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Heart failure This disease affects more than 5.7 million people in the United States and is considered a progressive, long-term condition. Heart. failure occurs when the heart muscle is unable to transport oxygen-rich blood to the body. Signs include acquired cough, fatigue, swelling of limbs, low tolerance of physiological exercise, more frequent heartbeats, loss of appetite, and shortness of breath. Healing is intended to reduce the load on the body. the heart It involves diuretics, breathing products, and healthy lifestyle changes.
When heart failure reaches the end stage In healing, the emphasis is usually not on results. Most people can initially heart failure overcome their symptoms with the help of lifestyle and medication changes. Symptoms become more severe in later stages. stages And this is a good time to discuss the end of life. In this article we will discuss more about this disease and how to plan for healing.
What does end-stage heart failure mean?
Yes, heart failure It is a fairly significant disease that is becoming increasingly common. It is a treatable and manageable condition, heart failure It is a treatable and manageable condition. But when it is “at the end of its stage End” means that there is a lot of damage the heart to the muscles, and that the patient does not qualify for other options heart implants or ventricular assist devices.
However, there are patients with diagnoses end stage heart failure who have lived indefinitely with good memories. They may be admitted to the hospital in poor health but with uncomplicated symptoms. Moments that have every opportunity to affect this are
1) Very large amounts of sodium on the menu.
2) Poor response to treatment.
3) Smoking, alcohol consumption, or other painful lifestyle.
4) Congenital disorders that weaken the heart’s ability to function. the heart muscle
Classification of Heart Deficiencies and Symptoms
Since heart failure It is a progressive, long-term disease and is systematized based on the amount of function the heart function and degree of the patient’s symptoms. This is how they are grouped:
Class I
Acceptable degree of normal muscle strength and movement. There is no specific shortness of breath or incapacity. The disease can simply be brought under control with the help of medications, diet, and a healthy lifestyle. At this stage, the physician will always encourage the patient to quit smoking and will be very hostile to the treatment of increased blood pressure.
Class II
At this level, there is low energy intolerance and it is not easy to walk up stairs or walk well. At this point, physicians usually start with beta-blockers or ACE inhibitors to regulate blood pressure, prevent heart rhythm disturbances, and improve function. the heart .
Class III
Here, a surprising limitation is created at the beginning of vitality. All images of physiological power cause shortness of breath and shortness of fatigue, but not to a state of restlessness. Dietary changes begin, such as low salt and cholesterol levels. At this point, the physician usually begins to remove excess fluid from the body using diuretics. Oxygen and respiratory therapy may also be necessary.
Class IV
Symptoms have every opportunity to become uncomfortable, even in a calm state. There is a prominent cardiac configuration that points the heart is in complete failure including difficulties with renal function. This is the end of the line. stage heart failure And that is when the physician evaluates surgical options. Medications may alleviate symptoms.
Life expectancy in heart failure
Life expectancy for heart failure Depends on when the diagnosis is made, when healing occurs, how you follow through on your healing intentions, and how your body responds. There is no “fixed” time limit on your life. Elementary school is cherished as he is every day and makes the best baggage. Some people have every opportunity to change heart failure And continue to lead normal, healthy lives. For patients who do not take anti-arrhythmias, there is an increased “sudden death” rate in about 50% of patients. The good news is patients who have heart 85% chance of transplantation.
Cure and care of heart failure
Final stage heart failure countless claims that his nonsense requires brutal treatment to assure the best possible comfort. It is fundamental that the family be informed about the course of the disease and how to deal with emergencies.
In order to manage the condition of the house it is important to
- Move in the direction of a day to day pace and often encourage rest periods
- Low-salt diet
- Doctor prescribed water restrictions
- Try to transfer as few infections as possible Avoid contact with respiratory disorders
- Increase bed headboard
- Place fans in the room to prevent weightless starvation
Physician can suggest continuing or prescribing the correct medications.
- Diuretics (help remove excess water from the body)
- ACE inhibitors (dilates blood vessels and increases blood flow)
- Angiotensin Blockers (relaxes and enlarges blood vessels)
- Bet a-Blockers (help heart (check your rhythm and blood pressure)
- Spironolactone (reduces excess water and lower blood pressure)
- Air (to help increase the amount of air in the body)
- Discomfort (to improve pumping power) the heart )
- Oxygen (to give extra air to the blood via nasal cannula)
- Nebulizer therapy (inhalers to open the lungs)
Palliative support at home
As the end approaches, you will notice certain changes in your loved one. Here are some symptoms of approaching death end stage heart failure :
- Withdrawal from interactions with others
- Weakness
- Decreased appetite
- Unconsciousness
- Small urination
- Changes in breathing
- Stable limbs to touch.
Ensure good pain relief and treatment to enhance comfort. Using a cotton swab, moisten the inside of the mouth and allow the skin to dry in a controlled manner. swear every 2 hours. Offer movement and water only when awake and alert.
End-of-life decisions
There may be a number of care-related decisions to make as you approach the end. You still need to decide if your loved one needs you to ease the inconvenience. Some conclusions that must be discussed are
Should the implantable defibrillator be turned off? Implantable defibrillators continue to reset the rhythm with a shock, even when the dying process has begun. the heart Even when the dying process has begun, it resets the rhythm with a shock. This can cause discomfort and does not respect the natural processes the body is experiencing. Request deactivation of the device.
Must be mechanical heart The “left ventricular support device” certainly helps magnify the last discomfort. Important to discuss if the pump stays on or off when the lid is closed.
What about hospice? Hospice has the opportunity to come in and help patients end stage heart failure Homework with attention to end of life, counseling, and psychological support. There is a team of medical professionals, nurses, therapists, and neighborhood staff. The care project is designed to meet
- Medical support and pain relief by phone 24 hours a day
- Guidance for patients and families
- Help with your own death
- Volunteers to assist with direct household tasks
- Assistance with funeral planning, legal and insurance needs
Each agency distinguishes itself and can get quite a few suggestions. If you choose hospice, ask your doctor or neighborhood clinic for advice.
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