Chronic Heart Failure

The prevalence of congestive heart failure is on the increase both in the United States and all over the world, and it is the leading cause of hospitalization in the elderly population. Congestive heart failure is a progressive disease generally seen in the elderly, which if not properly managed, can lead to repeated hospital admissions or death. Heart failure means that the heart muscle is weakened. A weakened heart muscle may not be strong enough to pump an adequate amount of blood out of its chambers. To compensate for its diminished pumping capacity, the heart may enlarge. Commonly, the heart's pumping inefficiency causes a buildup of blood in the

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

In the UK, reports show that heart failure has been affecting up to 2% of the population, over 900,000 people are living with heart failure, with 63,000 new cases being diagnosed each year (BHF, 2015). It costs the NHS £625 million per year, as a result of the high portion of emergency admissions, readmission and long length of inpatient stay (NHS Improvement, 2010). DH (2000) confirmed that Heart failure accounts for all cardiac admissions and the readmission rate can be as high as 50% within 3 months; also, it further estimated 50% readmission might be preventable. Unfortunately, Heart Failure can’t be cured, but early

The health care system must change to improve our nation’s health and takes strong steps to address the unsustainable growth of health care costs in America. We still have a long way to go before our health system become effective. We still have population that do not have insurance, have difficulties accessing their health care, or their needs are not met within the healthcare system. It is an investment in prevention and wellness and increasing access to primary care physician.

Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated amongst the nation’s political and healthcare leaders. The aging baby-boomers and the increased number of uninsured people add to the equation of population growth which results in limited access to primary healthcare for the entire public. On the

The United States healthcare system has undergone a wide variety of changes over the past few years. As the overall health of its citizens continues to deteriorate and people live longer, certain aspects of healthcare are costing an increasingly large portion of the healthcare budget. Problems such as obesity, diabetes, cancer, and substance abuse have become the most pressing issues facing healthcare providers today.

The U.S. Healthcare System continues to evolve and develop delivery strategies of affordable high-quality health services to all individuals. Striving to make available superior advances in U.S. health, healthcare providers delivery options, solutions and/or treatments for the American populace.

The Washington Post reported on June 16, “Once again, the United States has most the expensive, least effective health care system in survey.” It’s apparent that the United States healthcare system is in an economic crisis. Furthermore, the United States healthcare system is not only in economic turmoil, but the social systems currently in place offer little to no future economic resolve for the predicament we are currently situated in. The paradox that seems to have fallen upon American healthcare is that, “The system doesn’t want you to die, but at the same time doesn’t want you to get well.” Heineman (2012) It is bad business. In other words, medicine is a business and I have witnessed this approach towards business in medicine first hand in my over five years of clinical and business experience in the medical field.

The modern day health care system is currently faced with a wide array of challenges, such as the aging of the population and the intensified need for medical care, the rapidly evolving technologies and the increasing costs of the medical act.

Our healthcare system needs major restructuring. Major improvements needs to begin with "all health care organizations, professional groups, and private and public purchasers should adopt as their explicit purpose to continually reduce the burden of illness, injury, and disability, and to improve the health and functioning of the people of the United States", (Crossing the ……, 2001).

The aging population of the United States along with a healthcare financial system not adequate to cover the cost will be a major factor in the future of healthcare. There is a disparity in health care related socioeconomic status, age of emerging population and quality of care that require new modes of care to address patient affordability, knowledge, physician cultural competency, bias and the scope of health insurance coverage (Fiscella, 2002). The population of aging Americans will increase to 3.4 million by 2020 due to the influx of over the age of 65 retiring resulting in a 21.6% in older Americans requiring health services (Longevity, 2011). In addition, this emerging population will require additional services to an increase in life

Health care delivery in the United States is a complex system that is conditionally changing. New policies, physician availability, insurance trends, technology, population growth, and cultural influences shape patient access (Shi & Singh, 2013, p. 353). Health care reform is a highly debated topic in America today. By adding funds to the current system it is treating the symptoms and not addressing the cause of the delivery system problems (Moyers, 2009). There are many aspects of the health system that need to be evaluated and improved in the near future (Wexler, et al. 2014).

US health care expenditures have been rising quickly over the past few years; it has risen more than the national financial system. Nonetheless a number of citizens in the US still lack appropriate health care. If the truth be told, health care expenditures are going to continue to increase; in addition numerous individuals will possibly have to make difficult choices pertaining to their health care. Our health system has grave problems that require reform, through reforming, there is optimism that there will be an increase in affordable health care and high-quality of care for America. Medicaid, Medicare and private sector insurances are all going through trials and tribulations because of

There are many issues that are causing changings in the healthcare system. Population aging, rapidly increasing costs of healthcare and the growing burden of chronic disease are challenges to health systems worldwide. To meet these challenges will require new approaches to healthcare delivery and comprehensive population health management. Many states are not prepared to tackle this issue yet. The US has the most expensive healthcare system in the world with health status indicators that are only average in comparison