Running head: CONGESTIVE HEART FAILURE Page 2
Patients with Congestive Heart failure and Increased Readmission Rates
Florida National University
Professor Alexander Garcia Salas DNP, MSN, ARNP, FNP-C
Congestive heart failure (CHF), which affects millions of people, especially the elderly, is a significant and expanding public health concern. According to research, CHF accounts for between 12 and 15 million office visits and 6.5 million inpatient days annually (Hollier, 2021). Unfortunately, this approach leads to disease progression and rehospitalizations for many CHF patients because of insufficient care, unclear discharge instructions, and a lack of follow-up visits. These higher rehospitalization rates are driving up expenses and indicating that existing care strategies for CHF are not the most effective. Therefore, evidence-based treatment strategies can lower these patients’ death and readmission rates. These strategies include a comprehensive discharge plan, educational materials, and encouraging counseling.
Picot question here
Patients over 65 are the known vulnerable group because it has been demonstrated that incidence increases with advancing age. CHF risk factors include hypertension, coronary artery disease, a recent myocardial infarction, diabetes mellitus, a family history of cardiovascular disease, alcohol misuse, pregnancy, sleep apnea, and pollutants (chemotherapy or illicit drugs). More than 6.5 million people in the United States and more than 26 million people globally are affected by incidence rates, according to the American Heart Association (AHA). The ACC/AHA and ESC also advise patient education to encourage self-care and compliance. In addition, both organizations advise close supervision to stop adverse outcomes and illness development, including patient and family surveillance, home visits, telephone support, and remote monitoring. (Malik, 2022). According to recommendations, individuals who continue to develop hyponatremia and show signs of volume overload despite receiving medical treatment should limit their sodium intake to 2-3 g/day and their fluid intake to 2 L/day. Patients also need regular, in-depth education and reassessment to ensure they can follow instructions for the best results.
Review of Literature
Because of sample size constraints in the first literature review, statistical significance was not attained. For instance, patients with hypertension, CAD, diabetes, vascular disease, a history of stroke, and chronic renal disease had more excellent numerical readmission rates than men, current smokers, or patients without any of these conditions. No relationship was seen between better patient self-care practices, understanding of heart failure, and lower readmission rates (Madanat, 2021). Therefore, it was necessary to conduct additional analyses of factors that influence CHF patient admissions, in particular those elements relating to their care, compliance with treatment regimens, and disease awareness at home, even though many of the results regarding comorbid conditions appear to align with previous study findings. The importance of socioeconomic determinants in readmission rates was frequently disregarded, so future attention must be focused on a more thorough patient approach. As a result, it was impossible to stratify patients based solely on the probability of readmission. Individualized patient management and follow-up should have considered social, demographic, and medical factors.
Another study that was looked at showed how a digital platform designed to help doctors monitor their CHF patients more effectively had an impact on their personalized management monitoring. It showed that these patients saw fewer hospital readmissions than the other patients who were not using the platform. With real-time vital statistics and patient health information outside of the hospital, the advanced technology database also demonstrated competent care delivery and cost containment for that group. Finally, the ongoing provision of care showed a slowing of disease progression. The study, however, was a 45-day, 62-participant small group study. The platform allowed users to monitor longitudinal health trends for patient populations and specific patients and information from their medical records, vital signs, symptoms, and prescription schedules. Clinicians used a web portal to access the platform. Along with the patient-generated data, the platform also displayed patient health data from the electronic medical record (EMR). (Gjeka, 2021).
It is encouraging and clear that technology will advance and become increasingly important in patient health promotion, especially for seniors with chronic illnesses that need to be treated by a multidisciplinary team. These patients need ongoing care as well as follow-up sessions. Unfortunately, most aged populations face numerous obstacles to effective and ongoing health promotion. Costs, transportation, cognitive difficulties, and a lack of family support are a few examples. To decrease hospital readmissions or morbidity, creating an individual health promotion program that works with each patient is crucial.
A theoretical model that can direct efforts for promoting health is the health belief model. It is employed to anticipate and justify changes in one’s own health-related behavior. One of the most often used frameworks for understanding health behaviors is this one. The Health Belief Model (HBM) examines how an individual perceives the threat posed by a health issue (susceptibility, severity), the advantages of averting the threat, and the factors that influence their decision to take action (barriers, cues to action, and self-efficacy). Therefore, patients with CHF should refrain from smoking, maintain a healthy weight, engage in regular aerobic exercise (a minimum of three days during the week), refrain fromusing illegal substances such as alcohol and marijuana, and adequately address underlying comorbidities that cause CHF. In addition, the idea to lower the incidence of rehospitalizations caused by a dearth of educational resources, encouraging counseling, and a detailed discharge plan is best served by using this model as the guiding framework.
References Gjeka, R. (2021, August 12). Patient engagement with digital disease management and readmission rates: The case of congestive heart failure. Retrieved from Sage Journals: https://journals.sagepub.com/doi/full/10.1177/14604582211030959 Hollier, A. (2021). Heart failure. In A. Hollier, Clinical Guidelines in Primary Care (pp. 68â€“70). Lafayette, LA: APEA. Madanat, L. (2021). Congestive Heart Failure 30-Day Readmission: Descriptive Study of Demographics, Co-morbidities, Heart Failure Knowledge, and Self-Care. NIH, p. 13. Malik, A. (2022, May 22). Congestive Heart Failure. Retrieved from NIH: https://www.ncbi.nlm.nih.gov/books/NBK430873/
Get Professional Assignment Help Cheaply
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Why Choose Our Academic Writing Service?
- Plagiarism free papers
- Timely delivery
- Any deadline
- Skilled, Experienced Native English Writers
- Subject-relevant academic writer
- Adherence to paper instructions
- Ability to tackle bulk assignments
- Reasonable prices
- 24/7 Customer Support
- Get superb grades consistently
Online Academic Help With Different Subjects
Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.
Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.
While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.
Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.
In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.
Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.
We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!
We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.
Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.
What discipline/subjects do you deal in?
We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.
Are your writers competent enough to handle my paper?
Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.
What if I don’t like the paper?
There is a very low likelihood that you won’t like the paper.
- When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
- We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.
In the event that you don’t like your paper:
- The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
- We will have a different writer write the paper from scratch.
- Last resort, if the above does not work, we will refund your money.
Will the professor find out I didn’t write the paper myself?
Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.
What if the paper is plagiarized?
We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.
When will I get my paper?
You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.
Will anyone find out that I used your services?
We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.
How our Assignment Help Service Works
1. Place an order
You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.
2. Pay for the order
Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.
3. Track the progress
You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.
4. Download the paper
The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.
PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!