Staples & Earle (2008) used a phenomenology research design, where they used a convenience sample of CHF patients to determine effective technologies for monitoring patients with heart failure admissions and mortality. The effectiveness of CHF patients through the use of telephonic assessments and interventions was implemented. Congestive Heart Failure study participants (n=591) were managed by a team of registered nurses and nurse practitioners. Data was collected using a telephone log and appropriate medical protocols were provided. Data was analyzed; determining frequency of calls, level of care required and scope of practice needed to ensure proper care of the patients. Calls were analyzed within the standard GRASP® MIStro® DataWorks analysis program (Staples & Earle, 2007). Unfortunately, the study did not capture patient outcomes, breathing statuses, vital signs, or clinical progress.
Revolutionary Heart is about a passionate advocate of the early women’s civil right movement, the temperance movement, the plight of the unprotected females and children, and the abolishment of slavery. Clarina H. Nichols was an inspiring, strong, maternal woman who crisscrossed the United States pushing for various reforms in the new frontier that impacted the lives of both men and woman who were unaware of the benefits of women’s citizenship and the responsibilities. She lived during the antebellum period and fought for her gender for decades until her death. She was an accomplished writer and delivered one hundred speeches over two decades defending her causes.
The main aim of every study is to find solutions to a certain problem in the society. It is through the understanding of certain challenges in the nursing profession and society in general that long lasting solutions can be realized. The purpose of this paper is to critically analyze and summarize the results of a qualitative and quantitative peer reviewed articles discussing the issue of hospital readmission and patient education. Qualitative study Congestive Heart Failure (CHF) is a chronic, serious and pricey health condition with a huge medical, social and economic impact. Caring for patients with heart failure is not only about treating the disease’s physical symptoms; it involves educational, supportive, emotional, and cooperative care
Heart failure is a health condition affecting millions of people worldwide. Heart failure readmissions for healthcare agencies continues to be an area of concern due to the cost associated with each readmission. Readmissions to the hospital for heart failure is tied to reimbursement and financial penalties. Developing a plan to combat readmission is a difficult task.
The Health Insurance Portability and Accountability Act (HIPAA) sets security standards for safeguarding important patient health information that is being stored and maintained in analog and digital forms. As new technologies continue to facilitate the healthcare industry’s transition to paperless processes, health care providers, insurance companies, and other institutions are also growing increasingly dependent on electronic information systems to manage their HIPAA compliance programs. As a result, the safety and security of sensitive health data has become a major concern across the board. Security Risks and Challenges Today, health care professionals are using technology extensively in almost every aspect of the practice.
1.Congestive Heart Failure also known as (heart failure) is a life threatening condition. Heart Failure is caused when someone has a weak heart. It usually happens when the bodies blood pump to the heart is not pumping blood to the heart correctly.
These results are not completely logically due to the fact of the unavailability there is of this technology, not all collegiate and youth programs are going to have access to telemedicine, making it not logical. Aside from this, the information is still reliable and sufficient. The authors organized the information all in one section, but inside of this it is still relatively simple to
Overall, patients are going to be rendered more diagnosis-centered care, with an interdisciplinary look at each case inpatient, as well as outpatient. Patients will be given a work-up and plan for success, no longer as a “quick-fix”, but a long term plan of care to control chronic diseases outside of the acute care setting. Looking at a study from Connecticut, “By revamping the discharge process and working with post-acute providers, UConn Health Center/John Dempsey Hospital, Farrington, CT, reduced thirty-day heart failure readmissions from 25.1% in August 2010 to 17.1% in March 2012. Key initiatives included follow-up appointments within seven days in the hospital heart clinic, revising nursing education, adding automated dietician, social worker, pharmacy, and cardiology consults with the diagnosis order set, and collaborating with the community providers to smooth the transition of care” (“Hospital Initiative”, 2012).
With the help of patient engagement technology, patients become more engaged in subjects pertaining to their health. Educating patients about their health is the key to helping them to better understand their mental and physical states. “As David Wright, chief outcomes officer for GetWellNetwork, sees it, patients who are educated – about both their condition and their care – are also patients who are most likely to get and stay healthy” (Healthcare IT News). Patients who are engaged with their health acquire better understanding of health management, improvement, and cost. According to Geyer, “A 2014 study from the Mayo Clinic showed that patients who used smartphone apps to record weight and blood pressure – and participated in cardiac rehab – lowered cardiovascular risk factors and 90-day readmissions.
Christina Markevich 10/29/2015 Congestive Heart Failure What is Congestive Heart Failure? Congestive Heart Failure is something that occurs when the heart is no longer able to pump enough blood to the rest of the body, or when is just is not able to pump blood as well as it should. Some people happen to have either of these problems, some people have both.
After TACT conversation with Dr. Giarmo, supervisor, clinical back-up and were called in regards to Dr. Giarmo concerns. TACT attempted to call the emergency contact of the patient soon after, however no response or voicemail
An experience in Optum’s case management process if the requirement to address a member’s lifestyle factors telephonically when addressing right care, right providers, and right medications. However, the problem in professional nursing practice, that is of interest, is the need to deliver more person-centered care when addressing lifestyle factors. Moreover, Optum’s mission is to help the health care system work better for everyone by helping members live healthier lives (UnitedHealth Group, 2017). Nurses at Optum understand in order to empower consumers, the quality of care must be improved while lowering costs and increasing satisfaction.
“Concept clarification is an important step in developing useful and useable knowledge in nursing science.” (Tofthagen, 2010). Within the home health field of nursing one of the major and most significant concepts is team work. Simply stated, concept analysis incorporates a method or approach by which concepts that are of interest to a discipline are examined in order to clarify their characteristics or attributes” (Cronin, 2010). Within a home health care team there are Registered Nurses, Physical Therapists, Home Health Aides, Medical Social Workers, Managed Care Coordinators, and Clinical Managers.
Given the prevalence and burden of heart failure (HF) in the United States, and the impact the condition has on the individual patient’s life, many approaches for quality improvement (QI) implementation and evaluation have occurred (Stella, 2013). Regulatory organizations, professional associations and academic institutions have partnered repeatedly in creating guidelines and programs focusing on providing evidence-based care, partnering with patients and families and establishing quality care transitions; as a result, several beneficial QI strategies were identified (Gregg, Klingner, Casey, Prasad, & Moscovice, 2012). Before discussing possible methods, the context of “quality improvement” needs to be determined. One direction can be gleaned from the Institute of Medicine (IOM) report, Crossing the quality chasm:A new health system for the 21st century, which describes high quality care along the domains of effectiveness, safety, patient-centeredness, timeliness, efficiency, and equity (2001).
Introduction Patient handovers are defined as “the transfer of information and professional responsibility and accountability between individuals and teams” (Jeffcott, 2009). Patient handover failures are common and can lead to delays in care and often precipitate adverse events. Patient handover is generally composed of the patient’s medical history, their current health presentation and any tasks that still need to be performed. The patient’s historical information provides details about the patient’s diagnosis and anything the team needs to know about their treatment plan such as diet, isolation precautions, assistance needed for daily living and any barriers to education or discharge.
Moreover, they receive 25 patients per day and the majority are women. They treat patients who had and have a left ventricular assist device (LVAD), heart attack, valve replacement, heart transplant, balloon angioplasty and Stens, peripartum cardiomyopathy, pericarditis, heart failure, stable angina, and cardiovascular disease. When patients are in phase three, they provide educational sessions, such as high cholesterol, high blood pressure, smoke, nutrition, depression, and other risk factors. Lastly, in this observation lap experience, I learned that cardiac specialists work as a team to assist patients regain their skills, health and independence through a personalized exercise program.