Old-age populations with heart failure (HF) require health literacy (HL) to handle their chronic condition effectively. The research investigates HF and HL management by analysing self-care practices alongside clinical outcomes while exploring sociodemographic elements. Scientists analyzed publications from 2011 to 2022 through PubMed along with CINAHL and EBSCO databases in their systematic literature review. Solutions indicate elderly patients demonstrate low health literacy rates that lead to ineffective disease management, along with higher hospital visit frequencies and greater mortality rates. Education level, socioeconomic position, and difficulty because of language differences functioned as principal contributors to inadequate health literacy. The existing HL assessment tools REALM and TOFHLA failed to account for multiple dimensions of HL effectively. Patients demonstrated better Health Literacy and self-care results through educational simulations, which proved effective educational approaches. Research has uncovered important gaps in our ability to handle systemic barriers alongside the need for advanced assessment tools and expanded services among underprivileged communities. The study underscores the importance of creating individualized multidimensional strategies to enhance health literacy and clinical results for elderly patients with heart failure. Future research needs to find scalable solutions which address healthcare literacy deficits and improve healthcare equity for all populations.
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