Self-care demands of persons living with an implantable left-ventricular assist device

Jesus M. Casida, Rosalind M. Peters, Morris A. Magnan

Research output: Contribution to journalArticlepeer-review

Abstract

Heart failure (HF) is a growing public health problem affecting approximately 23 million people worldwide. Treatment options for advanced HF patients have moved beyond pharmacologic therapy to include left-ventricular assist devices (LVADs). Patients with an LVAD must manage a complex regimen of care. This article proposes the use of self-care deficit nursing theory (SCDNT) as a framework to identify and organize the care needs of patients with an LVAD from a nursing perspective. Within SCDNT, self-care refers to actions designed to meet self-care requisites to achieve regulatory goals. When formalized, self-care requisites have two components: the general action to be taken and a "factor" to be controlled. The reformulation of health-deviation self-care requisites common to LVAD patients are presented and may serve as an exemplar for other technology-assisted living situations. The strengths and limitations of using the SCDNT for patients with such complex needs, as well as implications for clinical practice, research, and advancement of nursing science, are examined.

Original languageEnglish (US)
Pages (from-to)279-293
Number of pages15
JournalResearch and Theory for Nursing Practice
Volume23
Issue number4
DOIs
StatePublished - Jan 1 2009
Externally publishedYes

Keywords

  • Circulatory support
  • Foundational knowledge
  • Left-ventricular assist devices
  • Mechanical hearts
  • Self-care deficit nursing theory
  • Self-care demands

ASJC Scopus subject areas

  • Research and Theory

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