To enhance the quality of life of elderly people with chronic heart failure. The nursing interventions : literture review

Chronic heart failure has a negative effect on the quality of life of elderly people especially those are 65 years old or more. The purpose: of this study is to explore how dose chronic heart failure affect the elderly’s quality of life and in which dimensions, also how nursing care can enhance the quality of life. Research questions: 1) What is the effect of chronic heart failure on the quality of life of elderly people? 2) What are the nursing interventions to enhance the quality of life of people suffering of chronic heart failure? Research theory: Register theory “Generative Quality of Life for the Elderly”. that base on the idea of “connectedness “. The elderly people generate quality of life as they experience connectedness with six correlated forces and processes which are the act of being such as metaphysically connected, spiritually connected, biologically connected, socially connected and environmentally connected. Methods: literature review of academic databases and reviewing 12 articles using qualitative research method was done. Data analysis was conducted using content analysis inductive approach. Finding: this study adds supporting evidence to the existing knowledge of enhancing and improving the quality of life for this group of patient suffering of CHF is based on providing total nursing care management including all aspects of patient’s life. Introduction of cardiac rehabilitation program such Tai Chi, dancing, regular exercise that may help in improving the physical performance and the functionality of CHF patients is fundamental. Also. the need of psychological support such face to face interview and telephone counseling may help to reduce depression, anxiety and maintain mental health well-being intact for elderly with CHF. Spiritually need to be evaluated and individual care to be introduced based on the elderly people personal preferences and needs. Finally, communication as part of the total care may elevate the level of care and improve patients and heath care professional interaction to achieve maximum care. Therfore, open discussion about the nursing care plan should be started as early as chronic heart failure is diagnosed to ensure that end –of –life care is mentioned and patient choices are considered