Discharge Plan and Nursing Practice Research Paper

Pages: 10 (3439 words)  ·  Bibliography Sources: 10  ·  File: .docx  ·  Level: Doctorate  ·  Topic: Healthcare

Discharge plan of care for patients with congestive heart failure.

Discharge Plan of Medical Care

Healthcare facilities have a vivid planning and detailed functions which are to be accomplished in a unit or organization. There are numerous minor and major functions which are to be carried out by a healthcare facility and this is widely planned. Although there has been much advancement made in the direction of improving the efficiency of these functions, there are still some areas of improvement which need focus. Certain nursing practices towards the discharge function of patients with congestive heart failure need to be altercated. This paper points out certain current practices which might not be very effective, and which have forced re-admission of such patients, which require instant change.

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Research Paper on Discharge Plan and Nursing Practice Assignment

The current nursing practices have certain degree of complexity associated with them, which discourage efficiency in administering perfect treatment. Normal discharge function for patients suffering from congestive heart failure is not very detailed and certain stats are not noted and missed out while relieving the patient from the healthcare facility (Buckler, 2009). There is a routine procedure, which includes administering regular protocol of digoxin and potassium. Regular stats are noted and blood pressure levels are registered for ascertaining hypotension. This function needs to be more detailed and vivid, and each patient should be checked based on personal medical history and background. Communication among the attending medical staff and discharge unit is very important in ensuring no re-admission of the discharged patient (Buckler, 2009). The current treatment practices have particular level of unpredictability connected with them, which debilitate effectiveness in regulating immaculate treatment (McCoy). Typical discharge capacity for patients experiencing congestive heart disappointment is not exceptionally nitty-gritty and certain details are not noted and passed up a major opportunity while soothing the patient from the social insurance office. There is a routine methodology, which incorporates regulating consistent convention giving ECG strips. Standard details are noted and cardiac levels are enrolled for finding out hypotension. This capacity needs to be more point by point and striking and every patient ought to be checked focused around individual recuperative details and foundation. Correspondence among the going to doctors/surgeons and discharge unit is essential in guaranteeing safe health of the discharged patient (McCoy).

Part B: Key Stakeholders Involved In Current Nurse Setting

There two major and fundamental stakeholders involved in a healthcare facility and they are patients themselves and the nursing staff who administers the treatment. Just like any other organization, this function progresses with a perfect coordination of all stakeholders, and this is very important to maintain high order of services (Rawson, 2012). There is certain level of responsibility that lies with each stakeholder has certain role to play in the proper functioning of facility. Patients have a responsibility towards truth and they are required to be precise about their medical history. Also, there is a responsibility about following the treatment protocol and prescribed medication (Rawson, 2012). Nursing staff is required to be precise and candid in the communication process and provide regular follow up and feedback about the medical conditions of the patient. Much the same as some other association, this capacity advances with an impeccable coordination of all stakeholders, and this is imperative to keep up high request of administrations (Rawson, 2012). There is sure level of obligation that lies with every stakeholder has notable part to play in the best possible working of office. Patients have an obligation towards proper communication and they are obliged to be exact about their restorative history. Additionally, there is an obligation about after the treatment convention and recommended drug. Nursing staff is obliged to be exact and real to life in the correspondence transform and give general catch up and criticism about the therapeutic states of the patient (Rawson, 2012).

Part C: Evidence Critique Table

Evidence Sources

Evidence Strength/Hierarchy

1. Crowther, M. (2012). Heart Failure Readmissions: Can Hospital Care Make A Difference? Nursing Made Incredibly Easy!,10(2), 1-3. Retrieved December 22, 2014, from http://journals.lww.com/nursingmadeincrediblyeasy/Fulltext/2012/03000/Heart_failure_readmiss

2 and Assessment

2. Joynt, K., & Jha, A. (2010). Who Has Higher Readmission Rates for Heart Failure, and Why? Implications for Efforts to Improve Care Using Financial Incentives. Circulation: Cardiovascular Quality and Outcomes.,4, 2-4. Retrieved December 22, 2014, from http://circoutcomes.ahajournals.org/content/4/1/53.abstract

3 and Analysis

3. Desai, A. (2012). Home Monitoring Heart Failure Care Does Not Improve Patient Outcomes. Circulation,125(6), 828-836. Retrieved December 22, 2014, from http://circ.ahajournals.org/content/125/6/828.extract

3 and Assessment

4. Bradley, E. (2013). Hospital Strategies Associated With 30-Day Readmission Rates for Patients With Heart Failure. Circulation: Cardiovascular Quality and Outcomes,6, 444-450. Retrieved December 22, 2014, from http://circoutcomes.ahajournals.org/content/6/4/444.full

3 and Web-Based Surveys

5. Ross,, J. (2009). Recent National Trends in Readmission Rates After Heart Failure Hospitalization. Circulation: Heart Failure,3, 97-03. Retrieved December 22, 2014, from http://circheartfailure.ahajournals.org/content/3/1/97.full

3 and Administrative Data

Part D: Evidence-Based Summary

Since 2009, there have been many developments which have surfaced in the studies in this direction and these points out the liberation and advancement in this field. There have been many researches, which have been conducted towards suggestive development and making discharge function more effective and efficient so that readmission rates go down, as compared to current trends (Crowther, 2012). Significant improvements and developments have been achieved in this direction and the whole function of medical healthcare has established more concern towards this direction (Crowther, 2012).

There are solid evidence, which suggest certain change in normal trends and medical treatments. Many hospitals and nursing institutes have been covered in this study, and the same has brought forth many risk standardization procedures and risk categorization of certain routine functions and procedures, which are prevalent in these facilities. There were 570-996 different hospitalizations for heart distress in which the patient was discharged alive in 4728 healing centers in 2004, 544-550 in 4694 clinics in 2005, and 501-234 in 4674 doctor's facilities in 2006 (Ross, 2009). Unadjusted 30-day all-reason readmission rates were practically indistinguishable over this period: 23.0% in 2004, 23.3% in 2005, and 22.9% in 2006 (Ross, 2009). Numerous doctor's facilities and nursing establishments have been secured in this study, and the same has delivered numerous danger institutionalization methods and danger arrangement of certain routine capacities and techniques, which are predominant in these offices. The mean and SD of RSRRs were additionally comparative: mean (SD) of 23.7% (1.3) in 2004, 23.9% (1.4) in 2005, and 23.8% (1.4) in 2006, recommending comparable healing center variety all through the study period. National mean and RSRR dispersions among Medicare recipients discharged after hospitalization for heart disappointment have not changed lately, showing that there was not one or the other change in healing facility readmission rates nor in clinic varieties in rates over this time period (Ross, 2009).There have been many reported cases of short breath and discomfort among certain patients who were discharged from the facilities. There has been a reported upward trend in cases of Heart Failure (HF), which has led to promotion of an all new phenomenon, which is to bring awareness among patients (Crowther, 2012). This phenomenon is that of management of individual after discharge from hospital facility, which is very critical in order to curtail the readmission trend. Medical protocols are also applied after a patient is discharged from a medical facility and which makes it all the more complicated. This whole function involves certain assistance, whereas certain other functions are administered on their own by patients, which are suggestively precautionary (Joynt and Jha, 2011). Among 905-764 discharges in our specimen, patients discharged from open healing facilities (27.9%) had higher readmission rates than not-for-profit clinics (25.7%, P<.001), as did patients discharged from doctor's facilities in districts with low average salary (29.4%) contrasted and areas with high average wage (25.7%, P<.001) )(Joynt and Jha, 2011). There has been a reported upward pattern in instances of HF, which has prompted advancement of an all new marvel, which is to bring mindfulness among patients. This sensation is that of administration of individual after discharge from clinic office, which is extremely basic keeping in mind the end goal to reduce the readmission pattern. Patients discharged from clinics without heart benefits (27.2%) had higher readmission rates than those from healing centers with full cardiovascular administrations (25.1%, P<.001); patients discharged from doctor's facilities in the most reduced quartile of attendant staffing (28.5%) had higher readmission rates than those from healing facilities in the most elevated quartile (25.4%, P<.001)(Joynt and Jha, 2011). Restorative conventions are additionally connected after a patient is discharged from a therapeutic office and which makes everything the more entangled. This entire capacity includes certain support, though certain different capacities are managed all alone by patients, which are suggestively preparatory. Patients discharged from little healing centers (28.4%) had higher readmission rates than those discharged from huge doctor's facilities (25.2%, P<.001) (Joynt and Jha, 2011).As of late, there have been numerous advancements which have surfaced in the studies in this course and these focuses out the liberation and headway in this field (Joynt and Jha, 2011). There have been numerous explores, which have… [END OF PREVIEW] . . . READ MORE

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