Detecting and Evaluating Cognitive Impairment in Heart Failure Patients

< /
|
1
|
2
|
3
|
4
|
5
|
6
|
7
|
8
|
9
|
10
|
11
|
12
|
13
|
14
|
15
|
16
|
17
|
18
|
19
|
20
|
21
|
22
|
/ >

Next Steps: Cognitive Impairment in HF

    If cognitive impairment is significant (positive Mini-Cog AND OR AD8 scores):
  • Refer the patient to a provider or care center that specializes in neurological, mental health, and memory disorders
    • Also refer for evaluation if depression is suspected
  • Educate family caregivers about the need of involvement with treatment regimen management
  • Control HF
  • Routinely re-assess CI
  • Review medications and reconcile medication list
    • Minimize the use of inappropriate medications (including herbal and complementary products)
    • Use lowest dose that is effective, avoid polypharmacy when possible
    • Click here for a link to Beers List of Potentially Harmful Drugs