HEART SUCCESS PROGRAM: IMPROVING OUTCOMES AND QUALITY OF LIFE IN CANCER PATIENTS WITH HEART FAILURE

2.50
Hdl Handle:
http://hdl.handle.net/10755/165267
Category:
Abstract
Type:
Presentation
Title:
HEART SUCCESS PROGRAM: IMPROVING OUTCOMES AND QUALITY OF LIFE IN CANCER PATIENTS WITH HEART FAILURE
Author(s):
Fadol, Anecita
Author Details:
Anecita Fadol, RN, MSN, FNP, University of Texas, MD Anderson Cancer Center, Houston, Texas, USA
Abstract:
The cardiotoxicity of anticancer agents can have potential adverse cardiac effects resulting in heart failure. Caring for patients with cancer and heart failure is challenging for nurses. To meet this challenge, a collaborative, interdisciplinary “Heart Success Program” was established. This program was designed to provide comprehensive care focused on functional capacity and quality of life, without compromising cancer treatment. Other goals of the program included reducing hospital admissions related to heart failure, decreasing the overall cost of services, and importantly, developing a model of care to meet the needs of this unique patient population. The American Heart Association and the American College of Cardiology recommended guidelines for heart failure management were utilized in the program. Currently, there is no established guideline for management of cancer patients with heart failure. Comprehensive patient education on heart failure management using the Theory of Planned Behavior is the theoretical basis of this project. Implementation of the program includes the use of a heart failure pathway, heart failure order set, Heart Success Booklet, and a patient diary. Additionally, videotapes for heart failure management, can be viewed on demand. Outcome indicators, as part of quality improvement were identified prior to starting the project. Positive outcomes would show improved health-related quality of life (SF-12), decreased number of hospital readmissions for heart failure exacerbations, reduce hospital length of stay, optimum pharmacological therapy based on national guidelines, improved activity level at the time of discharge. Disease management programs have been found to reduce hospitalization and is cost saving. However, the effectiveness of these programs has not been evaluated in cancer patients with heart failure. Baseline information from this project will have significant implications for oncology nursing, as there are no published data regarding the care of this unique patient population. In addition, further research topics related to symptom management of patients with cancer and heart failure will be identified.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
30th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Orlando, Florida, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleHEART SUCCESS PROGRAM: IMPROVING OUTCOMES AND QUALITY OF LIFE IN CANCER PATIENTS WITH HEART FAILUREen_GB
dc.contributor.authorFadol, Anecitaen_US
dc.author.detailsAnecita Fadol, RN, MSN, FNP, University of Texas, MD Anderson Cancer Center, Houston, Texas, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165267-
dc.description.abstractThe cardiotoxicity of anticancer agents can have potential adverse cardiac effects resulting in heart failure. Caring for patients with cancer and heart failure is challenging for nurses. To meet this challenge, a collaborative, interdisciplinary “Heart Success Program” was established. This program was designed to provide comprehensive care focused on functional capacity and quality of life, without compromising cancer treatment. Other goals of the program included reducing hospital admissions related to heart failure, decreasing the overall cost of services, and importantly, developing a model of care to meet the needs of this unique patient population. The American Heart Association and the American College of Cardiology recommended guidelines for heart failure management were utilized in the program. Currently, there is no established guideline for management of cancer patients with heart failure. Comprehensive patient education on heart failure management using the Theory of Planned Behavior is the theoretical basis of this project. Implementation of the program includes the use of a heart failure pathway, heart failure order set, Heart Success Booklet, and a patient diary. Additionally, videotapes for heart failure management, can be viewed on demand. Outcome indicators, as part of quality improvement were identified prior to starting the project. Positive outcomes would show improved health-related quality of life (SF-12), decreased number of hospital readmissions for heart failure exacerbations, reduce hospital length of stay, optimum pharmacological therapy based on national guidelines, improved activity level at the time of discharge. Disease management programs have been found to reduce hospitalization and is cost saving. However, the effectiveness of these programs has not been evaluated in cancer patients with heart failure. Baseline information from this project will have significant implications for oncology nursing, as there are no published data regarding the care of this unique patient population. In addition, further research topics related to symptom management of patients with cancer and heart failure will be identified.en_GB
dc.date.available2011-10-27T12:15:29Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:15:29Z-
dc.conference.date2005en_US
dc.conference.name30th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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