The Role Of Cardiac Rehabilitation Programs

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

Each year the number of readmissions of the heart failure patient within 30 days of discharge has grown. The Medicare division in relation with the Affordable Care Act is reducing the amount of money they are willing to pay for readmissions to the hospital. Hospitals are now more than ever looking for ways to reduce the number of readmissions to the hospital for the heart failure patient. The purpose of this paper is take a look at a program designed with to reduce the readmission rates of one hospital to reduce the number of readmission through improved education and follow up of the heart failure patient.

A literature review of nurse – guided patient –centered heart failure education programs reveal that several studies have recommended strategies to promote improved outcomes for heart failure patients by placing emphasis on education focused on promoting patient self-care management in regards to diet, exercise, weight monitoring, and medication adherence (Baptiste, Mark, Groff-Paris, & Taylor, 2014, p. 53). Heart failure self-care refers to all of the practices in which patients engage to maintain their own health and the decisions that they make about managing signs and symptoms. Hospital initiatives working to improve heart failure readmission rates should implement a patient education program that focuses on self-care. To make it easier to manage the heart failure population at any given time, all patients presenting with heart failure should be admitted to a specific inpatient ward, and daily nursing huddles should be utilized in order to identify heart failure patients. All heart failure patients should be educated by the nursing staff throughout their stay by specialty nurse educators who are themselves educated on heart failure treatments and protocols. The research concluded that implementing standardized patient education programs that focus on self-care management

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

Separately from its involvement in postoperative care, cardiac rehabilitation has many direct health benefits that solidify the need for implementation. Monpere (1998) noted that CR has been able to improve exercise tolerance and reduce long term mortality due to post-myocardial infarction and is rather cost effective. Additionally, CR can improve quality of life though its multi-faceted approach. Lausten et al. (2017) reported that it is significantly associated with prevention of cardiac morbidity and mortality and can improve functional capacity in patients. Improvements to quality of life with exercise-based cardiac rehabilitation include improved fitness capacity, lowered blood pressure, healthier coronary vasculature, decreased oxygen

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

Over the years, a supporting research base has been established for cardiac rehabilitation (CR). As a result, the National Institute for Health Care and Excellence (NICE) has developed guidelines to ensure CR is included as part of the care plan for all acute coronary syndromes (NICE, 2013). Qualitative research methods are particularly suited to understand patient’s personal feelings, experiences and reasoning for a particular action (Keegan, 2009). This qualitative research paper is called “Exercise motives of long-term phase IV cardiac rehabilitation participants” (Thow, Rafferty & Kelly, 2008). The authors aimed to identify specific motivational factors for exercise in CR and to identify any gender

Cardiac rehabilitation is a program that aid patients to recover after a cardiac event. The program started in the 1960s after it was determined that the exercise and right diet has a significant effect on the heart after a cardiac event (Certo, 1985). Its sole purpose is help the patients to lower the risk factors of heart problems in the the future. The program is composed of various health workers -- such as physicians, clinical psychologist, nurses, clinical dietician, and pharmacists (Hamm, 2012). One of the main aspects of the cardiac rehabilitation program is changing the lifestyles of the patients in order to avoid further heart complications and improve overall health in

A great amount of time, money and resource is devoted to improving the transition to home from hospital in the heart failure patient (Qaddoura, Ashoori, Kabali, Thabane, Haynes, Connolly & Spall, 2015). With extensive research available on heart failure and readmission, this study will focus on four main categories. This four category approach allows the clinician to best formulate and prepare for practice in the outpatient setting. The four categories will include various articles based upon evidenced based practice approaches with ultimate goal of reducing admission by implementing successful outpatient care. The four categories are as follows: Frequent monitoring or reporting to the PCP; Medication and Diet compliance; Predictors of

The starting period of heart recovery happens not long after your cardiovascular occasion. An intense consideration physical specialist will work intently with your specialists, medical attendants, and other restoration experts to help you begin to recapture your portability.

During my undergraduate career, I studied Exercise Science with an emphasis in Cardiac Rehabilitation. Before graduation, I was able to perform an internship with a Cardiac Rehabilitation facility at the Medical Center of Plano. During this time, I was able to learn about basic precautions for Cardiac patients, generalized progressions of workouts for these patients, how to take manual blood pressure, ECG set up and monitoring. Since this time, I have always been eager to learn more about the Cardiovascular and Pulmonary Physical Therapy, as I feel this may be an area in which I would like to specialize. Therefore, I find myself excited to begin this course to further my knowledge of the treatment and rehabilitation of patients with cardiovascular and pulmonary dysfunctions.

Cardiac rehab is an individualized program consisting of education, exercise, nutrition and support. In recent years, cardiac rehabilitation has become a multi-disciplinary and multi-faceted intervention aimed at restoring well-being and impeding disease progression in patients with heart disease (Garza, Wason and Zhang, 2015). High-quality evidence has demonstrated that cardiac rehabilitation (CR) improves outcomes after cardiac surgery or myocardial infarction, improving adherence to evidence-based care and both the quality and quantity of life (Bahia, Holt, Ray, Ussher, Poloniecki, Sharma, Bown, Hinchliffe, Thompson and Karthikesalingam, 2015). Cardiac rehabilitation can improve cardiopulmonary function and positively affects risk factors for heart disease (e.g., hypertension, diabetes, and hyperlipidemia), reduces the recurrence rate of acute myocardial infarction, reduces mortality rate by 20–24%, and improves quality of life (Chen et al., 2015).

Psychosocial rehabilitation models the ultimate patient-centered interventions; it effectively supplements the individual’s recovery. Recovery is deeply

Cardiac rehabilitation programme is structured to be either hospital based, community based or home based. It was recommended by WHO, (1993) that cardiac rehabilitation should start at the time of coronary heart disease, or

Credentials: I feel strongly about this topic because there are quite a few people in my own family that struggle with heart issues, one relative even needing a transplant.