Annotated Bibliography and Clinical Recommendations for Heart Failure

This report provides an annotated bibliography focusing on heart failure, analyzing three research articles related to interventions, hospitalization risks in long-term care, and educational approaches to improve self-care behaviors. The report justifies the selection of these articles based on a case study of an 80-year-old patient with heart failure, hypertension, and ischaemic cardiomyopathy. It then offers recommendations for patient care, including the use of informal carers, beta blockers, and diuretics to manage symptoms such as shortness of breath, hypertension, and peripheral oedema. The report highlights the importance of dyadic interventions, statistical analysis of hospitalization risks, and educational methods like face-to-face training and e-learning to enhance the patient's self-care abilities. Finally, the report references several books and journals used in the research.

Annotated Bibliography

Contents
Part 1: Annotated Bibliography.......................................................................................................1
Part 2: Justification for your choice of research articles..................................................................3
Part 3: Recommendations for patient/clinical practice....................................................................4
REFERENCES................................................................................................................................6

Part 1: Annotated Bibliography
Research
article
Buck, H. G., Stromberg, A., Chung, M. L., Donovan, K. A., Harkness, K.,
Howard, A. M., Kato, N., Polo, R., & Evangelista, L. S. (2018, 2018/01/01/). A
systematic review of heart failure dyadic self-care interventions focusing on
intervention components, contexts, and outcomes. International Journal of
Nursing Studies, 77, 232-242.
https://doi.org/https://doi.org/10.1016/j.ijnurstu.2017.10.007
Annotation The authors’ purpose in this article is to persuade its readers to understand the
value of informal carer and dyadic self care interventions for heart failure
patients.
This article summarises as the investigation of analysing whether the use of
intervention between informal carer and patient impacts the self care ability of
heart failure patient or not. For this, this article has used two tiered analytical
approach. This articles summarises the findings that dyadic interventions do
promote self care in heart failure patients but its growing rate is limited which
means this intervention only works for few individuals and not all heart failure
patients. In order to achieve the objective of this article which is to examine the
components of dyadic self care interventions, authors have used data sources
such as Web of Science and Pub Med. These sources were useful for gaining
the results involving a total of twelve completed but unique intervention studies
from which impact of dyadic intervention studies were analysed on cognitive
and behavioural outcomes. This article also concludes and summarises that it is
important to have an advanced research using sample size justification so that a
histologic picture for dyadic intervention can be gained.
The authors of this article has published numerous peer reviewed articles as
well which are related with the concept of clinical nursing.
Research
article
Kadu, M., Heckman, G. A., Stolee, P., & Perlman, C. (2019). Risk of
Hospitalization in Long-Term Care Residents Living with Heart Failure: a
Retrospective Cohort Study. Canadian Geriatrics Journal, 22(4), 171-181.
https://doi.org/10.5770/cgj.22.366
Annotation The authors purpose for this article is to persuade its readers to understand the
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factors which causes hospitalisation within 90 days of long term care. This
purpose is devised with the hypothesis that heart failure patients in long term
care typically experience frequent hospitalisation.
This article summarises the findings which revolve around the investigation
whether or not heart failure patients in LTC face hospitalisation within 90 days
of their care term. This article analysis predisposing factors, enabling factors
and need for care factors and their impact upon hospitalisation within 90 days.
This article involves results of this hypothesis by using regression equation in
which Forecasters of hospitalization among residents with heart failure were
identified. This article summarises the results that long term care does increase
the likelihood of frequent hospitalisation which also justifies authors’
hypothesis. The results behind these results are also summarised in this article
which includes long term care includes health instability and transition from
acute to LTC due to which frequency of transitioning back into the hospital
setting increases.
The authors of these article have written various clinical nursing journals. Few
of these authors are specialised in statistical based investigation using
regression equations.
Research
article
Salahodinkolah, M. K., Ganji, J., Moghadam, S. H., Shafipour, V., Jafari, H., &
Salari, S. (2020). Educational intervention for improving self-care behaviors in
patients with heart failure: A narrative review. Journal of Nursing & Midwifery
Sciences, 7(1), 60-68. https://doi.org/10.4103/JNMS.JNMS_19_19
Annotation The purpose of this study is to review the educational intervention as the
method of improving the self care behaviour. This article summarises the study
on the people with common cardiovascular disorders. Authors of this article has
written an investigation with the aim to pursue the audience to understand how
patients of heart failure can use self care to improve their health condition. The
most important method which is considered in this article that can improve self
care is educational interventions. A narrative review has been conducted in this
article and the data sources which are used in this article are ProQuest, Science
Direct and many more. A total of 71 articles are considered in this article. Using
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all the data, the educational intervention is divided into four groups which are E
learning, group training, face to face training and home visitation. This article
analyses all the 71 articles and then a result has been attained that all these
education methods help in improve self care behaviours in patients with heart
failure.
Part 2: Justification for your choice of research articles
Article 1:
According to the case study, john is an 80 years’ old overweight man who was diagnosed
with heart failure in 2018. It was analysed that the cause of his heart failure was hypertension
and ischaemic cardiomyopathy. Currently, John is experiencing the issue of distressing of breath
and increasing illness. As per the case, it is clearly visible that chronic heart failure is the root of
all the illness of John and it is creating shortness of breath. The main issue of the patient’s health
is heart failure due to which, this first article is being selected.
The above case study itself justifies the selection of this first article. This article revolves
around the investigation of identify whether the intervention of heart failure patient and informal
carer will help in enhancing the self care abilities of patient or not. This article is related with
dyadic interventions in which various studies are conducted and then found that using an
informal carer does increase the ability of self care in heart failure patients. As John is an 80
years old individual, he cannot be provided 24*7 professional care due to restriction of available
resources (C Thomas, 2016). For this, an informal carer can be assigned to Jon as from this, the
carer will take care of the patients and in the absence of professional knowledge (Hammer, and
et.al., 2017), the ability of self care in John will also enhance.
Article 2:
In this second article, authors have presented their primary investigation which is
revolving around adhering the hypothesis long term care for heart failure patients results into
frequent hospitalisation. As John has suffered from chronic heart failure and has been
experienced extreme illness, it is important to identify whether or not he will face frequent
hospitalisation in future. Reviewing this article will help in understanding the requirements of
John and how often he will require hospitalisation environment.
Another reason which can justify the selection of this article is the statistical approach
adopted by authors. The results which are gained in this article are based on a regression
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equation which tends to provide more accurate results than using theoretical conventions (Lin
and et.al., 2017).
By reviewing this article, it can also help in analysing the situation of John even better. It
can be easily analysed that how often John will require hospitalisation and medication. As this
article is based on statistical analysis, any factor can even be combined with factors considered
by authors and tailor made results can be acquired (Romani and et.al., 2019).
Article 3:
In this third article which involves primary investigation of analysing uses of educational
methods in increasing self care. The case of John revolves around his issue of chronic heart
failure, a condition in which it is important to have appropriate care. This article is considered as
it has the potential to provide insights about how to enhance the procedure of self care. It must be
considered that self care is a procedure in which patient is able to care for himself.
According to the results and conclusions which are gained from Article 3, it has been
seen that education intervention methods such as E learning, group training, face to face training
and home visitation helps in enhancing the behaviour about self learning (Rusli and et.al., 2019).
Using these findings and insights, it can be clearly analysed that John is required to gain training
and awareness about self care using face to face interaction which professional or by using the
method of electronic learning. These methods of educational intervention will help John is
understanding the concept of self care and implementing it for enhancing his health situation.
The most useful method for educating John about self care is face to face training.
Part 3: Recommendations for patient/clinical practice
The information about John which is available is that he is an 80 years old individual with
past one-year history of heart failure and currently is facing increased illness and distressing
shortness of breath. These symptoms show that heart of the patient has become weaken (Woods
and et.al., 2017) and the recommendations to improve condition of Mr. John are:
An informal carer can be employed for Mr. John so that he can be educated about self care.
Another recommendation is to use of beta blockers. Patient has been also diagnosed with
hypertension for which use of beta blockers is appropriate. By these beta blockers, heart rate of
Mr. John will be slowed down and also it will reduce the blood pressure (Salam and et.al., 2018).
Another issue faced by Mr. John is peripheral oedema which results in fluid collection in
body (Stachura and et.al., 2017). For this issue, medication of Diuretics is recommended to this
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patient as this medication will make John urinate more and will result in keeping the fluid away
from his body (Toth, 2017). These are also known as water pills which helps in decrease fluid
from lungs (Tripoliti and et.al., 2017).
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REFERENCES
Books and Journals
Buck, H. G., & et.al., (2018, 2018/01/01/). A systematic review of heart failure dyadic self-care
interventions focusing on intervention components, contexts, and outcomes. International
Journal of Nursing Studies, 77, 232-242.
https://doi.org/https://doi.org/10.1016/j.ijnurstu.2017.10.007
Kadu, M., & et.al., (2019). Risk of Hospitalization in Long-Term Care Residents Living with
Heart Failure: a Retrospective Cohort Study. Canadian Geriatrics Journal, 22(4), 171-
181. https://doi.org/10.5770/cgj.22.366
Salahodinkolah, & et.al.,. (2020). Educational intervention for improving self-care behaviors in
patients with heart failure: A narrative review. Journal of Nursing & Midwifery Sciences,
7(1), 60-68. https://doi.org/10.4103/JNMS.JNMS_19_19
C Thomas, M. (2016). Type 2 diabetes and heart failure: challenges and solutions. Current
cardiology reviews, 12(3), 249-255.
Hammer, M., & et.al., (2017). THE IMPACT OF HEARTFULL ON PLACE OF DEATH FOR
ADVANCED HEART FAILURE PATIENTS. Canadian Journal of Cardiology, 33(10),
S43.
Lin, C. & et.al., (2017). Abstract WP325: Designing Patient-centered Solutions for Enhanced
Home-based Recovery After Mild-moderate Stroke. Stroke, 48(suppl_1), AWP325-
AWP325.
Romani, S., & et.al., (2019). Hyperkalemia in heart failure: new solutions for an old
problem. Giornale italiano di cardiologia (2006), 20(10), 543-551.
Rusli, E. & et.al., (2019). PCV5 3C-HF PROGNOSTIC SCORE TO PREDICT WORSENING
CARDIAC FUNCTION AMONG CONGESTIVE HEART FAILURE PATIENTS IN
UNITED STATES AND EUROPE. Value in Health, 22, S542.
Salam, T. & et.al., (2018). First real-world impact of a novel digital medicine program on
medication adherence and hospital utilization among heart failure
patients. Circulation, 138(Suppl_1), A12310-A12310.
Stachura, J., & et.al., (2017). Lessons learned from Heart Failure Bundle Payment Care
Improvement: Post-acute Care Focus. Journal of Cardiac Failure, 23(8), S87.
Toth, L. N. (2017). Nurses' Response to a Heart Failure Video to Teach Patients Self-
Management.
Tripoliti, E. E., & et.al., (2017). The Evolution of mHealth Solutions for Heart Failure
Management. In Heart Failure: From Research to Clinical Practice (pp. 353-371).
Springer, Cham.
Woods, L., & et.al., (2017). Design thinking for mHealth application co-design to support heart
failure self-management. Studies in health technology and informatics, 241, 97-102.
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