By Simon Stewart

It is a functional ebook for nurses at the administration of sufferers with persistent cardiac ailment. With the variety of sufferers who've survived a center assault yet desire non-stop tracking expanding, the position of nurse experts is changing into ever extra very important. This publication presents the required details for them to fulfil the function. It enhances the lead author's past ebook, enhancing results in power center Failure, by means of delivering the main points of scientific administration for operating without delay with sufferers (e.g. healing goals in high blood pressure) and for operating with sufferers to make sure compliance with medicine.

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Additional info for Chronic Cardiac Care: A Practical Guide to Specialist Nurse Management

Example text

Using the same methodology as that used to calculate the cost of angina pectoris [134] and CHF [159] we recently examined the cost of AF to the National Health Service in the UK during the years 1995 and 2000 [165]. During this period we estimated that the direct cost of AF had increased by over 50% [165]. As such it currently consumes around 1% of health care expenditure and indirectly contributes to an additional 2% of such costs [165]. As expected, hospital admissions account for about 60% of AF-related expenditure [165].

Acute myocardial infarction [105]. 12 [105] shows the crude, fiveyear survival rates for each diagnosis. Multivariate analysis showed that, with the major exception of lung cancer, CHF was associated with the poorest longer-term, adjusted survival in men. In women both cancer of the breast and large bowel were associated with better short-term survival rates in comparison to CHF. Consistent with more recent data from the Framingham Study [107], it was found that CHF was associated with a significant number of “premature” life-years lost (on average nine years per person), being associated with more deaths than the combination of large bowel, prostate and bladder cancer.

A BLUK028-Stewart 42 December 6, 2005 11:21 Chapter 2 recurrent AMI). Unfortunately, there are very few studies that have examined the natural history of heart disease in a whole population. Anecdotal evidence suggests that the permutations for acute on chronic manifestations of heart disease are complex and that a generic and often “reactive” approach to management is often adopted. Clearly, this book outlines a more individualized and “proactive” approach to management by stressing the importance of maintaining “secondary prevention” and working with the individual and the best aspects of the local health care system in order to optimize treatment strategies (see Chapters 5 and 6) and improve subsequent health outcomes.

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