A Short Note On Failure And Emergency Department

Heart failure is a chronic, progressive condition in which the heart muscle is unable to pump enough blood through to meet the body 's needs for blood and oxygen. Basically, the heart can 't keep up with its workload. American Heart Association Statistics (2016) reveals that heart failure accounts for 36% of cardiovascular disease deaths. Projections report a 46% increase in the prevalence of Heart Failure (HF) by 2030 by affecting over 8 million people above 18 years with the disease. Healthy People 2020 goals are focused on attaining high quality longer lives free of preventable diseases, promotion of quality of life, healthy development and healthy behaviors across all stages of life (Healthy People 2020, 2015).

Nearly 5.1 million people in the United States have been diagnosed with heart failure. Yet so many people don’t have a clue what it is until they have been diagnosed with it. Congestive Heart Failure, or CHF, is a disease that has many symptoms, can be tested and treated, has several causes, and can be avoided.

S (situation): Hi, my name Kelsey and I am a nurse in the emergency department. I am calling about Shannon O’Reilly’s most recent laboratory results.

Providing patients diagnosed with Congestive Heart Failure effective teaching can eliminate reoccurring hospitalizations. Patients are discharged with CHF and readmitted within 30 days. The information provided will examine the process of enhancing patient knowledge and provide additional resources essential for effective health care management. Research evidence provides data that proves patients who are diagnosed with CHF needs a variety of health care needs during admission and after discharge. The proposal will display an evaluation plan, implementation plan and a dissemination of the

Working on a cardiac unit for seven years has given me the opportunity to become familiar with congestive heart failure. This is a complicated condition that is sometimes difficult to manage. Your first questions is an excellent question, one that is extremely important when caring for these individuals with congestive heart failure. Without complete understanding of congestion heart failure, patients are frequently readmitted due to poor medical management. Caring for these individuals usually focus on treatments including the delicate balance of intake and output, medications and diagnostic testing. Your question regarding how CHF has impacted a person’s life focuses on the psychological aspect of this condition. Although

I liked this article, it did give me some new information, like the improvement of adherence to dietary restrictions and appropriate use of pharmacological therapy. The fact that all the literature points to CHF patients benefitting from advanced care and outpatient follow-up, seals my notions of the need for a CHF clinic. Increasing quality of life was also another important finding gained from this study.

PICOT question: In elderly patient with congestive heart failure, how adequate multidisciplinary education compare with lack of education could reduce hospital readmission rates over a 6-month period? The research questions are: Does multidisciplinary education help elderly patient with CHF to adequately manage the disease at home? Does improve knowledge in the disease could decrease hospital readmissions in CHF patient? The hypothesis states that multidisciplinary approach and proper patient education will decrease readmission rate in elderly patients with CHF. The purpose of the study seeks to articulate the problem of lack of education for older patients with congestive heart failure regarding how to manage

A resident at the time saw that although there is a hearty amount of evidence that illustrates that adhering to heart failure guidelines decreases the rate of mortality and morbidity, nationally there is modest adherence to heart failure practice guidelines. Doctors have voiced a multitude of reasons to this poor participation including but not limited to time constraints in a visit, inertia of patterns in practice, lack of awareness and lack of acceptance are a few. This new web-based tool, the “Smart” Heart failure sheet is designed to help connect previously compartmentalized information. It seeks to link guidelines to their patients’ clinical and laboratory characteristics and systematize adherence to heart failure guidelines. It accomplishes this by uploading pertinent patient-specific data, including laboratory and imaging results, procedure reports and relevant medications. Additionally it also provides tools, such as a flow chart for diuretic dosage and weights. Overall this tool is useful to help physicians identify patients who may benefit from a treatment. From there it provides support tools that alert the physician to a personalized medical treatment. The “Smart” Heart Failure Sheet acts as a registry for scholarly research and also provides educational resources to expand providers’ knowledge, thereby improving patient care (Battaglia,

This study is aimed at reviewing the literature to find evidence-based interventions that results in a decrease in CHF readmission rates. Elderly, African American, and low socioeconomic status patients have the highest risk for hospital readmission. (Joynt, Orav, and Jah, 2011). Interventions being examined include: screening for individuals at high risk for readmission, administering beta blockers to receive the maximum therapeutic effect, and implementing effective educational programs to improve patient compliance.

Heart disease is the leading cause of death in the United States and the estimated cost of treatment is $32 billion yearly. Approximately 5 million people living in the United States suffer from congestive heart failure (CHF) and half of those diagnosed will die within 5 years. The quality and length of life for someone suffering from heart failure can be improved with early diagnosis, medication, physical activity, and diet modification (CDC, 2013). Congestive heart failure continues to account for more health care cost and readmissions than any other illness. The increase in the prevalence of CHF is contributed to the percentage of elderly population. Adherence to performance measures can increase patient outcomes (Mazimba, Grant, Parikh, Mwandia, Makola, Chilomo, Redko, & Hahn, 2012).

The Phenomenon of Interest (POI) that will guide the discussion of this paper is empowering patients who suffer from chronic diseases such as congestive heart failure, that is not curable but is manageable and treatable with the cooperation of the patient. The main reason for author’s interest in this subject is that patients in such cases have a definite and undeniable ability to make a huge difference in the overall outcome of their condition and health in the long run. For example, with respect to heart conditions, heart failure is prevalent among aging population of the United States of America, and it is the direct result of a poor quality of life, high mortality rate, and astonishing cost to the society. Therefore, the POI for this paper is giving patients with congestive heart failure, the tools and knowledge to take control of their own chronic health issues and prevent patients from getting worse because of own neglect.

In a small study, symptom data was collected through a web application regarding symptoms of CHF that identified improvement of symptoms through self-management (Dorsch, Farris, Bleske, & Koelling, 2015). Utilizing the data collected in the telehealth program would provide clinicians with data on weight, blood pressure, medication use and oxygenation (Appendix A). In the CHF telehealth intervention, patients provide self-care based on the provider instructions at discharge and through office visits. Studies have shown that self-management is a major element of CHF management (Lee, Lennie, Warden, Jacobs-Lawson, & Moser, 2013). Patient-perceived low QOL is a major predictor of mortality and evaluating the CHF telehealth interventions utilizing qualitative survey data will help guide any revisions in the plan of care (Hoekstra et al., 2013). The Minnesota living with heart failure questionnaire (MLHFQ) is a widely used tool in healthcare that assesses the patient’s perception of the effects CHF has on their life (Munyombwe et al., 2014). Monitoring telehealth data and QOL survey components would provide data on improvement of CHF care both from a clinical perspective as well as from a patient perspective.

Chronic heart failure is a disease that restricts the quality of life and causes symptoms such as dyspnea and peripheral edema. The daily activities of patients with CHF are often limited and it can cause significant problems socially, physically, and emotionally. The disease usually is accompanied by clinical depression. There is little known about the specific needs of a CHF patients who suffers from depression. A research study was done on 85 patients with CHF to identify the preferences and concerns in regards to psychosocial treatments. A three month study was done to determine what type of treatments patients would be more willing to do. 64.7% of patients preferred supportive talks and low threshold services while only 31.4% wanted

Heart failure affects more than 5.8 million patients in the United States. There are an increase number of patient’s family members who provide care at home to patient that has heart failure. The emphasis on self –management for patients with heart failure requires more time and energy from the patient’s family caregivers to adherence the therapeutic regimen. Some family caregivers face challenges such as financial, social, and emotional problem. During the course of the disease, patients with heart failure experience repeated episodes of acute exacerbation that require emergency treatment or hospitalization.

This has been held with regard to the provision of emergency medical treatment in Pt.Parmananda Katara vs. Union of India. (44) It has been held that held that it is the professional obligation of all doctors to aid injured people immediately in an effort to preserve life. This medical aid should be extended without waiting for legal formalities to be complied with by the police under Cr.P.C. Article 21 of the Constitution puts the obligation on the State to preserve life and states that this important obligation of medical aid by doctors should not be impeded by any law or State action.