Heart Failure in Older Adults: Stage D
Über den Vortrag
Der Vortrag „Heart Failure in Older Adults: Stage D“ von Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C ist Bestandteil des Kurses „Management of Cardiovascular System Disorders in the Older Adult“.
Quiz zum Vortrag
Which of the following findings is a diagnostic criterion for advanced Stage D heart failure?
- Multiple hospitalizations for heart failure in the past year
- Mild symptoms with moderate exertion (NYHA Class II)
- Left ventricular ejection fraction of 45%
- Occasional episodes of fluid retention that respond well to oral diuretics
- Stable renal function with normal creatinine levels
Which element is most important to document during shared decision-making discussions with a patient who has advanced heart failure?
- The patient’s values, goals, and preferences regarding end-of-life care
- The family’s desire for the patient to receive experimental treatments
- The provider’s recommendation for aggressive care regardless of patient preference
- The hospital’s protocol for heart failure management
- Insurance coverage for various treatment options
What is an appropriate approach when a patient with Stage D heart failure requests deactivation of their implantable cardioverter-defibrillator (ICD)?
- Document the conversation, issue a device deactivation directive, and update the care plan
- Refuse the request, as ICD deactivation is never medically appropriate
- Require the patient to sign a liability waiver before proceeding
- Immediately deactivate the device without further discussion
- Increase the shock threshold without informing the patient
Which medication adjustment is most appropriate for comfort-focused care in a patient with Stage D heart failure?
- Continue a low-dose diuretic and discontinue statins and aspirin
- Increase all cardiac medications to maximum doses
- Discontinue all medications, including diuretics
- Add high-dose beta-blockers to prevent tachycardia
- Initiate aggressive insulin therapy for tight glucose control
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Dozent des Vortrages Heart Failure in Older Adults: Stage D
Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C
Dr. Kim Posey is the Director of Graduate Nursing and an Associate Professor of Professional Practice at Texas Christian University.
She has achieved dual doctoral status, holding both a Ph.D. and a DNP in nursing. She is dual certified as an Advanced Adult Nurse Practitioner and Gerontological Nurse Practitioner and holds a certification in nursing education. As a Gerontological Specialist certified by the Gerontology Nursing Certification Commission she is recognized as an APRN who possesses expert knowledge, experience, and skill in managing the complex health needs of older adults. In addition to this impressive educational background, she maintains active clinical practice with adult and geriatrics patients in the primary care area.
At Lecturio, Dr. Posey teaches Gerontology for the advanced practice nurse.
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