The Centers for Disease Control and Prevention (2020) reported that approximately 6.2 million adults in the US have heart failure. Based on evidence-based care coordination, interventions for heart failure patients seek to improve patient outcomes, strengthen abilities for self-management, and lower readmission rates to the hospital. A seamless transfer from the hospital to the patient’s home is ensured by coordination between hospital personnel, primary care physicians, and home healthcare specialists.
Multidisciplinary heart failure clinics provide thorough patient care from medical specialists with a range of specialties. It has been discovered that patient education and self-management interventions, like medication management, symptom monitoring, nutritional advice, and coping mechanisms, improve patient understanding and self-care practices (Smith et al., 2018).
These therapies must be adapted to the unique needs of heart failure patients and integrated into their current care processes because personal traits and healthcare environments may have an impact on their efficacy. Miller (2022) asserts that telemonitoring that provides the patient with explicit instructions to increase medicine depending on weight gain or an increase in blood pressure is a successful adherence intervention. Treatment outcomes for heart failure can also be improved by outpatient diuretic clinics and medication adherence measures. Hospital stays and ER visits can be reduced in cost with the assistance of outpatient diuretic clinics.
Inadequate self-management among heart failure patients due to inadequate knowledge and noncompliance with recommended treatment regimen. To lower hospitalization and mortality from heart failure, a variety of pharmaceutical options are available.
Miller (2022) states that combining angiotensin receptor-neprilysin inhibitors (ARNI) and sodium-glucose cotransporter-2 (SGLT2) inhibitors is the first step in pharmacological therapy. Patients with heart failure may find it difficult to manage their illness if they do not have enough information or do not follow their doctor’s instructions. Poor results, readmissions to the hospital, and exacerbation of symptoms may result from this. To overcome these obstacles and enhance patient outcomes, collaborative care and treatments are required. Together, the interprofessional team may create a thorough education plan, streamline medication regimens, create customized meal plans, provide resources and support, make use of technology-assisted self-management tools, and address any obstacles.
The speed at which a patient can identify heart failure symptoms depends on a number of factors. Vuckovic (2020) asserts that age and comorbidities are the most important factors. Chronic disease symptoms can occasionally overlap, making it difficult for patients to identify which symptoms are related to heart failure and complicating early detection. On the other hand, how the patient perceives their symptoms of heart failure matters. Perceived social support can also have an impact on managing one’s own health.
Patients with heart failure may benefit from a self-care management education program that closes knowledge gaps and lowers readmission rates. Achieving a three-month reduction in hospital readmissions improves patient outcomes and heart failure patients’ quality of life. To enable efficient care coordination, a range of services are available, including care coordinators, electronic health records, telehealth, prescription management, home health, and community resources. By decreasing the nursing diagnosis of inadequate self-management, which is brought about by patients’ lack of understanding and adherence to recommended treatment plans, collaborative care and interdisciplinary interventions can improve outcomes for heart failure patients.
NURS FPX 6614 Assessment 1: White-Williams, C., Rossi, L. P., Bittner, V. A., Driscoll, A., Durant, R. W., Granger, B. B., Graven, L. J., Kitko, L., Newlin, K., & Shirey, M. (2020). Addressing Social Determinants of Health in the Care of Patients With Heart Failure: A Scientific Statement From the American Heart Association. Circulation, 141(22). https://doi.org/10.1161/cir.0000000000000767
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