Family Nurse Practitioner Essay

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).

Although I enjoy all facets of nursing, I truly believe that it is in the field of family practice that the foundation of the nursing process begins. I have seen many patients over the course of my career without a stable, primary care healthcare provider. Health and wellness begins with day-to-day habits, and a nurse in family care is uniquely poised to give wellness advice and guidance. Family nurse practitioners often perform similar functions to physicians: making diagnoses; prescribing tests and medications; and helping patients over the course of their life trajectories lead more fulfilling lives. Primary caregiving is truly wellness promotion. It involves not simply healing the sick, but also reducing the likelihood that patients will become ill. I have seen so many patients with preventable illnesses that could have

Family Nurse Practitioners (FNP) are nurses who have acquired a higher level of education after Nursing. FNP are trained to treat, prescribe, and to provide quality healthcare needs for patients. The role of a FNP varies according to their realm of practice and state requirements. The amount of service that they can provide depends on the freedom of practice the state gives the FNP. Each state has various boundaries set for NPs to practice their field of healthcare. Nurse Practitioners can use their knowledge as a RN to boost their NP skills by using improved patient care techniques and evidence-based practice. Evidence-based practice provide NPs support by laying out the necessary components of healthcare methods in an organized fashion. NP learn to use evidence based practice to provide patients with the best possible care and treatment available. write more..

When nursing any patient with heart failure it is important to have an understanding of how the heart should work to understand how it stops working correctly. This knowledge is important as writtler (2006) (cited in Jones) feels that district nurses have little knowledge when it comes to heart failure. Patient, Writler (2006) feels that by understanding how the heart works and how it is damaged we, as district nurses will be able to recognise the signs of heart failure earlier7a?.

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

To have a clear understanding of what is a family nurse practitioner (FNP) and an acute care nurse practitioner (ACNP) is important. Many people we encounter in our path have the tendency to always ask the difference between the two. The simple answer is that the first one works directly with the community in settings like clinics or outpatient offices, in which they promote wellness and prevention from diseases. The other, as the name implies, works in settings like hospitals/ICUs, and free-standing emergency facilities. FNPs work with patients from different age groups, whereas ACNPs are destined to serve the adult population. When FNPs deal mostly with nonemergent conditions, ACNPs specialize in treating acute

Evaluation is the final and often the most critical step in evidence based research and practice. Evaluation of evidence based practice follows a pathway beginning with the selection of the area for improvement, synthesizing the research into a process improvement activity and evaluating both the implementation of the process improvement as well and the outcomes of the intervention (Titler, 2008). To measure the results of process change in the management of heart failure patients a retrospective analysis will be conducted comparing the readmission rates of a pilot and control population over a 6-month period. The pilot population will be evaluated with the LACE index readmission risk assessment upon admission and subsequently receive the recommended interventions based on the risk stratification. In comparison, the control group will receive the current process of telephonic contact only. The pilot group will include patients over the age of 18 residing in zip-codes 45402 and 45403,

According to the Centers for Disease Control and Prevention (CDC) there are an estimated 5.1 million adults suffering from heart failure (2013). As the prevalence of heart failure continues to rise, one out of every nine deaths occur as a result of this chronic condition. Studies conducted at Yale found in Medicare age patients with heart failure, there is a median 30-day mortality rate of 11.1% and 5-year rate of approximately 50% (Alspach, 2014). According to Desai & Stevenson (2012), rising costs of care are in direct correlation to the number of hospital admissions related to a primary diagnosis of heart failure especially among adults age 65 years or older. The national rate for readmissions within 30 days is approximately 24.7%, consequently having

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,

Rising health care cost and stricter regulations for insurance reimbursement plans have pushed health care leaders to re-evaluate health care services. One focus is reducing hospital readmission rates for chronic disease process (Bos-Touwen et al, 2015). Congestive heart failure is one of the leading causes of hospital readmission (Cubbon et al, 2014). Fifteen million people worldwide have a diagnosis of CHF. In addition, 15-20% of those with the diagnosis of CHF are hospitalized yearly (Sahebi et al, 2015). In 2010, 40 billion dollars was spent on health care needs for CHF patients. Seventy percent of the resources were for hospital services (Siabani, Driscoll, Davidson, and Leeder, 2014). The need for streamline healthcare for CHF patients is imperative to improve overall patient outcomes and reduce the amount of hospital readmission rates.

Family Nurse Practitioners(FNPs) are Registered Nurses who serve as a primary healthcare provider and or specialty healthcare providers under a physician. They function much like a family practice physician, wherein they work with patients throughout their lives, conduct examinations, prescribe medicine, and diagnose illnesses. Unlike a Registered Nurse, however a Family Nurse Practitioner can serve as a patient’s primary healthcare provider and can run their own practices. A Family Nurse Practitioner provides a different healthcare path for patients and further job and education opportunities for Nurses. With this, nurses can work in a more diverse number of healthcare settings with a broad and varied patient population. Family

According to the American Heart Association (2015), heart failure is defined as “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”. Congestive heart failure is a progressive illness that effects millions of Americans every year. Many other illnesses can lead to the development of congestive heart failure. Examples of these diseases include: coronary artery disease, past heart attack, high blood pressure, abnormal heart valve, heart muscle disease such as hypertrophic cardiomyopathy, dilated cardiomyopathy or inflammation such as myocarditis, congenital heart disease, severe lung disease, diabetes, obesity and asthma. (American Heart Association, 2015 (Centers for

As a Family Nurse Practitioner, I will have the skills, knowledge and flexibility to serve populations for whom I have a heart. I have always felt working with underserved populations, such as the rural poor, is part of my calling as a nurse. In addition, I have a strong interest in furthering point-of-care nursing competencies when providing cross-cultural/multi-cultural nursing care to diverse

Heart failure (HF) is defined as a multifaceted clinical syndrome that can result from any structural or functional cardiac disorder that impairs the ability of the ventricle to fill with or eject blood. In HF, the heart may not provide tissues with adequate blood for metabolic needs, and cardiac-related elevation of pulmonary or systemic venous pressures may result in organ congestion1. In the United States, HF is increasing in incidence with about 5.1 million people suffering from HF and half of people who develop HF die within 5years 2. Over 75% of existing and new cases occurred in individuals over 65 years of age, < 1% in individuals below 60 years, nearly 10% in those over 80 years of age. HF costs the

Heart failure is a major health problem worldwide, but especially in the United States. The CDC estimates that over 5.7 million Americans are living with heart failure, and that