Clinical Medicine Insights Essay
Clinical Medicine Insights Essay
Readmission rates are now a major problem for hospitals with patients hospitalized with congestive heart failure. More and more patients with congestive heart failure are being identified. There are more persons that are being afflicted with this debilitating condition who live longer. Congestive heart failure is a recurrent clinical condition that affects 5.7 million persons in the United States, with this disorder being identified last year by more than 670,000 persons.
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Each year, more than one million individuals are admitted to the hospital with congestive heart failure exacerbation, and a startling 25 percent of these individuals are readmitted within thirty days of being released with the same signs and symptoms of congestive heart failure as reported by the author. In 2012, a readmission scheme was implemented by the Centers for Medicare and Medicaid Programs that lowers the payments a doctor will obtain if a patient is readmitted to the hospital within 30 days of a previous discharge. Hospitals are penalized if patients with a history of congestive heart failure are re-admitted after 30 days. This has significantly impacted the outcome of the hospital as the amount of patients admitted for exacerbation of congestive heart failure is rising, especially those that are being readmitted to treat this chronic progressive condition. Within the first five years after being hospitalized, an incredible half of the individuals diagnosed with heart failure will die. In order to overcome this major obstacle to changing health care outcomes, more research and initiatives are therefore needed. In order to assess the epidemiological characteristics of congestive heart failure and interventions to reduce readmission rates, this literature review examines and compares clinical studies. The sources of information include eight peer-reviewed articles. Clinical Medicine Insights Essay
Comparison of Research Questions
The eight publications have unique research aims and targets and are typically concerned with interventions to reduce congestive heart failure readmission rates. The article by Abbasi et al. (2018) aims at establishing the impacts of self-monitoring education interventions on the quality of life of individuals experiencing congestive heart failure while Shaw et al. (2014) and Toukhsati et al. (2019) examines the self-management interventions for reducing hospital readmmisions in heart failure patients and the need for improved theoretical frameworks in the future.. The articles by Ruppar at al. (2016) and Chang et al. (2018) seeks to explore the effects of medication adherence strategies on the readmissions and mortality rates in patients with heart failure compared to Allen et al. (2015) and Bisharat et al. (2012) where it assesses the need for providing prescription guidelines for medications when discharging heart failure patients to enhance medication adherence as well as reducing readmission rates. The article “The efficacy of telemedical care for heart failure” by Ma et al. (2021) analyses the effectiveness of implementing telemedical care in treatment of patients with heart failure. Clinical Medicine Insights Essay
Comparison of Sample Populations
The sample population in the article by Abbasi et al. (2018) consists of 60 people with congestive heart failure and do not have sensory-cognitive disorders compared to the study by Ruppar at al. (2016) where it comprised of adults over the age of 18 years with heart failure. The study by Shaw et al. (2014) included 40 patients in acute care setting chosen if they had informed consent, were not living in an assisted facility, and if they had a working telephone/ phone. They were 41-86 years old with a mean age of 67. The article by Bisharat et al. (2012) comprised of 74 patients selected out of observational basis, 33 were intervention group while 41 were the control group compared to the study by Chang et al. (2018) whereby in-patients of above 65 years with heart failure were used to conduct the study of 9878 patients from 300 hospitals.
Comparison of the limitations of the study
Abbasi et al. (2018), stress and social care have not explored the shortcomings of the research and thus more analysis is required to assess the impact of the self-management educational intervention on stress and social aid. In the Ruppar at al. (2016) and Shaw et al. (2014) reports, the application of a follow-up phone call to determine one’s recently gained awareness of self-management heart failure can fail to draw the actual outcome of our research. While significant strides have been made to guarantee a secure return home from medical treatment, there is no quantitative method to quantify the trauma that a patient suffers at this period and could bias the way the survey was addressed by the patients.
Numerous research have shown that heart failure entails both hereditary and environmental influences, and while our genes impact vulnerability and how this condition evolves, we also control our surroundings to control outcomes Self-management training for patients with heart failure is also required. For example, a balanced diet combined with exercise decreases risk factors in several patients. Despite advancements in research and health treatment, HF leads to numerous hospital admissions and has a substantial death rate Patient education on medication adherence are essential to the reducing readmissions.
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Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction? Clinical Medicine Insights Essay
Abbasi, A., Najafi Ghezeljeh, T., & Ashghali Farahani, M. (2018). Effect of the self-management education program on the quality of life in people with chronic heart failure: A randomized controlled trial. Electronic Physician, 10(7), 7028-7037. https://doi.org/10.19082/7028
Allen, L. A., Fonarow, G. C., Liang, L., Schulte, P. J., Masoudi, F. A., Rumsfeld, J. S., Ho, P. M., Eapen, Z. J., Hernandez, A. F., Heidenreich, P. A., Bhatt, D. L., Peterson, E. D., & Krumholz, H. M. (2015). Medication initiation burden required to comply with heart failure guideline recommendations and hospital quality measures. Circulation, 132(14), 1347-1353. https://doi.org/10.1161/circulationaha.115.014281
Bisharat, B., Hafi, L., Baron-Epel, O., Armaly, Z., & Bowirrat, A. (2012). Pharmacist counseling to cardiac patients in Israel prior to discharge from hospital contribute to increasing patient’s medication adherence closing gaps and improving outcomes. Journal of Translational Medicine, 10(1), 34. https://doi.org/10.1186/1479-5876-10-34
Chang, L. L., Xu, H., DeVore, A. D., Matsouaka, R. A., Yancy, C. W., Fonarow, G. C., Allen, L. A., & Hernandez, A. F. (2018). Timing of postdischarge follow‐up and medication adherence among patients with heart failure. Journal of the American Heart Association, 7(7). https://doi.org/10.1161/jaha.117.007998
Ma, X., Li, J., & Ren, X. (2021). The efficacy of telemedical care for heart failure: A meta-analysis of randomized controlled trials. The American Journal of Emergency Medicine. https://doi.org/10.1016/j.ajem.2021.01.032
Ruppar, T. M., Cooper, P. S., Mehr, D. R., Delgado, J. M., & Dunbar‐Jacob, J. M. (2016). Medication adherence interventions improve heart failure mortality and readmission rates: Systematic review and meta‐analysis of controlled trials. Journal of the American Heart Association, 5(6). https://doi.org/10.1161/jaha.115.002606
Shaw, J. D., O’Neal, D. J., Siddharthan, K., & Neugaard, B. I. (2014). Pilot program to improve self-management of patients with heart failure by redesigning care coordination. Nursing Research and Practice, 2014, 1-10. https://doi.org/10.1155/2014/836921
Toukhsati, S., Jaarsma, T., Babu, A., Driscoll, A., & Hare, D. (2019). Self-care interventions that reduce hospital readmissions in patients with heart failure; Towards the identification of change agents. Clinical Medicine Insights: Cardiology, 13, 117954681985685. https://doi.org/10.1177/1179546819856855 Clinical Medicine Insights Essay