...Robert great summarization post of congestive heart failure, my grandfather had congestive heart failure so I know first hand the effects it has on a person’s life. I thought it was very interesting that you pointed out one the first symptoms being not able to exercise without experiencing discomfort because not many individuals think of that as being a symptom they go to the go to symptoms like shortness of breath, coughing, and fatigue. In the beginning, before my grandfather was diagnosed with congestive heart failure he experienced difficulties lying down flat. Lying down flat causes parts of the lung to be in a more ¬¬¬dependent position. Another symptom to keep in mind for an individual with congestive heart failure is waking up with severe shortness of breath, and immediately needing to sit up to get their breath, and this is known as “paroxysmal nocturnal dyspnea”. The reason why there is a fluid build is when the heart’s output decreases; the body tries to compensate for it by releasing hormones that make the heart beat faster and stronger. This reflex though is only a short-term gain, and in the long run it really damages the heart’s function. The kidneys also sense the heart’s decrease in blood output, and they release hormones into the body, which cause sodium and...
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...Prevention of Hospital Readmissions Related to Symptoms of Congestive Heart Failure NRS 441V Professional Capstone March 1, 2014 Abstract 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 evidence. Provide at least 1 evidence based literature; for at least 1 evidence based solution. Keywords: congestive heart failure, therapy, education, patient outcomes Description of the Problem Prevention of Hospital Readmissions Related to Symptoms of Congestive Heart Failure Health care providers must ensure skills, knowledge and teaching is effective when providing care to their patients and families about symptoms of CHF. The length of stay for an average hospital visit can be two days however, for more chronic issues warrant an even longer stay. To avoid readmission of the disease processes of CHF warrants additional care and resources during and after discharge. . Some patients cannot follow up with their primary care physician because...
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...head: EDUCATION AND CONGESTIV HEART FAILURE How does patient education affect compliance with Congestive Heart Failure? How does patient education affect compliance with Congestive Heart Failure? How does education affect compliance with congestive heart failure? I have chosen this topic because congestive heart failure is a disease process that continues to grow throughout our communities. These patients tend to be readmitted into the hospital frequently due to noncompliance. Problem Identification Education of congestive heart failure is one of society’s largest challenges. The need to focus on compliance of treatment plan, self management, and patient education of this disease process is essential for favorable outcomes. The articles chosen for the information retrieval paper were located on line at the University of Texas at Arlington library in the CINHL database. These articles were written between the years of 2006 and 2009. All three articles were peer reviewed. While searching the data base for articles, information regarding education, compliance, and outcomes was a key focus. The articles were chosen for their content related to the education process of the patient with congestive heart failure and how compliance would affect outcomes. The knowledge of congestive heart failure of the medical professional was also explored. Summary of Articles First article Congestive heart failure is a debilitating and chronic...
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...The Effect of Telemonitoring in CHF patients Evidence Based Practice Project Sacred Heart University The Effect of Telemonitoring in CHF Patients Evidence Based Practice Project Question (PICOT) Question: In elderly individuals over the age of 65, does the use of a mobile phone-based medication adherence application, compared to a mobile phone texting reminder, increase medication compliance by 25%, within 12 weeks of implementing the program? Evidence Appraisal Matrix Source (APA) | Type of Study design (RCT, phenomenology, etc.)/Purpose | Level of Evidence(According toMelnyk & Fineout-Overholt) | Sample, settingInclusion/ExclusionCriteria | Methods, instruments, data analysis | Findings/Implications | Inglis, S. C. (2011). Structured telephone support or telemonitoring programmes for patients with chronic heart failure. Cochrane Database Of Systematic Reviews, (6), doi:10.1002/14651858.CD007228.pub2 | Systematic Review | Level I | Twenty-five studies and five published abstracts were included. 16 evaluated structured telephone support, 11 evaluated telemonitoring, and two tested both interventions. Inclusion criteria:only peer reviewed, published RCTs comparing structured telephone support or telemonitoring to usual care of CHF patients were included. | Various search engines such as: MEDLINE, EMBASE, CINAHL, and AMED were searched from 2006 to November 2008.Relevant studies and systematic reviews and abstract conference proceedings were hand searched. No...
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...Congestive Heart Failure Introduction Everyone loses pumping ability in their heart as they age. The serious case of heart failure develops when other health conditions cause the heart to work harder or become damaged due to increased stress. Heart failure is usually a chronic disease. It gradually tends to become worse. By the time someone is diagnosed with it, the heart has most likely begun to lose pumping capacity for quits some time. Nearly five million Americans are living with heart failure and 550,000 new cases are diagnosed each year. This paper will discuss what heart failure is, and what nursing interventions may be of help to patients who suffer from this disease. My grandmother was recently diagnosed with congestive heart failure. By interviewing her and performing a brief assessment, I hope to recognize a few nursing diagnoses and some interventions that may make her disease more bearable. Heart failure can involve the right side of the heart, the left side, or both. Heart failure usually affects the left side first. Each side of the heart is made up of two chambers the atrium and the ventricle. If either of these chambers loses their ability to keep up with the amount of blood flow then heart failure occurs. Custom writing service can write essays on Congestive Heart Failure Left - sided failure involves the left (lower) ventricle. The left ventricle pumps oxygenated blood to the rest of the body. This chamber is the largest and is...
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...Research Utilization Paper An Intervention Study to Enhance Medication Compliance in Community-Dwelling Elderly Individuals My research study was to determine whether daily videotelephone or regular telephone reminders would increase the quantity of prescribed cardiac medication taken in a sample of elderly individuals who have congestive heart failure (CHF) (Peteva, 2001). Within this research I would disseminate the new scientific knowledge with the help of the pharmaceutical company that makes the congestive heart failure medication. With the help and support of the pharmaceutical maker, I would provide a full in-service to the nursing staff of hospitals and doctor’s offices alike. In doing this, this would provide a friendly and educational atmosphere in a nursing practice setting to get complete understanding of the research findings and how they as nurses can make a difference in the consumption of prescribed medication. Secondly, I would write a journal article and have it published in the pharmaceutical’s bulletin to include a well-known nursing journal. These journal articles would contain the findings of the research and suggestions on how the nursing staff can help the patients improve the compliance of taking prescribed medication. Once the information is disseminated into the medical public, the nurses will apply the learned knowledge to their practice for the elderly patients who are taking congestive heart failure medication. First, the nurse will collect...
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...Cardiovascular disease also called heart disease includes numerous problems, many of which are related to a process called atherosclerosis. Atherosclerosis is a condition that develops when a substance called plaque builds up in the walls of the arteries. This buildup narrows the arteries, making it harder for blood to flow through. If a blood clot forms, it can stop the blood flow. This can cause a heart attack or stroke (“What is Cardiovascular Disease (Heart Disease)?”). The purpose of this paper is to discuss the risk factors associated with a previous client that I cared for in the clinical setting and to include rationale and some behaviors that could reduce these risks. The patient that I will be focusing on is a 56 year old female of polish descent whom I will refer to as I.G. She was admitted to UMC with a chief complaint of left knee pain. Her admitting diagnosis was a left distal femur fracture and has a medical history of congestive heart failure, hyperlipidemia, glaucoma, rheumatoid arthritis, hypertensive disorder, GERD, and diabetes. She admitted that diabetes runs in her family and she also has a history of smoking and obesity evidenced by her BMI of 32.1. Diabetes Diabetes Mellitus is associated with a reduced life span, largely as a result of cardiovascular disease and most patients die as a result of a thrombotic event. Patients with diabetes are at increased risk for CVD. This risk affects women more than men and is influenced by the client’s...
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... 1880. Alfred Wegener went to Humboldt University of Berlin in 1905. There he studied the way the plates moved. He married Else Koppen Wegener they had one daughter names Elsa Wegener. Alfred Wegener died from congestive heart failure. Congestive heart failure is a weakness of the heart that leads to a buildup of fluid in the lungs and surrounding body tissues. He...
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...Running head: APPLICATION OF THEORY Application of Theory Cindy Perdue-Tufts Chamberlain College Theoretical Basis for Advanced Nursing NR-501 Dr. Mikel Hand December 8, 2013 Application of Theory Today, the use of modern nursing theory continues to advance and distinguish nursing practices from other care professions. Each theory has its own unique and qualifying characteristics. The objective of this paper serves two purposes. The first is to analyze one middle-range nursing theory, (transition theory), demonstrating how its attributes, specifically effective discharge processes are serving to generate beneficial outcomes for both congestive heart failure (CHF) patients at or above the age of 65 and the healthcare system as a whole. The second is demonstrate the advantages of incorporating effective discharge processes into home health care (HHC) nursing practices so that CHF patients 65 and older are better served. To meet these objectives this writer will delineate findings from factual scholarly literature and research studies, while providing existing shortcomings within the HHC this writer works for, in an effort to demonstrate why implementing effective discharge processes within the HHC, would in fact improve outcomes for CHF patients 65 and older. Transition theory clarifies the processes of transition that are involved with passage from one life phase to another involving changes in health that lead-up to a period of vulnerability. Afaf Meleis,...
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...Epidemiology by definition is the study of the distribution and patterns of health-events, health- characteristics and their causes or influences in well-defined populations. It is the cornerstone method of public health research, and helps inform policy decisions and evidence-based by identifying risk factors for disease and targets for preventive medicine. Epidemiologists are involved in the design of studies, collection and statistical analysis of data, and interpretation and dissemination of results (including peer review and occasional systematic review).Major areas of epidemiological study include outbreak investigation, disease surveillance and biomonitoring, and comparisons of treatment effects such as in clinical trials. Epidemiologists rely on a number of other scientific disciplines such as biology (to better understand disease processes), biostatistics (to make efficient use of the data and draw appropriate conclusions), and exposure assessment and social science disciplines (to better understand proximate and distal risk factors, and their measurement). I would like to discuss elderly patients as my vulnerable population. There is no set age at which a person maybe under the care of a geriatric physician. The physician aims to promote health by preventing disease and disabilities in geriatric adults. A gerontologist specializes in the aging process. Adult medicine differs from the geriatric patient because the focus is on the elderly patient...
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...Stem cell research is one that is widely debated amongst various religions, cultures, and political groups. The question as to when life actually begins is the epicenter of this worldwide quarrel, and may not be settled for some time. Although this may be true, one fact that cannot be denied is that stem cell research has led to many life saving discoveries in various sectors of scientific research. In regards to the ethical dilemma of stem cells, recent developments in induced pluripotent stem cells (iPSCs) have made it possible to explore the applications of stem cells while avoiding the ethical problems associated with embryonic stem cell research (Seki & Fekuda, 2015). One intriguing area in stem cell research is the potential applications for them in the treatment of cardiac diseases. Studies have explored the potential uses for stem cells for the treatment of heart disease (Yamakawa & Ieda, 2015). Additionally, stem cells have been explored for the treatment of heart failure and myocardial infarction (Rasmussen, et al., 2013). Stem cells and how they may be used for the treatment of various cardiac diseases is an exciting topic and has the potential to change future approaches to the treatment. This paper will examine the applications and significance of stem cells in relation to these common cardiac pathologies. Heart disease is one of the leading causes of death in developed countries and currently there are few effective treatment options available (Yamakawa & Ieda...
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...Plan for Ronald Issler |Nursing Process |Data and Relevant Information | |1. Breathe normally |Complains of shortness of breath, oxygen saturation 88% on room air, | | |heart rate 58, chest x-ray with bilateral lower lobe infiltrates, | | |history of DVT. | |2. Eat and drink adequately |Height 6 ft., weight 147 pounds. BMI 19.7 (lower range of normal). | | |History of congestive heart failure, takes diuretic. Hemoglobin and | | |hematocrit levels low (HGB 10.4 gm/dl, HCT 29.6%) | |3. Elimination of body wastes |History of congestive heart failure (as noted above), elevated | | |creatinine level of 2.0 mg/dl | |4. Move and maintain posture |Increasing weakness over the past two months, with generalized | | ...
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...430 Professional Dynamics June 8, 2014 The purpose of this paper is to discuss the differences in competencies and decision making skills of nurses that are prepared at an Associate Degree level (ADN) verses those prepared at a Baccalaureate Degree level (BSN). . Competency Differences Between The Associate Degree Nurse and The Baccalaureate Degree Nurse The typical ADN program is usually 2-3 years, whereas the BSN program is 4 years. While both programs competently make use of technical skills and provide general nursing care, the “baccalaureate programs emphasize evidence-based clinical practice and leadership through coursework that includes research, statistics, population-based care, nursing management, and the humanities.” (Haverkamp & Ball, 2013) Long debated is the entry level educational requirements for the nursing profession; evidence has proven that higher education levels ultimately leads to safer and more efficient care. The American Association of Colleges of Nursing (AACN) reviewed and discussed 8 different studies that linked higher education to safer care. These studies showed a “decrease in mortality rates” as well as “fewer medication errors” (AACN Fact sheet, 2013). These studies were not just limited to the United States but also included research conducted in Canada. The results were conclusive in all studies. BSN prepared nurses have the ability to effectively...
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...COVER ARTICLE PRACTICAL THERAPEUTICS Acute Management of Atrial Fibrillation: Part I. Rate and Rhythm Control DANA E. KING, M.D., LORI M. DICKERSON, PHARM.D., and JONATHAN L. SACK, M.D. Medical University of South Carolina, Charleston, South Carolina Atrial fibrillation is the arrhythmia most commonly encountered in family practice. Serious complications can include congestive heart failure, myocardial infarction, and thromboembolism. Initial treatment is directed at controlling the ventricular rate, most often with a calcium channel blocker, a beta blocker, or digoxin. Medical or electrical cardioversion to restore sinus rhythm is the next step in patients who remain in atrial fibrillation. Heparin should be administered to hospitalized patients undergoing medical or electrical cardioversion. Anticoagulation with warfarin should be used for three weeks before elective cardioversion and continued for four weeks after cardioversion. The recommendations provided in this two-part article are consistent with guidelines published by the American Heart Association and the Agency for Healthcare Research and Quality. (Am Fam Physician 2002;66:249-56. Copyright© 2002 American Academy of Family Physicians.) I Members of various family practice departments develop articles for “Practical Therapeutics.” This article is one in a series coordinated by the Department of Family Medicine at the Medical University of South Carolina. Guest editor of the series is William...
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...Epidemiology by definition is the study of the distribution and patterns of health-events, health- characteristics and their causes or influences in well-defined populations. It is the cornerstone method of public health research, and helps inform policy decisions and evidence-based by identifying risk factors for disease and targets for preventive medicine. Epidemiologists are involved in the design of studies, collection and statistical analysis of data, and interpretation and dissemination of results (including peer review and occasional systematic review).Major areas of epidemiological study include outbreak investigation, disease surveillance and biomonitoring, and comparisons of treatment effects such as in clinical trials. Epidemiologists rely on a number of other scientific disciplines such as biology (to better understand disease processes), biostatistics (to make efficient use of the data and draw appropriate conclusions), and exposure assessment and social science disciplines (to better understand proximate and distal risk factors, and their measurement). I would like to discuss elderly patients as my vulnerable population. There is no set age at which a person maybe under the care of a geriatric physician. The physician aims to promote health by preventing disease and disabilities in geriatric adults. A gerontologist specializes in the aging process. Adult medicine differs from the geriatric patient because the focus is on the elderly...
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