PATIENTS' EXPERIENCES OF PHYSICAL LIMITATIONS WHEN SUFFERING FROM HEART FAILURE

2.50
Hdl Handle:
http://hdl.handle.net/10755/157554
Type:
Presentation
Title:
PATIENTS' EXPERIENCES OF PHYSICAL LIMITATIONS WHEN SUFFERING FROM HEART FAILURE
Abstract:
PATIENTS' EXPERIENCES OF PHYSICAL LIMITATIONS WHEN SUFFERING FROM HEART FAILURE
Conference Sponsor:Western Institute of Nursing
Conference Year:2010
Author:Martensson, Jan, PhD, RN, NFESC
P.I. Institution Name:School of Health Sciences
Title:Associate Professor
Contact Address:Box 1026, J÷nk÷ping, Sweden
Co-Authors:Bengt Fridlund; Emma Pihl
BACKGROUND: Impairment in physical functioning has shown to be the most striking finding in the sample of older adults suffering from heart failure. Daily activity is an important clinical outcome in chronic diseases, especially for older frail patients in whom prolongation of life may not always be the primary aim of therapy. One goal of health care must be to maximise function in daily life within the specific limits imposed by the disease. It is of great importance to find what parts of the physical limitation in daily life the patient find most troublesome in order to be able to support the patients to take responsibility in the self care area.
Aims: The study was to describe how patients suffering from chronic heart failure conceived their physical limitations in daily life activities.
METHOD: An explorative and qualitative design with a phenomenographic approach was chosen and a total of 15 patients were interviewed.
RESULTS: The findings indicate that the participants perceived a variety of aspects pertaining to physical limitations in activities of daily life. In Finding practical solutions in daily life, they focused on how life had to be changed and other ways of performing activities of daily life had to be invented. Having realistic expectations about the future was characterised by the belief that the future itself would be marked by a change in physical functioning but an incentive to maintain functions and activities ensured good quality of or even increase in capacity in daily life. Not believing in one's own ability included the perception of having no opportunity to improve ability to perform activities of daily life. There were perceptions of undesired passivity as well as an undefined fear of straining themselves or performing activities that could endanger their health in addition to uncertainty about the future. In Losing oneÆs social role in daily life; participants described losing their social network and their position in society and family because of limited physical capacity. A lack of important issues, mental and physical, occurred when they lost the physical capacity. IMPLICATIONS: There is a need to raise awareness among professionals of the profound impact of chronic heart failure on the lives of patients and carers as well as to explore how their needs can be more appropriately met. It is necessary to provide advice about the appropriate level of physical activity in order to help the patient to maintain his/her physical capacity in daily life.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePATIENTS' EXPERIENCES OF PHYSICAL LIMITATIONS WHEN SUFFERING FROM HEART FAILUREen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157554-
dc.description.abstract<table><tr><td colspan="2" class="item-title">PATIENTS' EXPERIENCES OF PHYSICAL LIMITATIONS WHEN SUFFERING FROM HEART FAILURE</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Martensson, Jan, PhD, RN, NFESC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">School of Health Sciences</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Box 1026, J&Atilde;&fnof;&Acirc;&middot;nk&Atilde;&fnof;&Acirc;&middot;ping, Sweden</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jan.martensson@hhj.hj.se</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Bengt Fridlund; Emma Pihl</td></tr><tr><td colspan="2" class="item-abstract">BACKGROUND: Impairment in physical functioning has shown to be the most striking finding in the sample of older adults suffering from heart failure. Daily activity is an important clinical outcome in chronic diseases, especially for older frail patients in whom prolongation of life may not always be the primary aim of therapy. One goal of health care must be to maximise function in daily life within the specific limits imposed by the disease. It is of great importance to find what parts of the physical limitation in daily life the patient find most troublesome in order to be able to support the patients to take responsibility in the self care area. <br/>Aims: The study was to describe how patients suffering from chronic heart failure conceived their physical limitations in daily life activities. <br/>METHOD: An explorative and qualitative design with a phenomenographic approach was chosen and a total of 15 patients were interviewed. <br/>RESULTS: The findings indicate that the participants perceived a variety of aspects pertaining to physical limitations in activities of daily life. In Finding practical solutions in daily life, they focused on how life had to be changed and other ways of performing activities of daily life had to be invented. Having realistic expectations about the future was characterised by the belief that the future itself would be marked by a change in physical functioning but an incentive to maintain functions and activities ensured good quality of or even increase in capacity in daily life. Not believing in one's own ability included the perception of having no opportunity to improve ability to perform activities of daily life. There were perceptions of undesired passivity as well as an undefined fear of straining themselves or performing activities that could endanger their health in addition to uncertainty about the future. In Losing one&AElig;s social role in daily life; participants described losing their social network and their position in society and family because of limited physical capacity. A lack of important issues, mental and physical, occurred when they lost the physical capacity. IMPLICATIONS: There is a need to raise awareness among professionals of the profound impact of chronic heart failure on the lives of patients and carers as well as to explore how their needs can be more appropriately met. It is necessary to provide advice about the appropriate level of physical activity in order to help the patient to maintain his/her physical capacity in daily life. <br/></td></tr></table>en_GB
dc.date.available2011-10-26T19:58:48Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T19:58:48Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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