A Study On Heart Failure And Readmission

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A great amount of time, money and resource is devoted to improving the transition to home from hospital in the heart failure patient (Qaddoura, Ashoori, Kabali, Thabane, Haynes, Connolly & Spall, 2015). With extensive research available on heart failure and readmission, this study will focus on four main categories. This four category approach allows the clinician to best formulate and prepare for practice in the outpatient setting. The four categories will include various articles based upon evidenced based practice approaches with ultimate goal of reducing admission by implementing successful outpatient care. The four categories are as follows: Frequent monitoring or reporting to the PCP; Medication and Diet compliance; Predictors of…show more content…
While evaluating the face to face component of this category, two systemic reviews guided from meta-analyses were included. Both provided substantial, adequate feedback on the use of face to face monitoring or evaluation. Despite the evidence to support the frequent use of telehealth in the outpatient community, face to face monitoring with a physician or clinical specialist in the home does report a reduction in admissions a delay in admission if clinically inidicated (Qaddoura, Ashoori, Kabali, Thabane, Haynes, Connolly & Spall, 2015). All aforementioned studies evaluated heart failure patients with awareness of the pressing subject of heart failure readmission and the costly effect of lapses in outpatient care. The second category of medication and diet compliance is arguably one of the most important components of the outpatient treatment in this study. A separate and thorough literature review was conducted to examine the recently discharged heart failure patient with a plan for home. This literature review included systemic reviews and clinical trials that encompassed a plan for home therapy based on evidenced based practice. Identification and monitoring of high risk individuals, early use of ACE Inhibitors/ARBS, Beta Blockers and diuretics are paramount to the success of outpatient treatment (Collins, Pang, Fonarow, Yancey, Bonow, Gheorghiade, 2013). The use of nitrates and hydralazine should be considered in the recommended African American
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