StudentShare solutions
Triangle menu

Literature Review - Assignment Example

Nobody downloaded yet

Extract of sample
Literature Review

Clinical symptoms of CHF include: breathing problems, fatigue, exercise intolerance and peripheral oedema, and frequent thirst. According to Donner et al. (2012, p. 442), some of the causes of heart failures include high sodium consumption, consumption of foods that are poor in vitamins, mineral and fiber, high intake of saturated fat, cholesterol, and simple carbohydrate. Among adults with over 65 years, CHF is the leading cause of hospitalization. Doris et al. (2007) argue that effective management of heart failure requires pharmacological management combined with non-pharmacological interventions. This position is significant in this literature review because of the need to evaluate the best option between pharmacological and non pharmacological management interventions. It will be vital to evaluate which option will provide the best management that will ensure no reoccurrence of hear failure in elderly patients. In this literature review, three themes stand out in the management of congestive heart failure namely; pharmacological treatment therapies, non pharmacological treatment therapies, and a combination of the two management therapies. PHARMACOLOGICAL MANAGEMENT THERAPIES Pharmacological management therapies involve administration of a drug to alleviate the symptoms of CHF. Diuretics such as furosemide, torsemide, bumetanide and thiazide are important drugs in the management of CHF. Administration of these drugs can either be through intravenous bolus every 12 hours or by continuous intravenous infusion. Debates still exist on the most effective way of administrating these drugs. Similarity Some studies have shown that administration by continuous intravenous infusion is more effective in the management of CHF. Differences However, these studies have received a fair share of criticism. Similarly it is not clear as to whether administration of high dose of diuretics is more effective in management of CHF than administration of low doses of diuretics. This means that current guidelines on administration of diuretics are based on expert opinion. This has resulted in variation in the mode of administration and the dosing. The integration/synthesis of the evidence There is still some controversy on the administration of pharmacological management therapies. This may have some negative impact on the treatment of CHF among elderly patients. For example, in a study done by Felker et al. (2011), it was observed that among patients with acute decompensated heart failure (HF), there no significant differences in “patients’ global assessment of symptoms” or in the change in renal function on administering diuretic therapy by bolus when compared with continuous infusion or at a high dose as compared with a low dose (p.797). These findings do not agree with findings of previous study, which recommended that continuous intravenous infusion is more effective than intravenous bolus. Critique of the evidence This leaves the medical doctor at a dilemma and thereby, no agreement on the best way to administer pharmacological treatment to patients. Unless this is done, varying expert opinion will still be used in the administration of diuretics by clinicians, and this poses a danger to the patients because such treatment will be based on try and error. NON PHARMACOLOGICAL CHF MANAGEMENT THERAPIES Non pharmacological CHF management therapies involve the use of non drug approaches to alleviate the symptoms (Kostis, et al., 1994). ...Show more

Summary

In elderly patients with congestive heart failure: Does non-pharmacologic management prevent the reoccurrence of heart failure compared to pharmacologic management? Name Institution INTRODUCTION: CONGESTIVE HEART FAILURE (CHF) Congestive Heart Failure (CHF) is a clinical syndrome characterized by ineffective myocardial pumping…
Author : mclaughlinkali
Literature Review essay example
Read Text Preview
Save Your Time for More Important Things
Let us write or edit the assignment on your topic
"Literature Review"
with a personal 20% discount.
Grab the best paper

Check these samples - they also fit your topic

Selective Literature Review
In larger organizations human resource personnel may include specialists as well as generalists. Human resource management also takes into account the best ways through which motivate workers to accomplish even bigger goals than those stipulated by the organization manifesto so as to further develop the organization.
3 pages (750 words) Assignment
The Literature Review
As a data collection approach, the researcher shall ensure that the information that is reviewed as part of the chapter is those that are directly related to the study’s specific objectives and research questions. In effect, the literature review is going to be the first avenue in trying to find answers to the research questions and also achieve the specific objectives of the study.
8 pages (2000 words) Assignment
Literature Review
Thus, autoimmune diseases are characterized by damage of the affected tissues and inflammation. The exact cause of autoimmune disorders in not clear though most of them have a genetic defect etiology. Antinuclear antibody (ANA) test is used to
17 pages (4250 words) Assignment
Literature Review
Organizations are forced to adapt to it for them to be successful in the industry this is because there are constant changes in the environment. Changes that organizations and companies adopt include downsizing,
5 pages (1250 words) Assignment
Problem Assessment & Literature Review
Housing woes in the state of New York began in the early 1970’s when the city lost 800,000 people to arson and abandonment. The city had taken ownership of 100,000 housing units, thus making the department of housing and
2 pages (500 words) Assignment
Literature Review
The psychological and physical effects of psychoactive drugs usually culminate in the debate of whether or not their use should be legalized or their use should be further restricted. This review’s major concern is to reveal the proven effects that they have above
6 pages (1500 words) Assignment
Literature Review
lationship between personality traits and academic achievements and that each of the criterion used in measuring personality traits influence academic success differently. b. The impact of neuroticism was found to be focused on academic satisfaction, whiles conscientiousness
3 pages (750 words) Assignment
Research methods - Literature review
The publisher of the literature review is renowned, which publishes scholarly works in an effort to help researchers and students (Schweller, 1994). Moreover, a close analysis on the work reveals that he is addressing an
2 pages (500 words) Assignment
Literature Review
ibited excellence and good results over the years is the due to the fact that the HCT as a learning institution attracts the best talent in the country in terms of lecturers. Additionally, the college has strived in the past to offer the best and reputable education and learning
11 pages (2750 words) Assignment
Literature Review
The classifications include the status of Second Life as a computer game, a talker and a virtual world. The difference that has existed between Second Life and the traditional computer game is that the traditional computer game is
7 pages (1750 words) Assignment
Hire a pro to write
a paper under your requirements!
Win a special DISCOUNT!
Put in your e-mail and click the button with your lucky finger
Your email
YOUR PRIZE:
Apply my DISCOUNT
Comments (0)
Click to create a comment
Contact Us