Self Care Proposal Paper

"Reducing 30-Day Readmissions for African Americans with Congestive Heart Failure by improving health literacy through a Comprehensive Context Oriented Discharge Plan”

The purpose of this essay is to critically discuss the importance of using an individualised person centred approach to nursing care with and for older people. The essay is going to be presented in three sections. The first section will define and discuss what person centred care is exactly and how it may be created. The second section will go on to discuss the beneficial results of this person centred care. Finally, the third section will convey how this person centred care can raise awareness of the importance of respect for the individual patient or person.

Case Management Society of America. (2010). Standards of Practice for Case Management. Retrieved from http://www.cmsa.org/portals/0/pdf/memberonly/StandardsOfPractice.pdf

Informal care is unpaid care that may be provided by family, friends or neighbours. (Brodsky, Habib and Hirschfield, 2003) state “Informal Care is by far the dominant form of care throughout the world.” This essay will state how important informal care is in modern society and how this has affected current social policy. It will define what the differences are between informal and formal care, what exactly informal care consists of, what a carer is, include statistics about informal carers, explain what the mixed economy of care means and conclude the importance of informal care in society.

Though the American healthcare system has made big steps towards providing affordable healthcare for everyone, there remains a growing population of people who fall through the system’s cracks. These people are the medically underserved. They are typically the victims of unfortunate life circumstances that has left them without health insurance, or with insurance that provides inadequate coverage. The underserved also includes those who have trouble accessing healthcare for any reason. Anyone with illnesses or disabilities that require assistance beyond their coverage, or people who live in remote areas where healthcare services are sparse fall under this title. The term also does not exclude those who have sufficient insurance and resources, but struggle to understand and navigate our increasingly complex system of healthcare.

St. Louis Regional Health Commission (RHC) is a network of individuals with responsibility and commitment to improve health in St. Louis. Their mission statement is to increase access to health care for people who are medically uninsured and underinsured, reduce health disparities, and improve health outcomes among populations in the St. Louis City and County region. Their primary focus is to help coordinate healthcare for low-income people who are medically uninsured and underinsured, and they also occasionally plan interesting events to help improve access to healthcare. The St. Louis Regional Health Commission is important because access to high quality healthcare is such a crucial part of every resident’s wellbeing and health, but due

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

According to Kouame (2010), approximately 51 million, or 20%, Americans live in the rural areas and depend on local resources for their health care. This population is at risk for less than adequate health care due to the lack of resources and support available. Nearly half of the rural residents in the US have at least one chronic health condition (Harvey & Janke, 2014) higher than their counterparts in the urban setting, and meeting the complex needs of this population has become a challenge in the current health care system. The lack of resources increase hospital readmission rates and use of emergency departments to manage chronic illnesses. Klug, Knudson, and Muus (2010), identified a rural readmission rate of 17.6% with 76% of those readmissions potentially preventable.

Disparities in access to health services affect people and lead to unmet health needs, preventive medical services, and poor health. Low-income people are less able to afford the out-of-pocket costs of care, even if they have health insurance coverage. Public health insurance programs have expanded coverage for the poor and not enough to close the disparity gap. In order to improve health care services, we must make sure that the District 17 communities have usual and ongoing source of care as people with a usual source of care have better health outcomes. District Council 17 needs increased access to quality care regardless of their ability to pay, insurance status, or other potential barriers to

Credentials of Program Leads: “This project is supported in full by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number H49MC00101 of the Healthy Start Leadership and Mentoring grant, a $9.7M award” (San Antonio Healthy Start, 2016). There is no specific program lead information; however the above statement on the site notes that San Antonio Healthy Start is supported by HRSA and HHS which are government agencies that employ educated, credentialed professionals.

With heart failure, increasing in incidence in the United States, hospital readmission rates are being scrutinized to save money, especially for Medicare beneficiaries. Over 5 million people in the United States are living with heart failure, defined as “a condition in which the heart cannot pump enough blood and oxygen to support other organs in the body” (CDC, 2013). Heart failure affects 2.4% of the United States population with nearly 12% of both women and men 80 years and older having heart failure (Heidenreich, P. A., Albert, N. M., Allen, L. C., Bluemke, D. A., Butler, J., Morrow, G. C., Ikonomidis, J. S., et al., 2013). Heidenreich et al (2013) project that by 2030, heart failure will affect over 8 million Americans, with 2 million of those being ages 80 years and older. Heart failure is one of three conditions to be included in the Centers for Medicare and Medicaid Services (CMS) reimbursements that hospitals are penalized for if the hospital experiences an excess amount of readmissions within 30 days of the initial hospitalization due to the disease.

The promise of a universal health care in the United States over the years has only been limited to more words and a very little action. Those who can afford to pay for their well-being are better with or without it, but it’s the people living below the poverty line who are the real victims of these broken policies. With an increasing health care costs, it has become extremely difficult to get treatments for even the minor illness if one is not insured. This is a plaguing concern in both the small and big cities across America today.

Lastly, support Amanda and Jim to engage in behavior change strategies to optimise their health and wellbeing by encouraging them to be involved on secondary prevention or cardiac rehabilitation programs; providing fact sheet on information and action plan of warning signs of heart attack; giving appropriate psychological management and counselling strategies; and tailoring advice and maintaining motivation and communication to maximise adherence to treatment plan (National Heart Foundation of Australia,

Richard, I believe that stage 4 is very important when it comes to healing. I would often wonder why the doctors would tell their patient to get some rest or place their patients on bed rest. It was so that they body could recover and as you stated it is when the tissue repair occurs. You have also provided great tips on how to practice self-care such as counseling which I didn’t think of. However I’m sure this would be beneficial when dealing with issues that we may often worry about.

I think it is important to not be biased, when it comes to sex as a professional counselor and educator.