{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:06:24Z","timestamp":1762866384609,"version":"build-2065373602"},"reference-count":26,"publisher":"Mark Allen Group","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Community Nurs"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:p> Referrals of 46 patients with decompensated end-stage heart failure were reviewed by a community heart-failure specialist nurse as part of a pilot study to determine patient numbers suitable for parenteral diuretic treatment at home, and the appropriateness of the Mini Nutritional Assessment (MNA), Edmonton Symptom Assessment System (ESAS) and Carer's Stress Scales. Triage of patients resulted in the following care pathways: 14 (30%) received intravenous therapy, 11 (24%) received subcutaneous therapy, 9 (20%) required adjustment of medication, 8 (17%) could not be treated because of limited staffing resource, 4 (9%) met study exemption criteria. There were no adverse events following furosemide infusion. The majority of intravenous and subcutaneous treatments took 1\u20137 days (total 187 days). Parenteral diuretic therapy prevented admissions and reduced the severity heart failure symptoms in particular oedema. Patients and carers appreciated the service, which had a positive effect on carers' stress. Of the nursing tools, the ESAS and the Carer's Stress Scales proved useful in the management of patients. <\/jats:p>","DOI":"10.12968\/bjcn.2013.18.11.528","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T16:39:53Z","timestamp":1400863193000},"page":"528-534","source":"Crossref","is-referenced-by-count":8,"title":["Assessing parenteral diuretic treatment of decompensated heart failure in the community"],"prefix":"10.12968","volume":"18","author":[{"given":"Jackie","family":"Austin","sequence":"first","affiliation":[{"name":"Heart Failure Services and Cardiac Rehabilitation, Aneurin Bevan University Health Board, Nevill Hall Hospital, Abergavenny, and Lead Nurse, South Wales Cardiac Network"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise","family":"Hockey","sequence":"additional","affiliation":[{"name":"Nevill Hall Hospital, Abergavenny"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W Robert","family":"Williams","sequence":"additional","affiliation":[{"name":"University of South Wales, Pontypridd"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Hutchison","sequence":"additional","affiliation":[{"name":"Medical Director Aneurin Bevan University Health Board, Nevill Hall Hospital, Abergavenny"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcnurse.2010.03.001"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.12-2-133"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2011-000199"},{"issue":"2","key":"B4","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1177\/082585979100700202","volume":"7","author":"Bruera E","year":"1991","journal-title":"J Palliat Care"},{"journal-title":"National Service Framework for Coronary Heart Disease","year":"2000","author":"Department of Health (DH)","key":"B5"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2008.11.020"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1005419"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1191\/0269216304pm1006oa"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/11.2.121"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1093\/eurjhf\/hfp041"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.01.052"},{"issue":"4","key":"B12","first-page":"810","volume":"44","author":"McAlister FA","year":"2004","journal-title":"J Am Coll Cardiol"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1038\/nrcardio.2009.197"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2012-302435"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcnurse.2006.08.002"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejheart.2008.01.003"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-013-0030-y"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1177\/0193945908319990"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2012.0248"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2009.11.005"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2009.267"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1007\/s10741-011-9244-4"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-9007(98)00171-3"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.1345\/aph.1D332"},{"issue":"14","key":"B26","first-page":"20","volume":"109","author":"Watson C","year":"2013","journal-title":"Nurs Times"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1177\/0269216311399490"}],"container-title":["British Journal of Community Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/bjcn.2013.18.11.528","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T06:00:43Z","timestamp":1653372043000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/bjcn.2013.18.11.528"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,11]]},"references-count":26,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2013,11]]}},"alternative-id":["10.12968\/bjcn.2013.18.11.528"],"URL":"https:\/\/doi.org\/10.12968\/bjcn.2013.18.11.528","relation":{},"ISSN":["1462-4753","2052-2215"],"issn-type":[{"type":"print","value":"1462-4753"},{"type":"electronic","value":"2052-2215"}],"subject":[],"published":{"date-parts":[[2013,11]]}}}