Left Ventricular Assist Device Essay

✽ Note: Most HF admissions are R/T fl uid volume overload. Patients who do not require intensive

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

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

This article sought to find an appropriate model to predict the risk of unplanned heart failure readmissions. The primary outcome from chart reviews also included death of heart failure patients within 30 days of discharge. The study looked at Centers for Medicaid and Medicare Services (CMS) models and the LACE+ index, to mention two of many

Congestive heart failure is a chronic condition that is responsible for the highest number of hospitalizations among adults. Readmission rates after hospitalization also remain high, with 50% of patients being readmitted within 6 months of discharge. (Desai & Stevenson, 2012). The Affordable Care Act penalizes hospitals with readmissions within 30 days after discharge, making readmissions a focus of hospitals nationwide. Several factors including discharge planning, patient education, diet restrictions, and early follow up appointments can help to reduce readmissions, but continuous monitoring is necessary to catch early signs of decompensation. (Desai & Stevenson, 2012).

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.

The author of this document attempts to explain what is a ventricular assist device, its basic function, the reasons for use, possible complications and nursing care aimed to prevent this. Also, the impact that current technology has in the management of Heart Failure, and prolongation of life quality and expectancy while waiting for heart transplant. Furthermore, it reviews the incorporation of essential elements of safe nursing care to current nursing standards of care when caring for patients with ventricular assist device. Also, this document analyses and complete three evidence-base practice articles in nursing care with QSEN guidelines. Lastly, this documents review the safety concerns that are related to the technology when it

Hospital readmission rate has gained attention over the last few years because it reveals the

It is important to follow instructions from your health care provider about caring for your ventricular assist device (VAD) at home (destination therapy). You will continue to work with a health care provider who specializes in VADs (VAD coordinator) and a heart specialist (cardiologist).

Hobbs et al. (2016) examined current research to determine the efficacy of post-discharge follow-up phone calls in reducing the 30-day readmission rate for patients with HF. They identified that while patients who received calls ultimately had better outcomes, evidence to support that telephone follow-up could independently prevent readmissions was insufficient (Hobbs et al., 2016). Nonetheless, telephone follow-up coupled with other interventions such as clinic follow-up and telemonitoring did prove to have positive effects on post-acute transitions of care in HF patients (Hobbs et al., 2016).

Heart failure readmissions remain a universal healthcare issue. Heart failure exacerbation is mostly the primary cause of admission for most hospitalizations (Retrum et al., 2017). These unnecessary readmissions cost the US healthcare billions of dollars annually and can significantly diminish patients’ quality of life. Management of chronic heart failure patients to prevent readmissions involves evidence-based interventions from a multidisciplinary team. The purpose of this paper is to critique an ethnography study conducted by Margaret Glogowska, et al., to explore the perceptions and experiences of health care practitioners working in multidisciplinary teams with specialized heart failure nurses and their impact on improving patient outcomes.

As one of the most frequent hospital discharge diagnosis in the elderly, the cost of heart failure on Medicare expenditures toped over $39 billion in 2010 (Warden, Freels, Furuno, & Mackay, 2014). For over 25 years, there have been studies looking at the number of readmissions of geriatric heart failure

Nationally 21.9% percent HF patients were readmitted within the thirty days of hospital discharge (30-day readmissions & deaths by medical condition, 2016). According to Walvaren, et al. (2011) up to 75% of the 30-day readmissions are preventable. HF hospital readmissions at Oklahoma University Medical Center (OUMC) are higher than the national rate. When compared to more than 1000 teaching hospitals the most recent records from OUMC show HF readmission rates excluding chemotherapy, dialysis, radiotherapy, rehab, mortality, transfer to other facility, and AMA, at 26.39% ("% 30 Day Readmissions," 2016). Unplanned 30-day readmissions in patients with heart failure lead to poor patient prognosis, deterioration of patient health

While there are many studies done on this aspect of patient care and guidelines have been developed to assist in the reduction of the rate of unplanned readmissions, there is still much to be done to reduce the occurrence, especially in bridging the gap between hospitals, the community, family and ultimately the patient. Support for this approach has been generated by The American Hospital Association (AHA) Committee on Research led by Chu, B., K., Brien, J., G (2012) in its framework for health reform,

With a goal to obtain a 33% reduction in ED utilization by recently discharged patients, the MTF devised the following strategies to facilitate care transitions and improve communication from inpatient units to clinics and between clinics and patients. Collectively the interventions were recognized as Project Red Light and consisted of developing a Health Insurance Portability and Accountability Act (HIPAA) compliant process for sharing acute care admission/discharge information with appropriate clinics and outpatient providers as well as scheduling follow-up appointments prior to discharge or by the next business day following discharge. Other program interventions involved utilizing a multi-disciplinary approach to discharge planning consisting of input from Care Coordinators, Primary Care Managers, Social Workers, and Discharge Planners.