Date of Award


Document Type

Independent Study

Degree Name

Master of Science (MS)


Fluid restrictions for the management of lower extremity edema in patients with heart failure has long been a treatment standard. However, the use of evidence based medicine has found this treatment option does not have the research to support the continued use with patients. An extensive literature review was conducted to find the most appropriate treatment options for these patients. It was determined fluid restrictions are not effective in reducing lower extremity edema in patients with heart failure. The discontinuation of this practice and the use of weight based diuretic therapy are suggested. Further research should be conducted into the use of weight based diuretic therapy. Studies should be conducted concerning the use of visual analog scales and likert scales to evaluate peripheral edema and dyspnea in patients. Extensive education will be needed at hospitals, long-term care facilities, clinics, and home health agencies to ensure the discontinuation of this ineffective treatment intervention