Self managing heart failure in remote Australia - translating concepts into clinical practice

Pupalan Iyngkaran, Samia R. Toukhsati, Melanie Harris, Christine Connors, Nadarajan Kangaharan, Marcus ILTON, Tricia Nagel, Debra K. Moser, Malcolm Battersby

    Research output: Contribution to journalReview article

    Abstract

    Congestive heart failure (CHF) is an ambulatory health care condition characterized by episodes of decompensation and is usually without cure. It is a leading cause for morbidity and mortality and the lead cause for hospital admissions in older patients in the developed world. The long-term requirement for medical care and pharmaceuticals contributes to significant health care costs. CHF management follows a hierarchy from physician prescription to allied health, predominately nurse-led, delivery of care. Health services are easier to access in urban compared to rural settings. The differentials for more specialized services could be even greater. Remote Australia is thus faced with unique challenges in delivering CHF best practice. Chronic disease self-management programs (CDSMP) were designed to increase patient participation in their health and alleviate stress on health systems. There have been CDSMP successes with some diseases, although challenges still exist for CHF. These challenges are amplified in remote Australia due to geographic and demographic factors, increased burden of disease, and higher incidence of comorbidities. In this review we explore CDSMP for CHF and the challenges for our region.

    Original languageEnglish
    Pages (from-to)270-284
    Number of pages15
    JournalCurrent Cardiology Reviews
    Volume12
    Issue number4
    DOIs
    Publication statusPublished - 2016

    Fingerprint Dive into the research topics of 'Self managing heart failure in remote Australia - translating concepts into clinical practice'. Together they form a unique fingerprint.

  • Cite this

    Iyngkaran, P., Toukhsati, S. R., Harris, M., Connors, C., Kangaharan, N., ILTON, M., Nagel, T., Moser, D. K., & Battersby, M. (2016). Self managing heart failure in remote Australia - translating concepts into clinical practice. Current Cardiology Reviews, 12(4), 270-284. https://doi.org/10.2174/1573403X12666160703183001