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Multi-disciplinary heart failure clinics

Summary and slides provided by Professor Tiny Jaarsma NFESC of the Department of Social and Welfare Studies, University of Linkoping in Sweden

View corresponding slides from the 11th Annual Spring Meeting on Cardiovascular Nursing

Cardiovascular Nursing


Several models of disease management in heart failure have proven to be successful in specific settings, however there is still a lot of discussion on the optimal model.

During the last decade several randomized clinical trials have been published on successful disease management but there is a large variability in the application of these programs across the world, depending on national recourses and capabilities. In most disease management programs a multidisciplinary approach is used with an important role for heart failure nurses and cardiologists. Key components often include:

  • assessment and intervention of risks and comorbidity,
  • optimized medical management,
  • patient education and self care management,
  • follow-up,
  • access to healthcare,
  • patient involvement and psychosocial support.

It currently is a challenge how to organize patient care for heart failure patients optimally and efficiently.