Management of End-Stage Heart Failure

Management of End-Stage Heart Failure 

Advanced heart failure, defined by the ACC/AHA as stage D, is the end of the heart failure disease spectrum in which symptoms are present at rest despite optimal medical management. In other words, the heart’s pumping function is weakened so that it is fails to meet the body’s demands and a patient feels symptoms like shortness of breath even at rest. The unpredictable clinical trajectory of HF complicates the planning of end-of-life care, leading to underutilization of palliative care and hospice. Heart failure is typically characterized by acute crises or exacerbations followed by periods of stability as patients receive rescue treatment that can essentially bring them back to their prior functional status. This can last for months or even years. Eventually, however, one of the complications will be lethal. What makes the trajectory even more complex is the difficulty in predicting who is at-risk for sudden death and the lack of prognostic indicators to identify when hospice is needed. Hospice should therefore be focused on the provision of palliative care that meets the patient’s goals of care.

$0.00

Hours: 1.00
PSCC-ESHF-ENCLARA-V2

Certificates

Certificates provided by accrediting body (7 Match)

California Board of Registered Nursing

1.0 HOURS


Provider approved by the California Board of Registered Nursing, CEP# 13791

Nurses will receive 1.00 contact hours for participating in this course.

District of Columbia Board of Nursing

1.0 HOURS


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 1.00 contact hours for participating in this course.

Florida Board of Nursing

1.0 HOURS


Florida Board of Nursing CE Provider #: 50-290

Nurses will receive 1.00 contact hours for participating in this course.

American Nurses Credentialing Center

1.0 HOURS


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.00 contact hours for participating in this course.

Georgia Board of Nursing

1.0 HOURS


Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 1.00 contact hours for participating in this course.

South Carolina Board of Nursing

1.0 HOURS


This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

West Virginia Board of Registered Nursing

1.0 HOURS


Course Details

Course Code: PSCC-ESHF-ENCLARA-V2
Hours: 1
Type: Online Course
Content Expiration Date: 5/31/2021
Learning Objectives:
Define and evaluate the impact of heart failure (HF)
Recognize the pathophysiology and classification of HF
Review current treatment options used in HF
Identify common symptoms experienced by patients with advanced HF
Discuss EOL issues and care planning for patients with advanced HF

Outline:
Management of End-Stage Heart Failure

Objectives

Heart Failure

Impact of Heart Failure

Pathophysiology

Types of Heart Failure

Types of Left-Sided Heart Failure

Heart Failure Classification

Prognostication of Heart Failure

Heart Failure Trajectory

Heart Failure Management

1st Line: ACEIs

1st Line: Beta-Blockers

1st Line: Diuretics

2nd Line: ARBs

2nd Line: Aldosterone Antagonists

3rd Line: Hydralazine and Nitrates

3rd Line: ARNI

3rd Line: Sinoatrial Node Modulator

4th Line: Cardiac Glycosides

Advanced Heart Failure

End of Life Issues

Advanced Heart Failure

Dyspnea

Pain

Fatigue & Weakness

Depression

Edema

Inotropic Therapy at Home

Inotropes: Medicare Coverage Requirements

Discontinuation of Medications

Device Therapies

Communication

Referral to Palliative Care

Referral to Hospice

Summary

Instructor: Marisa Todd, PharmD, BCPS
As Director of Clinical Education at Enclara Pharmacia, Marisa is responsible for the coordination, integration, maintenance and advancement of Enclara Pharmacia’s education support services. Prior roles held by Marisa include manager of the West Deptford clinical call center, clinical pharmacist and new hire pharmacist trainer. She has 15 years of experience as a pharmacist in various fields including 11 years of hospice pharmacy experience, as well as clinical roles in both the hospital and home infusion settings. Throughout Marisa’s career, she has been continuously involved in the education and training of healthcare professionals and students. Marisa earned her doctor of pharmacy degree at Wilkes University, Nesbitt School of Pharmacy. She completed a 1-year post-graduate pharmacy practice residency program and maintains certification as a Board Certified Pharmacotherapy Specialist (BCPS). Disclosure: Marisa Todd, PharmD, BCPS has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Nurses; in the following settings: Hospice.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.