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Caregiving for Congestive
Cardiac failure
Education for patients and family
caregivers by
Dr. Gazala Shaikh
What is Heart Failure?
Causes of CCF
• CAD ( most common)
• Residual damage after heart attack
• Hypertension ( HBP)
• Damage to heart muscles from other
causes..infections,
• Other conditions that make CCF more
likely to develop (
Incidence of CCF
• Leading cause of hospitalization in
patients over age 65yrs.
• More than 15 millions new cases of ccf
estimated world wide every year.
• Rapidly increasing number due to aging
population.
Symptoms of CCF
• Hard time breathing
• Swollen ankles, legs, or abdomen
(edema) Feeling weak and tired
Prognosis of CCF
• Despite many advances in drug therapy
and cardiac assist devices, prognosis
remains poor.
Please Remember
• Heart Failure is Chronic It requires lifelong
treatment.
• Heart Failure Can Be Treated with
Medications ,Procedures and Surgery
• Heart failure is not simple The doctor needs
to see you often to keep you well
Managing CCF at home
Six Tips
Take Medications as Ordered by Your Doctor
Go to Doctor Appointments
Monitor (watch) Your Symptoms and Weight
Adapt Diet (eating) and Fluids (drinking)
Get Exercise as Directed
Limit Alcohol, Caffeine and Tobacco
Medications
• are necessary even when you are feeling well.
• Go over your list of medications with your
doctor or nurse Make sure you understand how
and when to take them Ask about side
effects (reactions)
• Bring your medications or a list of your
medications to all of your doctor appointments.
• Tell your doctor about any side effects or
reactions
Prepare Medicine chart
• http://www.heartfailurematters.org/static_fi
le/HeartFailureMatters/Documents/EN/Me
dicine_chart.pdf
REMEMBER
Patients who take their
medicines
live longer,
feel better, and
spend less time in the hospital.
Doctor Appointments
• Bring a friend or family member
• Bring all medications or a medication list to
all appointments
• Ask questions!
( specific) and Listen carefully,
W/F warning symptoms and
events
• http://www.heartfailurematters.org/static_fil
e/HeartFailureMatters/Documents/EN/Mon
itoring%20chart.pdf
• Keep daily log of weight..Heart rate and
Blood pressure..
Weight record
• Weigh yourself every morning at about the
same time
• After urinating
• Before having anything to drink
• In the same amount of clothing
• Use the same scale
Zones of CCF management
Call or visit your doctor if
• A gain of 3 pounds or more within a week
• Swelling in hands, ankle or feet
• Breathing difficulty, coughing at night
• Dry cough
• Nausea and vomiting
• Decreased urination
• Feeling tired..or no energy ( fatigue)
• Dizziness
Emergency…Call 911/108
• Call 108
If any of the following symptoms appears
Struggling to breathe..unrelieved Shortness
of breath even staying still
Chest Pain
Confusion…can not think clearly
Communicate with clarity
• Don’t panic
• BE prepared with information the doctor will
need…Inform the symptoms and medication
clearly
• Quick tips..
Keep paper and pen ready to write down
instruction..
Ask question if you don’t understand..ask to
clarify
Keep Healthy Eating and
Drinking
Eating a low salt diet
• Do not add salt to any meals Try to eat less
than 2000 mg of sodium a day One
teaspoon of salt = 2300 mg of sodium
• Reading a Label
choose heart healthy foods Baked or broiled
Fluid Restriction
• Sometimes doctors will limit the amount of
liquids patients can have every day
• Foods that count as liquids are: yogurt,
pudding, ice cream, and gelatin
• Some fruits have liquid: 1 orange or ½
Grapefruit = 4 ounces of fluid
Tips to Battle Thirst
• Use ice chips or freeze juice in an ice cube
tray
• Rinse the mouth
• Use a lemon wedge, gum, frozen grapes,
strawberries or hard candy
Exercise and Activity
• ASK your doctor and follow
LIMIT Alcohol, tobacoo and
Caffeine
QUIT Smoking
Limit Caffeine intake..1-2 cups a day
Decrease Alcohol intake
Pay attention to emotional health
W/F for Depression and Grief
Symptoms
Change in appetite
Changes in sleep
Feeling of guilt, hopelessness and despair
Fatigue
Thoughts of suicide and death
Withdrawal
Care Giving for Congestive Cardiac Failure (CCF) Patients By Dr. Gazala Shaikh
Care Giving for Congestive Cardiac Failure (CCF) Patients By Dr. Gazala Shaikh

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Care Giving for Congestive Cardiac Failure (CCF) Patients By Dr. Gazala Shaikh

  • 1. Caregiving for Congestive Cardiac failure Education for patients and family caregivers by Dr. Gazala Shaikh
  • 2. What is Heart Failure?
  • 3. Causes of CCF • CAD ( most common) • Residual damage after heart attack • Hypertension ( HBP) • Damage to heart muscles from other causes..infections, • Other conditions that make CCF more likely to develop (
  • 4. Incidence of CCF • Leading cause of hospitalization in patients over age 65yrs. • More than 15 millions new cases of ccf estimated world wide every year. • Rapidly increasing number due to aging population.
  • 5. Symptoms of CCF • Hard time breathing • Swollen ankles, legs, or abdomen (edema) Feeling weak and tired
  • 6. Prognosis of CCF • Despite many advances in drug therapy and cardiac assist devices, prognosis remains poor.
  • 7. Please Remember • Heart Failure is Chronic It requires lifelong treatment. • Heart Failure Can Be Treated with Medications ,Procedures and Surgery • Heart failure is not simple The doctor needs to see you often to keep you well
  • 8. Managing CCF at home Six Tips Take Medications as Ordered by Your Doctor Go to Doctor Appointments Monitor (watch) Your Symptoms and Weight Adapt Diet (eating) and Fluids (drinking) Get Exercise as Directed Limit Alcohol, Caffeine and Tobacco
  • 9. Medications • are necessary even when you are feeling well. • Go over your list of medications with your doctor or nurse Make sure you understand how and when to take them Ask about side effects (reactions) • Bring your medications or a list of your medications to all of your doctor appointments. • Tell your doctor about any side effects or reactions
  • 10. Prepare Medicine chart • http://www.heartfailurematters.org/static_fi le/HeartFailureMatters/Documents/EN/Me dicine_chart.pdf
  • 11. REMEMBER Patients who take their medicines live longer, feel better, and spend less time in the hospital.
  • 12. Doctor Appointments • Bring a friend or family member • Bring all medications or a medication list to all appointments • Ask questions! ( specific) and Listen carefully,
  • 13. W/F warning symptoms and events • http://www.heartfailurematters.org/static_fil e/HeartFailureMatters/Documents/EN/Mon itoring%20chart.pdf • Keep daily log of weight..Heart rate and Blood pressure..
  • 14. Weight record • Weigh yourself every morning at about the same time • After urinating • Before having anything to drink • In the same amount of clothing • Use the same scale
  • 15. Zones of CCF management
  • 16. Call or visit your doctor if • A gain of 3 pounds or more within a week • Swelling in hands, ankle or feet • Breathing difficulty, coughing at night • Dry cough • Nausea and vomiting • Decreased urination • Feeling tired..or no energy ( fatigue) • Dizziness
  • 17. Emergency…Call 911/108 • Call 108 If any of the following symptoms appears Struggling to breathe..unrelieved Shortness of breath even staying still Chest Pain Confusion…can not think clearly
  • 18. Communicate with clarity • Don’t panic • BE prepared with information the doctor will need…Inform the symptoms and medication clearly • Quick tips.. Keep paper and pen ready to write down instruction.. Ask question if you don’t understand..ask to clarify
  • 19. Keep Healthy Eating and Drinking Eating a low salt diet • Do not add salt to any meals Try to eat less than 2000 mg of sodium a day One teaspoon of salt = 2300 mg of sodium • Reading a Label choose heart healthy foods Baked or broiled
  • 20. Fluid Restriction • Sometimes doctors will limit the amount of liquids patients can have every day • Foods that count as liquids are: yogurt, pudding, ice cream, and gelatin • Some fruits have liquid: 1 orange or ½ Grapefruit = 4 ounces of fluid
  • 21. Tips to Battle Thirst • Use ice chips or freeze juice in an ice cube tray • Rinse the mouth • Use a lemon wedge, gum, frozen grapes, strawberries or hard candy
  • 22. Exercise and Activity • ASK your doctor and follow
  • 23. LIMIT Alcohol, tobacoo and Caffeine QUIT Smoking Limit Caffeine intake..1-2 cups a day Decrease Alcohol intake
  • 24. Pay attention to emotional health W/F for Depression and Grief Symptoms Change in appetite Changes in sleep Feeling of guilt, hopelessness and despair Fatigue Thoughts of suicide and death Withdrawal