Cardiac Insufficiency: Understanding the Dimension of Advice-Juniper Publishers
JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY &
CARDIOVASCULAR THERAPY
Quality of life, in almost all the current
literature reviewed; affirm that it is a set of conditions and
situations that engulf the physical, spiritual, psychological, emotional
well being, besides social relationships, family, friends, etc. If we
analyze this affirmation, we can say that it is the daily life of every
human being, healthy, productive, and active and that has internalized
values like dignity and feelings of social belonging.
Congestive heart failure is a condition
in which the heart is unable to pump blood into the bloodstream in
sufficient quantity to meet the needs of the body. (I would like to
remind you that I am not a cardiologist and the point of analysis and
revision in this article of opinion is about the quality of life and the
emotional processes and impacts on the human being). In developed
countries 6 to 10% of the population over 65 is affected, and in the
year following diagnosis the risk of death is around 35%. It is here
that we begin to interweave the healthy, autonomous individual, agent of
his life, to the individual when faced with a limiting, chronic and
serious diagnosis.
Introduction
To be sick is to lose health integrity; to treat
their illness (main objective of medicine) is to restore lost integrity,
understood as biological, psychosocial and spiritual well-being. As
defined by the United Nations (UN), as quality of life. Difficulty,
healing, quality of life, integrity. Well, it seems like a cycle closes,
if it really works this way forever. But we know that we are not
creatures to program, in this way, we get sick, we fail as people (guilt
for getting sick?), We fail as health professionals, and we will have
chronic illnesses to understand and many times emergency admissions to
hospitals and heart failure.
Lya Luft, in her book, The Fatal Side, 2012, will
present us with the foreboding of an unexpected diagnosis: “do not tell
me what happens, do not say that life goes on, that time helps, how much
do I have Children and friends and a job to do. Not comfort me ... Do
not say anything, I see well that the sun is still rising, (...) Do not
comfort me: from my pain I know. “
In the world 23 million cases. In the United States: a
major public health problem, 5.2 million cases, 300,000 annual deaths
and 54,000 direct deaths.”But the suffering is only intolerable when
nobody cares.” (Dame Cicely Sauders). And the initial time passed, the
process of mourning, after all the life that was in the hand of the
subject, at first is felt as taken, torn from its control, and that will
require a time of elaboration, understanding that will reach him and
everyone The members of the family and the community. So we review once
again the concept, quality of life, illness, and one more important
fact: adherence to the proposed treatment [1-3].
Most of the literature states that the goal of
treatments is to prolong the patient’s life and improve their quality of
life. After leaving this sentence well highlighted because I will
return to it, as my guiding line throughout this article, I will quote
for the non-academic reader’s knowledge what types of heart failure and
its physical implications, adding emotional ones.
Acute Heart Failure: Occurs suddenly and is of
great risk. It is usually the result of a myocardial infarction, or
severe arrhythmia. It is a serious situation, and despite the rapid
attendance, it is fatal.
Congestive heart failure is a physiological state in
which the heart is unable to pump blood to the needs of the metabolizing
tissues. It usually develops gradually and because it is a chronic
situation, can lead to a long life, with limitations to the carriers.
Many are the causes, from congenital, to hyperthyroidism,
Chagas’ disease, aortic stenosis, ischemic heart disease,
hypertensive cardiopathy, Some are symptoms of heart failure,
noting that not all symptoms appear together at the same time,
and it is important to note that they are not unique to this
disease. They are: dyspnea (shortness of breath to physical
exertion and lying down), cough, weakness, edema, abdominal
pain, palpitation, dizziness and decreased enuresis. Tachycardia,
jugular stasis and hepatomegaly citing here as an example for
knowledge. When Francis Bacon states that “men seek in society,
comfort, utility and protection”, we can then analyze how before
a diagnosis that will affect the heart of the individual, we will
talk about prolongation and quality of life,
Heart: in the figurative sense, thirst for affectivity. Seat of all
the feelings, experiences, palpitations of love, anxiety, broken
hearts and much more that we have to list. The heart that
shelters in the human being, carries a history, desires choices,
professions, life. Fears, fear of death ... may be. The heart of the
individual who up to that moment harbors in their emotions,
the sense of belonging, utility, community. The certainty of
possessing quality of life. Even if he did not know that he was
lacking much more, but the autonomy and the command, assured
him this certainty.
If there is time for diagnosis, he will not
know, in the great
part of the patients, to separate this heart of love and feelings
from the hollow muscular organ of the vertebrates, which
receives the blood from the veins and pushes it into the arteries.
And the long road of chronic patients and their families, will be
based in many cases on difficult perceptions of pain, suffering
and the feeling of dependence, ignorance and insecurity. Health
professionals are faced with issues that are not only conclusive,
but questions of value and non-scientific. Such as: living longer
or suffering less.... how to all quality of life if the individual is
seen without autonomy, dignity, loss of productivity, social
relationships, cultural and many times family
Thus, in face of a patient with chronic heart failure, we
should observe the group of physical symptoms, the treatment
of the individual, but together with a multidisciplinary team,
understand the dimension of suffering and care, which will be
integral and continuous. Oferecidos to patients and relatives.
Many will be the ways and means that can be used as help in
adherence to treatment, and that he may live relieved of his
physical, psychological and / or spiritual suffering.
We have done a brief report of an article that, based on a
research with patients with heart failure, will be published
later with all the data and graphs that accompany it. But what is
important is that we can observe that the diagnosis of a chronic
- evolutionary disease, such as heart failure, establishes an
integral as sentence bond with the various professionals who
assist it and its family. We analyze the behavior of the vision
of the symptoms, but together we present the importance and
value attributed to the heart and feelings signification, evolving
to establish a link of difficulties to deal with symptoms, and
adherence to the treatment.
The moment we are ready to understand, listen and
recognize the patient, who suffers and speaks, we assure the
word of its ethical dignity.
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