Caring for patients with chronic heart failure: The trajectory model

Bradi B. Granger, Debra Moser, Barbara Germino, Joanne Harrell, Inger Ekman

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

The purpose of this paper is to examine gaps in our understanding of the heart failure experience and describe the use of Trajectory of Chronic Illness Theory to bridge these gaps. New pharmacotherapeutic strategies have improved survival in heart failure, but research has consistently shown that clinical outcomes in these patients do not depend on physiologic variables alone. Psychological, behavioral, environmental, social and socioeconomic variables also contribute to a patient's ability to manage chronic illness. However, we have not yet identified the essential elements in helping patients engage in self-management and adhere to increasingly complex medical regimens. Theoretical models facilitate disciplinary integration, providing a comprehensive and cohesive foundation for building better science. The Trajectory of Chronic Illness Theory is particularly salient for heart failure because of its emphasis on patients' ability to manage a chronic illness. By using theory to explore gaps in our understanding of the heart failure experience, investigators may be able to develop more targeted interventions to help patients manage heart failure.

Original languageEnglish
Pages (from-to)222-227
Number of pages6
JournalEuropean Journal of Cardiovascular Nursing
Volume5
Issue number3
DOIs
StatePublished - Sep 2006

Keywords

  • Adherence
  • Chronic heart failure
  • Model
  • Self-care
  • Theory
  • Trajectory of Chronic Illness Theory

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medical–Surgical
  • Advanced and Specialized Nursing

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