Depression, Physical Impairment, and Treatment of Depression in Chronic Heart Failure

Turvey, Carolyn; Klein, Dawn M.; Pies, Carla J.

doi:10.1097/00005082-200605000-00005

Cited by 25 publications

(28 citation statements)

References 41 publications

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“…Among Japanese elderly with arthritis, Nakajima et al (2006) has found that self-rated poor general health and greater functional disability was associated with depression. In patients with heart failure, attitudes towards functional impairment and perceived social support were found to be strong contributing factors for depression (Turvey et al, 2006). Nevertheless, in the present study, for a number of illnesses (chronic respiratory disease, gastric problems, arthritis, and heart failure), subjective poor health and functional disability did not completely explain the presence of depression.…”

Section: Discussioncontrasting

confidence: 88%

Depression and chronic medical illnesses in Asian older adults: the role of subjective health and functional status

Niti

Kua

et al. 2007

Int J Geriat Psychiatry

134

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Section: Discussioncontrasting

confidence: 88%

Depression and chronic medical illnesses in Asian older adults: the role of subjective health and functional status

Niti

Kua

et al. 2007

Int J Geriat Psychiatry

134

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“…This finding complements previous research showing that difficulty adjusting to the limitations of illness is a major predictor of depression in patients with HF. 26 Participants, particularly family caregivers, stressed the need for additional support and mental health assistance to help with adjustment. A UK HF palliative care program found mental health assistance to be one of the most important elements of its services.…”

Section: Discussionmentioning

confidence: 99%

Giving Voice to Patients' and Family Caregivers' Needs in Chronic Heart Failure: Implications for Palliative Care Programs

Bekelman

Nowels

Retrum

et al. 2011

Journal of Palliative Medicine

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Background: The American College of Cardiology Foundation/American Heart Association (ACC/AHA) Guidelines for the Management of Heart Failure recommend palliative care in the context of Stage D HF or at the end of life. Previous studies related to heart failure (HF) palliative care provide useful information about patients' experiences, but they do not provide concrete guidance for what palliative care needs are most important and how a palliative care program should be structured. Objectives: Describe HF patients' and their family caregivers' major concerns and needs. Explore whether, how, and when palliative care would be useful to them. Design and participants: Qualitative study using in-depth interviews of 33 adult outpatients with symptomatic HF identified using purposive sampling and 20 of their family caregivers. Approach: Interviews were transcribed verbatim and analyzed using the constant comparative method. Key results: Overall, patients and caregivers desired early support adjusting to the limitations and future course of illness, relief of a number of diverse symptoms, and the involvement of family caregivers using a team approach. A diverse group of participants desired these elements of palliative care early in illness, concurrent with their disease-specific care, coordinated by a provider who understood their heart condition and knew them well. Some diverging needs and preferences were found based on health status and age. Conclusions: HF patients and their family caregivers supported early integration of palliative care services, particularly psychosocial support and symptom control, using a collaborative team approach. Future research should test the feasibility and effectiveness of integrating such a program into routine HF care.

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“…It has been suggested that conditions that cause signifi cant functional limitations are associated with cognitive dysfunction in patients with CHF (Turvey et al, 2006). In a cancer population Glaus (1998) identifi ed problems in thinking and lack of concentration as cognitive manifestations of tiredness.…”

Section: Fatigue In Patients With Chronic Heart Failurementioning

confidence: 99%

Fatigue is a Prevalent and Severe Symptom Associated with Uncertainty and Sense of Coherence in Patients with Chronic Heart Failure

Falk

Swedberg

Gaston‐Johansson

et al. 2007

European Journal of Cardiovascular Nursing

102

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Although fatigue is a prevalent and distressing symptom in patients with chronic heart failure (CHF), it is an underestimated problem in the care of patients, and consequently, insuffi ciently investigated. The primary aim of this thesis was, therefore, to advance the knowledge from the patients' perspective by describing characteristics of the fatigue experience and its consequences in daily life in patients with CHF. A secondary aim was to investigate the relationships between fatigue and selected physiological and psychological factors associated with fatigue. Both quantitative and qualitative methods have been used and three samples of patients have been interviewed on different occasions. In two of the quantitative studies 93 patients, and in another study 112 patients, consecutively included, were interviewed at the hospital. Fifteen patients were included in the qualitative study. These 15 participants were enrolled when they visited an outpatient clinic and most of them were interviewed in their homes. These interviews were supplemented with the content of an Internet discussion with persons living with CHF.The results of the studies indicated that fatigue embraces the individual's body, emotions and cognitive abilities, forcing the person to physical restrictions that, in turn, perpetuate emotional discomfort. However, the physical sensation of fatigue followed by functional limitations seemed to be the most prevalent and distressing experience in patients with CHF. The patients described fatigue as lacking strength, which was associated in connection with physical efforts and lacking energy, viewed as an annoying sensation after both mental and physical strain. Another dimension of fatigue was described as being sleepy, often with a rapid and unforeseen onset. Consequences of fatigue, such as refraining from daily chores, denying oneself opportunities for rejoice and social isolation, further exaggerated the experience of fatigue. Restorative activities that engaged, absorbed or distracted the patients counteracted these negative consequences. Depressed mood was related to those fatigue dimensions that compromised functional ability and motivation to start any activities, whereas anxiety was associated with cognitive impairment. Feelings of uncertainty were related to physical tiredness, possibly infl icted by limitations in performing activities. Symptom distress that was caused by a number of reported symptoms other than fatigue had a diminutive infl uence on fatigue and separate symptoms that were associated with fatigue were, with the exception of breathlessness, not the fi rst and most pressing symptom reported by the patients. Anemic patients reported more fatigue compared with non-anemic patients and functional status, according to the New York Heart Association (NYHA) functional classifi cation criteria, was associated with those fatigue dimensions that encompassed physical tiredness and reduced functioning.The fi ndings provide new insights on the characteristics of fatigue and its con...

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Depression, Physical Impairment, and Treatment of Depression in Chronic Heart Failure

Cited by 25 publications

References 41 publications

Depression and chronic medical illnesses in Asian older adults: the role of subjective health and functional status

Depression and chronic medical illnesses in Asian older adults: the role of subjective health and functional status

Giving Voice to Patients' and Family Caregivers' Needs in Chronic Heart Failure: Implications for Palliative Care Programs

Fatigue is a Prevalent and Severe Symptom Associated with Uncertainty and Sense of Coherence in Patients with Chronic Heart Failure

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