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Canadian Journal on Aging / La Revue canadienne du vieillissement Canadian Journal on Aging / La Revue canadienne du vieillissement

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Managing Heart Failure in Long-Term Care: Recommendations from an Interprofessional Stakeholder Consultation

Published online by Cambridge University Press:  05 December 2016

George A. Heckman ,
Veronique M. Boscart ,
Teresa D’Elia ,
Mary Lou Kelley ,
Sharon Kaasalainen ,
Carrie A. McAiney ,
Mary-Lou van der Horst  and
Robert S. McKelvie
George A. Heckman*
Affiliation:
Schlegel-University of Waterloo Research Institute for Aging and School of Public Health and Health Systems, University of Waterloo
Veronique M. Boscart
Affiliation:
School of Health & Life Sciences and Community Services, Conestoga College Institute of Technology and Advanced Learning, Kitchener
Teresa D’Elia
Affiliation:
Institute for Work & Health, Toronto
Mary Lou Kelley
Affiliation:
School of Social Work, Lakehead University, Thunder Bay
Sharon Kaasalainen
Affiliation:
Faculty of Health Sciences, McMaster University, Ontario
Carrie A. McAiney
Affiliation:
Department of Psychiatry and Behavioural Neurosciences, McMaster University and Director of Research and Evaluation, Seniors Mental Health Service, St. Joseph’s Healthcare Hamilton
Mary-Lou van der Horst
Affiliation:
Schlegel-University of Waterloo Research Institute for Aging, Waterloo
Robert S. McKelvie
Affiliation:
Department of Medicine, Western University, London, Ontario
*
† La correspondance et les demandes de tire-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: George A. Heckman, M.D. Schlegel Research Chair in Geriatric Medicine, Associate Professor School of Public Health and Health Systems University of Waterloo, BMH 2304 200 University Avenue West Waterloo, ON N2L 3G1 (ggheckma@uwaterloo.ca)
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Abstract

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Heart failure (HF) affects up to 20 per cent of residents in long-term care (LTC) and is associated with substantial morbidity, mortality, and health service utilization. Our study objective was to formulate recommendations on implementing HF care processes in LTC. A three-phase and iterative stakeholder consultation process, guided by expert panel input, was employed to develop recommendations on implementing care processes for HF in LTC. This article presents the results of the third phase, which consisted of a series of interdisciplinary workshops. We developed 17 recommendations. Key elements of these recommendations focus on improving interprofessional communication and improving HF-related knowledge among all LTC stakeholders. Engaging frontline staff, including personal support workers, was stated as an essential component of all recommendations. System-level recommendations include improving communication between LTC homes and acute care and other external health service providers, and developing facility-wide interventions to reduce dietary sodium intake and increase physical activity.

Résumé

Insuffisance cardiaque (IC) affecte autant que 20 pour cent des résidents en soins de longue durée (SLD), et est associée à la morbidité substantielle, la mortalité et l’utilisation des services de santé. L’objectif de notre étude était de formuler des recommandations sur la mise en œuvre de processus pour prendre soin de l’insuffisance cardiaque dans SLD. Un processus de consultation itérative triphasé avec les parties prenantes a été guidé par la participation d’un panel d’experts et a servi à élaborer des recommandations. Dix-sept recommandations ont été faites. Éléments clés des celles-ci se concentrent sur l’amélioration de la communication interprofessionnelle et accroître les connaissances relatives à l’insuffisance cardiaque entre tous les intervenants dans SLD. Des recommandations systématiques incluent améliorer la communication entre les foyers de SLD et soins aigus et autres prestataires de santé externes, et développer des interventions dans l’ensemble des installations afin de réduire les apports de sodium alimentaire et d’augmenter l’activité physique.

Keywords

agingheart failurelong-term carefrailtyinterprofessionalhealth care aidesvieillissementinsuffisance cardiaquesoins à longue duréefragilitéinterprofessionnel-lleaidant-te
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 35 , Issue 4 , December 2016 , pp. 447 - 464
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Canadian Association on Gerontology 2016

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