by way of Debra K. Moser, Barbara R...

by way of Debra K. Moser, Barbara Riegel 2001 371 pp $79 hardback

Congestive heart failure frequently is the final pathway in a variety of cardiovascular disorders, and coronary artery disease has become the leading cause of congestive heart failure. Many risk factors for coronary artery disease also are predictors of hypertension, left ventricular hypertrophy and diabetes mellitus. generally 4.9 million Americans live with congestive heart failure, and approximately 550000 recently made known cases are added each year. It is the greatest in number common cause of hospitalization for the bulk of mankind age 65 or older. The incidence and prevalence of congestive heart failure are wait fored to grow because of fresh declines in mortality for patients with coronary artery disease. Congestive heart failure is the single mostly costly cardiovascular illness in the United States because of increased prevalence and associated medical resource consumption.

This journal-sized volume is written by two editors of the Journal of Cardiovascular Nursing. the two are nationally recognized experts in the field of cardiovascular nursing. They have received numerous awards and honors and have contributed to many renowned journals in succession a wide variety of cardiovascular topics. Contributors to the work include cardiologists, professors of medicine and nursing science, dieticians, clinical scientists, and feeds from every field, including surgery hospice, abode health, and case management.

The sentence predominantly is a commentary forward published studies, most of which were published in the mid to late 1990 which makes the documentation fairly rife This documentation frequently is appendixed with tables, charts, and graphs to illustrate information at handed in the text.

This main division addresses all aspects of caring for patients with congestive heart failure. It begins with a review of symptoms of the disease, causes, incidence, and prevalence, as well as morbidity and mortality. Treatment of congestive heart failure is discussed, including diet, activity, and pharmacological therapy. Many of the general medication regimens (eg, diuretics, dioxin, angiotensin-converting enzyme inhibitors) are discussed in detail. Also discussed in middle is the health-related quality of life as perceived by the agency of the patient.

The authors discuss the impact of several surgical therapies, including left ventricular assist devices, mitral valve repair, and heart transplantation. They also explore the benefits of nutrition and exercise therapy. Anxiety and depression, relatively often met with in older adults, also are associated with poor compliance and social isolation. Comorbidities, like as diabetes, hypertension, and coronary artery disease, are for the use of all No less a concern is the economic impact of every-day hospitalizations, as well as day-to-day care of patients with congestive heart failure. Guidelines for a disease management program are provided and compared to numerous other disease management models

This topic clearly is aimed at those who work in multidisciplinary programs. This part could serve as an estimable reference for anyone involved in the care of patients with congestive heart failure, of the like kind as nurses, physicians, hospice staff members, social workers, dieticians, pharmacists, and discharge planners.

This part is available from Aspen Publishers, Inc, 200 Orchard Ridge Rd Suite 200 Gaithersburg, MD 20878; http://www.aspenpub.com.

VICKIE L SNYDER RN CNOR STAFF nourish at the breast ST BERNARDS REGIONAL MEDICAL CENTER JONESBORO, ARK

COPYRIGHT 2001 Association of Operating scope Nurses, Inc.

COPYRIGHT 2001 Gale Group