Mustary Akter Professor: Karah Newton URPN 370.500 December 02, 2016 The Quality and Transparency of Hospital Care To provide the best health care the United States, health care system is continuously undergoing through many changes in the system in order to increase the quality and transparency of the health care system. For this assignment, we needed to visit Leap Frog Group website to choose a city and a hospital in order to understand the quality rating of that hospitals. I chose the city college station because it is my hometown and the hospital that I chose to examine was CHI St. Joseph Health Regional-Bryan.…
Readmissions were highest among Medicare patients at more than 55 percent. Follow-up appointments, medications, and other appropriate actions are taken to reduce readmissions. Emory’s ongoing quality improvement efforts include several programs to ensure that when their patients are discharged, they have a clear understanding of what they need to do, how to get medical help if needed and when to see their physicians in follow up. Heart failure readmission rates. Findings suggest that the nurse-led evidence-based HF education program improved self-care behaviors and decreased 30-day readmissions.…
Congestive Heart Failure The heart is fundamentally a blood pump. It pumps blood from the right side of the heart to the lungs to pick up oxygen. The oxygenated blood returns to the left side of the heart. The left side of the heart then pumps blood into the circulatory system of blood vessels that carry blood throughout the body.…
What side of the heart is affected by congestive heart failure (right, left, or both)? At the point when the right half of the heart starts to work less effectively, it can't pump much blood into the vessels of the lungs. Would Fluid accumulate somewhere? If so, Where? Explain your answer. Yes, Congestive heart failure (CHF) happens when the heart's pumping activity turns out to be weak to the point that liquid starts to amass in the lungs and other body tissues.…
Hospitals are concerned with heart failure readmissions because the annual cost of Medicare is over $2 billion (Centrella-Nigro, Bognar, Burke, K, Faber, Flynn, LaForgia, & Wiklinski, 2016). When a hospital is over the national average of heart failure readmissions, the hospital will be penalized a reduction up to 3% in Medicare reimbursements. Occurs when the patient is readmitted within 30 days of discharge (Centrella-Nigro et al., 2016). As nurses’ it is imperative that the patient receives important education and self-care skills regarding management of heart failure. It is of the essence for nurses to stay equipped with the latest and greatest evidence-based processes to efficiently care for this expanding geriatric population (Harrison,…
Congested Heart Failure. Heart failure results from impairment of ventricular function that presents as pulmonary edema, fatigue, decreased exercise tolerance and peripheral edema. Heart failure is categorized as a reduction in ejection fraction or diastolic dysfunction. It is the culmination of progressive changes in ventricular shape and thickness, chamber size and stiffness that reduce cardiac output. Hemodynamic goals are to preserve cardiac output and minimize workload on the heart (Pino, 2015).…
One of the ways to grade heart failure is through ejection fraction. The ejection fraction determines the amount or percentage of blood leaving during every ventricular contract and it helps in diagnosing heart failure (Mankad 2016) .The left ventricle is measured to determine the ejection fraction because it is considered as the main heart pumping chamber .The normal LV ejection range for a normal heart is from 55 percent and above while 50 percent and below signifies low heart function and a potential heart failure.…
Initially, when I read the case, my first intention was to add an aldosterone antagonist to the patient’s blood pressure regimen, as well. However, according to the ACCF/AHA Guideline for the Management of Heart Failure, aldosterone receptor antagonists are recommended only in patients who have an LVEF of 35% or less (level of evidence A) and in patients after an acute MI (less than 40 days) with an LVEF of 40% or less with HF symptoms (level of evidence B). Apparently, aldosterone receptor antagonists can be harmful because of life-threatening hyperkalemia. Then I contemplated to switch to a loop diuretic, but they are not recommended unless the patient has an EF<40, a CrCl of less than 30 mL, or the patient’s BP level is becoming resistant…
Finally, the last importance of congestive heart failure are treatments to help residents help maintain and ease the pain by understanding a healthy lifestyle. Through treatment plans with four different stages and in each one explains what is expected for the resident to follow by to help with having congestive heart failure. When a patient is diagnosing with STAGE ONE use a treatment of the patients to maintain regular exercising, to either to stop smoking or continue without starting to smoking, also discontinue alcohol or illegal drug use. For the patients that have vascular or cardiac conditions follow treatments by an angiotensin that converts enzyme inhibitor or a blocker is prescribe to the resident, and for other patients who had a…
Congestive heart Failure (CHF) What is congestive heart failure? Congestive heart failure (CHF) is when the heart can no longer pump blood efficiently. The four heart chambers become stretched, stiff, and the blood thickens.…
Though heart failure can occur suddenly, weakening of the heart is more likely to slowly develop over a period of time, often over many years as the heart becomes weaker and is unable to work as efficiently, which is why is it more prominent in the elderly population. Typically conditions and diseases that damage or overwork the heart lead to congestive heart failure. The major conditions and factors that cause congestive heart failure include: • Coronary artery disease • Heart valve disease • High blood pressure • Hypertension • Valve conditions • Cardiomyopathy • Diabetes • Alcohol abuse • Smoking Coronary artery disease, also known as ischaemic heart disease, results from the gradual blocking of the coronary artery by fatty deposits called plaque. The coronary artery is the artery that supplies blood to the heart, damaging it…
The ideas outlined in Kristen’s plan of action sound like objectives that could be implemented not only for the CHF patients but could be tailored for other chronic illnesses…
As a nation, 75% of our health care dollars goes to treatment of chronic diseases (CDC). Heart failure is among these chronic diseases. About 5.1 million people in the United States have heart failure (CDC). Currently, heart failure has no cure. The disease can be medically treated as well as managed through lifestyle changes.…
• Introduction : Congestive heart failure (CHF) is specifically known as congestive cardiac failure (CCF) in the scientific papers. The term ‘’CHF’’ describes a debilitating condition in which the heart 's function as a pump is unable to deliver an adequate amount of rich-oxygen blood to the rest of the body and the fluid builds up in the body and other organs making the heart congested. CHF results from any structural or functional cardiac disorder that weakens the pumping ability of the heart, for instance, congestion of the arteries or a general weakness of the heart muscle caused by having unhealthy life styles. CHF is classified into two types: systolic dysfunction and diastolic dysfunction. The patients who have heart failures commonly experience the symptoms like breathlessness, excessive tiredness, leg swelling, etc.…
Pathophysiology Congestive heart failure (CHF) is a clinical syndrome in which the pumping action of the heart becomes less powerful and fluid builds up forcing it into the lungs causing pulmonary edema or causing edema in the peripheral vascular system. CHF is used interchangeably with Heart failure (HF). HF is characterized by myocardial dysfunction, which is an alteration in ventricular contraction. Myocardial dysfunction can be caused by a result of many different conditions such as coronary artery disease, hypertension, cardiomyopathy, valvular disorders, renal dysfunction, ischemia and myocardial infarction. It can be systolic heart failure in which the heart muscles are weakened and results in decreased blood ejected from the ventricle,…