Table 37: Additional symptoms experienced by patients with advancing heart failure (HF)
Symptom class	Specific symptoms
Physical	Gout, pruritus, muscle cramps, pain, anorexia, abdominal fullness, nausea, constipation;
Social / Functional	Falls, incontinence, trouble walking, loss of independence in performing activities of daily living, isolation;
Psychological/Spiritual	Panic attacks, anxiety, depression, cognitive impairment, insomnia, loss of confidence, feelings of uselessness or hopelessness;