Addressing Heart Failure Disease Capstone Project

Pages: 3 (1435 words)  ·  Bibliography Sources: ≈ 11  ·  File: .docx  ·  Level: College Senior  ·  Topic: Healthcare

SAMPLE EXCERPT . . .
Gutierrez & Blanchard (2004), concur that lifestyle changes have been proven to lessen the risk of all kinds of cardiovascular disease (p.2614). In addition, these measures should be adopted at an early stage before structural changes and systolic dysfunctions have taken place (Mandinov, 2000, p.822).

Design Practice Change:

Patient monitoring for lifestyle changes and education will be carried out between three to four months period. This multidisciplinary team approach will involve establishing contact during hospitalization, conducting follow-up after discharge, providing telephone support and remote evaluation, and home-based visits. During this period, patients will receive information regarding adherence and self-care management. Some of the major stakeholders to be involved in the design for change include heart failure nurses, physicians, and patient's families and/or caregivers. Therefore, the desired practice change will incorporate the use of these stakeholders or key players in providing patient education and monitoring through establishment of contact, home-based visits, remote monitoring, and telephone support.

Implementation and Evaluation of the Change in Practice:

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One of the major differences in this practice of patient monitoring is the inclusion of measures that would encourage support and evaluation outside the health care setting. As a result, this change in practice will involve a multi-dimensional approach across the various elements in the process. Patients will be assigned to different heart failure nurses and physicians and the other major players who will design the respective schedules for monitoring the patients within the four months period. These players will document various aspects of patients' lifestyle changes and education in light of their impact in dealing with the disease. The evaluation of the change in practice will involve examining the impact of these changes and education in light of nursing goals that were established before the beginning of the intervention.

Capstone Project on Addressing Heart Failure Disease Assignment

Integrating and Maintaining of the Change in Practice:

The change in practice will be integrated and maintained into current nursing practice for addressing heart failure depending on the impact of the process in lessening the rate of heart disease cases. In essence, the change in practice will be further evaluated and considered if it helps these patients to significantly lessen the risk of life-threatening conditions like irregular heartbeats. Moreover, the integration and maintenance of the change in practice depends on its effect on the patient's ejection fraction.

Summary:

Heart failure is a major health problem in the modern society because it is largely brought by people's lifestyles. Actually, the existing lifestyles contribute to increased rates of this disease because they enhance the major risk factors. Since this disease is divided into various categories, patients with an ejection fraction of less than 40% face the most risk because they may be confirmed to have heart failure. This condition is likely to degenerate to life-threatening conditions such as irregular heartbeats. Therefore, it is important to take new measures for dealing with the disease such as promoting lifestyle changes and patient education. These interventions should be integrated in patient monitoring initiatives that involve a multidisciplinary team composed of various professionals. The intervention could contribute to reduced risk of hospitalization and death since it addressed one of the major risk factors. However, the effectiveness of the intervention will be determined by its effect on the rate of heart failure incidents and achievement of established nursing goals.

References:

"About Heart Failure." (n.d.). American Heart Association. Retrieved March 27, 2014, from http://www.heart.org/HEARTORG/Conditions/HeartFailure/AboutHeartFailure/About-Heart-Failure_UCM_002044_Article.jsp

Aurigemma, G.P. (2006, July 20). Diastolic Heart Failure -- A Common and Lethal Condition by Any Name. The New England Journal of Medicine, 355(3), 308-310. Retrieved from http://www.cfids-cab.org/MESA/Aurigemma.pdf

Gutierrez, C. & Blanchard, D.G. (2004, June 1). Diastolic Heart Failure: Challenges of Diagnosis

and Treatment. American Family Physician, 69(11), 2609-2616. Retrieved from http://www.aafp.org/afp/2004/0601/p2609.pdf

Hsich, E. & Wilkoff, B. (2013, April). Treatment: How is Heart Failure Treated? Retrieved

March 27, 2014, from http://my.clevelandclinic.org/heart/disorders/heartfailure/hftreatement.aspx

Mandinov et. al. (2000). Review Diastolic Heart Failure. Cardiovascular Research, 45(2000),

813-825. Retrieved from http://cardiovascres.oxfordjournals.org/content/45/4/813.full.pdf

O'Donovan, K. (2010, February). Nursing Care of Acute and Chronic Heart Failure. Continuing Education, 19(1), 33-35. Retrieved from http://www.inmo.ie/tempDocs/CardioWINFeb_33.pdf

Satpathy et. al. (2006, March 1). Diagnosis and Management of Diastolic Dysfunction and Heart

Failure. American Family Physician, 73(5), 841-846. Retrieved from http://www.aafp.org/afp/2006/0301/p841.pdf [END OF PREVIEW] . . . READ MORE

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