts Source Type: journals

Expectation of Quality of Care from Heart Failure PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose: The purpose of the study is to understand the expectation of quality of care from heart failure patients as for nurses to provide the best nursing care to heart failure patients.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: S. Yau Tags: Research Abstracts Source Type: journals

ICD Implantation Criteria Recognition in an Outpatient Heart Failure ProgramEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose: Rate of recognition of ICD implant criteria and referral for ICD implantation in an outpatient heart failure clinic was measured for quality improvement purposes. Background: Heart Failure patients with depressed LV function (EF 35% or less by echocardiogram) are at risk for sudden cardiac death due to life threatening arrhythmias. Primary prevention has been shown to improve survival from VT/VF. Guidelines provided by ACC/AHA/HRS in 2008 give a Class I recommendation for ICD implant for ischemic HF at least 40 days post-MI with LVEF 30% or less and are NYHA Class I or LVEF 35% or less and are NYHA Class II or II...
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: D.K. Petersen, S.C. Fabbri, S.J. Westrom Tags: Research Abstracts Source Type: journals

Mending Broken Hearts: The Lived Experience of Nurses Caring for Patients in a Heart Failure Clinic - A Pilot StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose: The aim of this study was to describe the lived experience of professional nurses who care for chronic heart failure patients. Background: Chronic disease can be devastating to the patient, family, and nurses who care for them. Patients and family members struggle with the debilitating effects and uncertainties that abound in living with this disease. The nurse is in a unique position to foster a therapeutic relationship with these patients. Professional nurses who care for chronic heart failure patients can often describe the needs and challenges of this population. These nurses may also provide insight into the...
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: M. Wilson Tags: Research Abstracts Source Type: journals

Quality Improvement Assessment in an Outpatient Heart Failure ClinicEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: The use of evidence-based therapies for the treatment of heart failure (HF) has been shown to be inconsistent in both inpatient and outpatient (OP) settings. Considerable effort to improve inpatient heart failure treatment occurred with hospital-based initiatives such as the American Heart Association's (AHA) “Get With the Guidelines” program. In the outpatient setting, the IMPROVE HF study showed underutilization of HF therapies. The Centers for Medicare and Medicaid Services are proposing changes to the hospital outpatient prospective payment system based on incentives to improve quality. We propose utili...
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: S.C. Fabbri, D.K. Petersen, S.J. Westrom Tags: Clinical Innovation Abstracts Source Type: journals

Incorporating Aquapheresis into Therapy Options for the Treatment of Volume Overload: A CNS Driven ProjectEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Heart failure is a leading cause of recurrent hospitalization. Ninety percent of heart failure admissions are related to volume overload. National data shows that 43% of heart failure patients are discharged symptomatic with 50% losing less than 5 pounds during hospitalization. Diuretics remain standard therapy for the treatment of volume overload but up to 30% of patients become resistant to diuretics. Practice guidelines now support ultrafiltration for volume removal when diuretic resistance occurs. Recent technology advances have allowed for a simplified approach (Aquapheresis) to traditional ultrafiltration...
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: M. Peterangelo Tags: Clinical Innovation Abstracts Source Type: journals

Integrating Device Diagnostic Data into a Disease Management Care ModelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Integrating the use of device data for the management of heart failure (HF) can be difficult for the busy HF clinic. The Disease Management (DM) care model may provide a means to effectively integrate device data leading to more timely and appropriate care for the HF clinic provider.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: R. Germany, K.B. Neisen, F.J. Kueffer, A.J. Naftilan Tags: Clinical Innovation Abstracts Source Type: journals

Nurse-Led Heart Failure Quality Collaborative for Rural HospitalsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Rural hospital nursing often lacks experts to lead the translation of research into practice. Heart failure (HF) is a growing public health concern, affecting over 5 million Americans at an estimated cost of $33.2 billion annually, with 22% of all patients being discharged from rural hospitals. This high cost is in large part due to the underutilization of effective therapies despite well-publicized management guidelines.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: C.R. Dennison, R. Newhouse Tags: Clinical Innovation Abstracts Source Type: journals

Advancing the Treatment of Volume Overload: Secondary Assessment and Refinement of a Sucessful Aquapheresis ProgramEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: National guidelines suggest the use of ultrafiltration in the treatment of volume overload when there is diuretic resistance. A simplified ultrafiltration modality (Aquapheresis) has been successfully incorporated into treatment options for volume overload at Good Samaritan Hospital. Patient and line selection criteria were developed and an anticoagulation protocol was refined. Initial success was demonstrated with decreased recidivism, lower lengths of stay with early treatments as well as sustained clinical benefits while adopting the process improvements. Next steps included secondary analysis and further ad...
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: M. Peterangelo Tags: Clinical Innovation Abstracts Source Type: journals

Strategies to Implement HF CMS Best Practice and Eliminate FalloutsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: The Centers for Medicare and Medicaid Services (CMS) put forth a series of Heart Failure (HF) best practice measures to ensure quality care. Reviews of HF cases show, at times, these measures are not being met and thus become “fallouts”. In the 3rd quarter of 2008, our CMS fallout rate was over 20%. We wanted to decrease our rate by 50% in 3 months.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: N.J. Singer, D. Penzkowski, C.A. Zywicki Tags: Clinical Innovation Abstracts Source Type: journals

NTI: Willing to Teach: Eager to LearnEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: In our heart failure unit front-line nurses identified poor understanding of key patient outcomes among nursing care assistants (NCAs), resulting in under-reporting of changes in patient status. We recognized the need to better integrate NCAs into patient care processes. Our goal was to improve NCAs ability to understand the challenges of our patients, recognize changes in patient status, and report concerns to the nurse. A secondary purpose was to enhance staff collaboration and teambuilding.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: K. McBroom, T. Sawyer, J. Woodruff, J. Hill, M. Blackwell Tags: Clinical Innovation Abstracts Source Type: journals

Heart Failure Outreach Pilot Program (HFOPP)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Congestive heart failure is one of the most common diagnoses for patients discharged from Saddleback Memorial Medical Center (SMMC), with more than 520 cases per year. Frequent readmissions are accompanied by decreasing quality of life and a reduced functional status for a frail elderly population.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: L.K. Carson, L. Della Bella Tags: Clinical Innovation Abstracts Source Type: journals

Advancing Aquapheresis Therapy in the Treatment of Volume OverloadEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Ninety percent of heart failure admissions are related to volume overload. Diuretics remain standard therapy for the treatment of volume overload but up to 30% of patients become resistant to diuretics. Practice guidelines now support ultrafiltration for volume removal when diuretic resistance occurs. Recent technology advances have allowed for a simplified approach (Aquapheresis) to traditional ultrafiltration. Good Samaritan Hospital incorporated Aquapheresis into its therapy options to help address the problem of volume overload.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: M. Peterangelo Tags: Clinical Innovation Abstracts Source Type: journals

Reducing Readmission Rates by Using Nurse Practitioner Visits Within 72Hours of Discharge from HF Related HospitalizationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Allina Hospitals and Clinics reported that, among patients who were readmitted within 30 days of a heart failure (HF) discharge, 50% occurred within 7 days of discharge. These readmissions occurred before an outpatient visit with the primary care physician could even be scheduled. We focused on the transition period between hospital and home, including the “handoff” and collaboration between inpatient care teams and outpatient cardiology practices.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: D. Carlson, A. Hayden, M. Webb, T.H. Johnson, A.J. Bank, S.H. Kubo, M. Smith, K. Haight, S. Bergeson Tags: Clinical Innovation Abstracts Source Type: journals

Strong Dynamic Correlation Between Hemoglobin Count and Intrathoracic ImpedanceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of strong temporal correlation between changes in IZ and HGB in a patient with polycythemia vera treated intermittently with hydroxyurea.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: K.B. Neisen, F.J. Kueffer, D.A. Hettrick, A.J. Naftilan, K. Crum Tags: Clinical Innovation Abstracts Source Type: journals

Impact of Nurse Practitioners on Implementation of Evidence Based Therapy: Results of the St. Paul Heart Clinic (SPHC) Heart Failure DatabaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Implementation of evidence based therapies has been challenging outside of controlled clinical trials. We utilized nurse practitioners, in combination with physician visits, to maximize medication initiation/titration, instruction for standard heart failure (HF) education (e.g. dietary sodium restriction and daily weights) and referral for device therapy in the outpatient setting.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: S.H. Kubo, A. Hayden, D. Carlson, M. Webb, K. Jones, T.H. Johnson, A.J. Bank Tags: Clinical Innovation Abstracts Source Type: journals

LISTEN to What I Say; So I Can See What I Need: Visual Aids Make the DifferenceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Understanding and compliance with medical regimes is a key factor in helping heart failure patients stay out of the hospital. They can be frustrated when attempting to schedule complicated medical regimes and daily activities. The purpose of this project was to identify an alternative aid and effective teaching style for staff to use in assisting patients to achieve this goal.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: L.H. LaTour, K. McBroom Tags: Clinical Innovation Abstracts Source Type: journals

Heart Failure Core Measures-A Multidisciplinary ApproachEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Since data collection started on heart failure core measures in 2003, our annual composite scores had been less than 93 percent. Over the years we made minor changes to nursing documentation forms and patient discharge instructions. Although our scores were improving, we were not meeting our goals. As we continued our quest to improve our scores, we expanded our heart failure committee. The primary objective of our committee was to improve heart failure core measures through the use of a multidisciplinary team. We felt that one person alone could not improve the scores, but with a team we could achieve our goals.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: C. Hinojosa, J. Giardina, K. Radtke, C. Vournazos Tags: Clinical Innovation Abstracts Source Type: journals

Leaning Toward Perfection in Heart Failure CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Heart Failure (HF) is the leading cause of hospitalization for those over age 65. Improvement efforts in Pursuing Perfection are aimed at providing reliable evidence-based care, and improving outcomes for patients with chronic illness, with a special focus on congestive heart failure. A hospital, part of a large healthcare system in the Midwest has identified Heart Failure Disease Management as a key initiative. In June and July of 2008, a decrease in two of the four Heart Failure Core Measures prompted the evaluation of our process.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: J.M. Mau, D. Pawlukowsky, H. Love, E. Davis, T. Schultz, S. Minx, S. Alasky, S. Victor-Salata, B. Varghese, T. Mohs Tags: Clinical Innovation Abstracts Source Type: journals

Development and Implementation of a Theory Based Model for Telephonic Care of Heart Failure PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Marshfield Clinic created a telephonic Heart Failure Care Management Program in November of 2004. To date, over 3,700 patients diagnosed with Heart Failure have been cared for by a Care Management Registered Nurse. Patients diagnosed with Heart Failure need education regarding diagnosis, symptom management, and medication adherence, as well as assistance to engage in their health care plan with confidence. A theory-based model was developed to guide and provide structure for the Heart Failure nursing interventions.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: M.A. Mikelson, D.J. Johnson, Q. Karen, B. Raphelle-Grande, A. Joel, B. Humphreys, E. Oba, B. Beining, S. Kronenwetter, M. Follen, V. Ellen Tags: Clinical Innovation Abstracts Source Type: journals

Cardiac Rehab: Bridging the Transition from Hospital to HomeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: The heart center identified an opportunity to increase referrals in patients receiving phase I & II cardiac rehab. It was discovered that this area of practice had been overlooked and had declined as staff turnover occurred. This information was presented at the monthly Cardiology Performance Improvement (PI) Board meeting and subsequently to the cardiac rehab committee. Our goal was to capture more patients who meet criteria for cardiac rehab and implement a long term plan for a success.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Authors: K. McBroom, P.W. McKenzie, R.W. Johnson Tags: Clinical Innovation Abstracts Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Heart & Lung - May 1, 2009 Category: Intensive Care Tags: Frontmatter Source Type: journals

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