Heart and brain matters in heart failure: a literature review

Heart failure (HF) patients are reported to have twice the risk of having cognitive deficits compared to the general population. Cognitive impairment in this population may cause non-compliance to prescribed self-care regimens and delay in seeking care that may potentially lead to frequent readmissi...

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Bibliographic Details
Published inThe Journal of the New York State Nurses Association Vol. 38; no. 2; p. 13
Main Authors Athilingam, Ponrathi, King, Kathleen B
Format Journal Article
LanguageEnglish
Published United States 22.09.2007
Subjects
Aged
Cardiac Output, Low - diagnosis
Cardiac Output, Low - etiology
Cardiac Output, Low - prevention & control
Cognition Disorders - diagnosis
Cognition Disorders - etiology
Cognition Disorders - prevention & control
Cognition Disorders - psychology
Cost of Illness
Early Diagnosis
Geriatric Assessment
Health Services Needs and Demand
Heart Failure - complications
Heart Failure - mortality
Humans
Mass Screening
Nurse's Role
Nursing Assessment
Patient Acceptance of Health Care
Patient Readmission
Quality of Life - psychology
Risk Factors
Self Care
Time Factors
Treatment Refusal
United States - epidemiology
United States
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Summary:Heart failure (HF) patients are reported to have twice the risk of having cognitive deficits compared to the general population. Cognitive impairment in this population may cause non-compliance to prescribed self-care regimens and delay in seeking care that may potentially lead to frequent readmissions. Although cognitive deficit is common among people with HF, cognitive screening is not routinely performed due to lack of a simple screening tool and the misconception that cognitive changes are part of normal aging. Therefore, future research needs to focus on identifying a simple screening tool that nurses can use to screen for subtle changes in cognition including forgetfulness and delayed recall. Early identification of subtle cognitive changes has the potential to guide healthcare providers to formulate feasible strategies to understand and/or prevent a low cardiac output state before major cognitive impairment becomes evident.
ISSN:0028-7644