Heart Failure Self Care

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 this essay, I am going to consider how evidence-based practice can be used to support, justify, legitimate and/or improve clinical practice. I am also going to explore and discuss primary and secondary research evidences about how nursing interventions can potentially improve the quality of life of patients in the community suffering from heart failure. I will gather these evidences using a literature search which I will include an account of. Using a critiquing framework for support, I will appraise both primary and secondary evidences that I have chosen. I will also look at potential non-evidential factors that can influence evidence utilisation in practice. Finally, a conclusion will be drawn.

8. List the nursing implications and education needs for each of the following categories of medication related to heart failure: See Attached

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

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) core measures in relation to Heart Failure (HF) was examined using empirical-based nursing research. Findings suggest that lack of understanding by nurses contributes significantly to the privation of core measure implementation. A significant number of Americans suffer from HF, so patient quality of care assessment was necessitated. Identifying factors were: nurse-patient education resulting in follow-up appointments, left ventricular performance or left ventricular systolic (LVS) function, treatment medications, and smoking cessation programs. Nurses provide an important role in the education of patients with HF. The Nurse is integral in providing documentation in relation to LVS. Nurses play an important role in the administration of HF medication. Smoking, a major cause of HF, requires special nursing intervention. Nursing results in improved quality of care if HF core measures are implemented properly. Additionally, Orem’s universal requisites are fundamental in the nursing process.

Patient education is a must in this population, since many have limitations when it comes to lifestyle choices. An area I feel the heart team does an excellent job in addressing. As for their health literacy levels, since these clients have lived with their complex cardiac condition most of their lives, I believe their, or family’s, health literacy is relatively high. Most understand the severity of their disease and how it affects most other aspects of their lives. When it comes to an exercise regimen or planning a family, their cardiac health plays a key factor. Although, there are those minority with secondary mental disabilities that are at higher risk of errors in self-care, but what

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,

established the clinical problem that heart failure is associated with high morbidity and poor prognosis (Hobbs, et al., 2007). She further added that it decreases patients’ quality of life as it places a heavy burden on them, as well as their families, as well as the huge negative impact on health care resources (Iqbal, et al, 2010), contributing to lost productivity from unplanned hospital admissions. The authors presented the research problem strongly, stating that there is a limited study of the role of specialized heart failure nurses in the multidisciplinary team in managing heart failure patients, thus warranting a further investigation to be conducted. Special nurses, as defined by Glogowska et al, are experienced senior nurses who are involved in providing medical, psychological and emotional support that begins at the initial diagnosis of heart failure and continues onward. They provide transitional care in assisting patients manage their heart failure. The research article focus on the experiences and perceptions of clinicians in managing heart failure patients, and it aims to understand the special role of specialized heart failure nurses in the interdisciplinary team. The authors designed to answer the following questions when conducting this study:

with advancing heart failure based in a North West hospital. In order to abide by the Nursing Midwifery Councils Code of Conduct (NMC), throughout this assignment the patient will be referred to as ‘Patient Y’ this is ensure that her true identity remains private. The assignment will begin by giving a brief overview of the patients past medical history, including biological and psychological factors that could have exacerbated the illness, it will then conclude by explaining the condition in further depth, incorporating all relevant details to the case.

In my previous paper, I did choose congestive/chronic heart failure (CHF) as the chronic problem among the community. My aim is to propose a policy which will prevent recurrent admissions in the hospital, will help to cut the cost

This literature review has been conducted with ten primary research articles and or/systematic literature reviews to draw a conclusion to the clinical question: what is the best evidence based nursing practice in relation to reducing hospital readmissions in patients with chronic heart failure. Heart failure patients have multiple hospital illness, due to their condition being undermanaged; majority of reasoning for readmissions can be prevented (Lambrinou, Kalogirou, Lamnisos & Sourtzi 2011). Kalogirou et al. (2011) states the patient’s lack of knowledge regarding their disease and non-adherence to their medications, and inability to detect signs and symptoms of decomposition of diseases. Along with gaps in health care result in frequent, very preventable hospital re-admissions. In relation to what is the best evidence based nursing practice in relation to reducing hospital readmissions in heart failure patients the literature studied draw on three common themes a multidisciplinary approach, nurse-led patient education and nurse-led telecommunication.

Congestive heart failure is a chronic disease that requires daily monitoring and life style management. Congestive heart failure usually affects the greatest number of adults who are age 65 years or older (Alspach, 2014). Congestive heart failure patients often times end up in the hospital due to their symptoms such as shortness of breath, edema, and lack of energy. These same patients are often times readmitted to the hospital and the readmissions create a hardship for the patient and their finances (Gerdes & Lorenz, 2013). Patient education and developing self-management skills are key interventions to help the patient develop confident decision making skills and improve health outcomes (Gilmour, Strong, Chan, Hanna, & Huntington, 2014).

Koelling, Johnson, Cody, & Aaronson (2005) performed a study to discern if a discharge education program would improve clinical outcomes in patients with chronic heart failure. The study used a randomized, controlled trail of systolic heart failure patients. The effect of a 1-hour, one-on-one teaching session with a nurse educator was compared with the standard discharge process. The number of days hospitalized or dead in the 180-day follow up period was significantly lower for the education group (1554 days) than for the control group (2103 days). The combined end point of death or rehospitalization occurred in 64% of control and 47% of education patients, with the time of first hospitalization or death significantly lower for the education group. The combined end point of rehospitalization or death was reduced in the patients exposed to the education intervention by 35% compared to the controls. For this group there was also a 51% reduction in the need to be rehospitalized due to heart failure. The program was also effective in reducing costs per patient. The reduction in rehospitalizations in the education group led to saving $2823 per

According to the literature, heart failure (HF) is a complex disease that requires intricate management strategies. The demands to reduce the costs associated with heart failure admissions and readmissions are increasing across the health care industry. The purpose of this project is to examine the use of an education protocol for HF patients and its impact on multidisciplinary team members’ perceptions of structured patient education and reducing heart failure admissions and readmissions. There are numerous nursing research studies that describe the implementation of a protocol for patient education, discharge teaching, and the effects on patient outcomes. This literature review summarizes pertinent research related to heart failure management, heart failure education, and relevance of education guidelines in reducing HF readmissions. The following literature has been studied, and the practice evidence has been applied while making the protocol for the heart failure education. Databases searched included CINAHL, Proquest, PubMed, PsycINFO, and Health Source: Medline.