A Study On Heart Failure

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).

Situation: Two patients in their 70s present to the office at different times today, each with documented heart failure: one diastolic and the other systolic, and both are hypertensive. First, discuss the difference between systolic and diastolic heart failure, providing appropriate pathophysiology. ACEI/ARBs are the only medications prescribed for CHF that have been found to prolong life and improve the quality of that life. EXPLAIN the mechanism of action of ACEI/ARBs and how they affect morbidity and mortality in CHF. Be specific. Diuretics must be used very carefully in diastolic ventricular dysfunction. EXPLAIN this statement using appropriate physiology. Now considering all of the above, describe an appropriate comprehensive plan of

Heart Failure is a progressive heart disease when the muscle of the heart is weakened so that it cannot pump blood as it should; the blood backs up into the blood vessels around the lungs and the other parts of the body (NHS Choice, 2015). In heart failure, the heart is not able to maintain a normal range cardiac output to meet the metabolic needs of the body (Kemp and Conte, 2012). Heart failure is a major worldwide public health problem, it is the end stage of heart disease and it could lead to high mortality. At present, heart failure is usually associated with old age, given the dramatic increase in the population of older people (ACCF/AHA, 2013). In the USA, there are about 5.7 million adults who have heart failure, about half of the people die within 5 years of diagnosis, and it costs the nation an estimated $30.7 billion each year (ACCF/AHA, 2013).

The benefits of telehealth consultations are immeasurable; clients are able to access a knowledgeable health care professional and receive a telephone triage/assessment and recommendations. This allows the patient to have immediate access to good health advice and quicker solutions. Telemedicine is one of the many vehicles of telehealth; for example, the cardiologist orders an outpatient Holter Monitor trial to evaluate arrhythmias. The technician calls the patient at the sign of any abnormal rhythm and investigate the activity performed when the reading fluctuation then the reported is communicated to the cardiologist. If warranted, the cardiology staff will contact the patient with instructions schedule an immediate appointment. Telehealth services resources would benefit the client in this next example, an individual’s come in for a sick visit expecting a prescription to be written for their illness; they receive informative instructions because of the nature of the

Congestive Heart Failure (CHF) patients and their consistent trending of hospital re-admissions continue to threaten quality care and patient quality of life. Considered a chronic condition, CHF is diagnosed in approximately 13% of patients 85 or older (Clarke, Shah & Sharma, 2011). Re-admissions have become so prevalent among the CHF populations, that Centers for Medicare has initiated a quality campaign and offers incentives when hospitals implement telemedicine programs and show reduction in CHF hospital admissions. In relation to CHF, Conway, Inglis, and Clark (2014) states that, “Telemedicine involves transmission of physiological data, such as weight, … from the measuring device to a central server via telephonic, satellite,

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,

How does telephonic disease management from advanced practice nurses decrease readmissions for patients with heart failure?

Clinical coordinators would oversee the process to monitor for safety, quality, recruitment, and retention of patients in the program. The patients would receive detailed instructions and protocols on how to make calls daily, report vital signs, weight, and answer questions about their health and symptoms of heart failure. (Chaudrey et al., 2010). Results would then be transferred via a secure network connection. The providers could then evaluate the data to identify and manage early signs of decompensation, and to make recommendations on patient care. Providers could also provide patient education to help patients understand their discharge instructions and medications. (Inglis et al., 2011).

The corresponding author, Dr. Hernandez of Duke Clinical Research Institute and Department of Medicine, conducted a study examining the relationship between physician follow-up care and 30-day hospital readmission rates in heart failure patients. Fonarow, Heidenreich, Yancy, Peterson, and Curtis, all doctors in specialized cardiac hospitals, along with researchers, Ms. Greiner and Mr. Hammill, contributed in the undertaking of this study. The intended audiences are clinicians and nurses assisting in the transitional care from hospital to home in heart failure patients. This was a qualitative, observational analysis examining the Medicare claims of physician visits within seven days of hospital discharge and readmission claims within 30 days of discharge. The strengths of this study include the large population of over 30,000 patients and the 225 hospitals, which allow for a more identifiable relationship of variables. A weakness of the study that could affect readmission rates would be the lack of consideration of patients involved in remote health-monitoring programs, a form of follow-up care. Even with this limitation, results prove that patients seen by a physician within seven days of discharge were less likely to be readmitted. This study confirms that nurses and clinicians should design discharge plans that include promptly scheduled appointments with a physician following discharge. Making this appointment for the patient and confirming it with them during their discharge teaching will aid in more compliant follow-up care, and ultimately reduce the risk for readmission.

Heart failure is a chronic, debilitating disease affecting 5.1 million Americans. It is the most common cause of hospital admissions for Medicare beneficiaries, and is the diagnosis associated with most readmissions (Sterne, Grossman, Migliardi, & Swallow, 2014). Lower quality of life is experienced by patients with heart failure. Mortality rates remain high with about 30% of patients dying within the first year after diagnosis (Vellone et al., 2013). In the U.S. heart failure has become a major public health concern. The number of annual hospitalizations for individuals with heart failure increased from 2.4 million to 3.6 million from 1990 to 1999 (Veroff et al., 2012). Therefore, it is imperative to develop interventions to better

In this journal article, the author entails the impact of congestive heart failure (CHF) on individuals all around the world, specifically focusing on how can nurses help their patients suffering with CHF and keep it under control. The Purpose of this journal article is to provide nurses with more knowledge related to CHF discussing the cause of CHF, sign and symptoms, lifestyle interventions, such as diet and exercise, in comparison to pharmacological management to prevent or delay the progression of the disease. William & Wilkins (2012) specially highlights the difference between right and left sided CHF. This journal article is conducted to quantify the nurses with tools to help their patients that suffer with congestive heart failure (CHF).

Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth

Depending on which type of heart failure that a person has, their blood pressure may be either much higher or much lower. Their heart rate will also change as the body tries to overcompensate for the reduced blood flow. So www.hensoftware.com is used to help in the recovery process.

Pedone et al. (2015) conducted a randomized trial study that evaluated the effect of telemonitoring and hospital admissions of elderly patients with heart failure. The study involved a final sample size of 90 participants: 43 from

This paper proposes a telemedicine model of care provision to monitor congestive heart failure (CHF) patients to reduce the rates of readmissions. The high rates of readmission for CHF cases at a large university-affiliated hospital in a metropolitan setting helped produce the proposed system to actively monitor patients. By identifying critical elements in the communication devices, patient monitoring systems, and connectivity from telecommunication devices, the healthcare organization (HCO) can understand the scope of the proposal. Procuring hardware and establishing networking capabilities along with training will help the HCO and CHF patient communicate data that is updated to the electronic health record (EHR).