Heart Failure In Nursing Care

“One in nine deaths in 2009 included heart failure as a contributing cause. About half of the people who develop heart failure die within 5 years of diagnosis” (Heart Failure Fact Sheet). “Researchers have proven that African-Americans are at an increased risk of congestive heart failure. This is due to diabetes and high blood pressure, rather than race alone”. “There is no cure for heart failure. Treatments are used to relieve symptoms of CHF and try to prevent any further damage. The exact plan to help the patient depends on the stage and the type of heart failure the patient has”

Congestive Heart Failure affects men and women equally, however African Americans are 1.5 times more likely to have Congestive Heart Failure than Caucasians ("Heart failure statistics," 2015). Congestive Heart Failure can affect people of any age; 1.4 million diagnosed Congestive Heart Failure patients are under 60 years old, 2% of Congestive Heart Failure diagnosed patients are between 40 to 59, and over 5% of people between 60 to 69 years old are diagnosed with Congestive Heart Failure ("Heart failure statistics," 2015).Over half of the Congestive Heart Failure diagnosed patients die within 5 years of being diagnosed ("Heart failure statistics,"

Heart failure is a chronic, progressive condition in which the heart muscle is unable to pump enough blood through to meet the body 's needs for blood and oxygen. Basically, the heart can 't keep up with its workload. American Heart Association Statistics (2016) reveals that heart failure accounts for 36% of cardiovascular disease deaths. Projections report a 46% increase in the prevalence of Heart Failure (HF) by 2030 by affecting over 8 million people above 18 years with the disease. Healthy People 2020 goals are focused on attaining high quality longer lives free of preventable diseases, promotion of quality of life, healthy development and healthy behaviors across all stages of life (Healthy People 2020, 2015).

Providing patients diagnosed with Congestive Heart Failure effective teaching can eliminate reoccurring hospitalizations. Patients are discharged with CHF and readmitted within 30 days. The information provided will examine the process of enhancing patient knowledge and provide additional resources essential for effective health care management. Research evidence provides data that proves patients who are diagnosed with CHF needs a variety of health care needs during admission and after discharge. The proposal will display an evaluation plan, implementation plan and a dissemination of the

Each year the number of readmissions of the heart failure patient within 30 days of discharge has grown. The Medicare division in relation with the Affordable Care Act is reducing the amount of money they are willing to pay for readmissions to the hospital. Hospitals are now more than ever looking for ways to reduce the number of readmissions to the hospital for the heart failure patient. The purpose of this paper is take a look at a program designed with to reduce the readmission rates of one hospital to reduce the number of readmission through improved education and follow up of the heart failure patient.

Cardiovascular disease, mainly coronary heart disease and stroke, is the leading cause of death among all racial and ethnic groups in the United States. A disproportionate number of people in minority and low-income populations die or become disabled from cardiovascular disease. The death rate for coronary heart disease for the nation decreased by 20% from 1987 to 1995, but for blacks, the overall decrease was only 13 percent. The coronary heart disease mortality rate for Asian Americans was 40% lower than whites, but 40% higher for blacks in 1995. High blood pressure and hypertension can increase the risk for coronary heart disease, and it has been shown that racial minorities have higher rates of hypertension, tend to develop hypertension at an earlier age, and are less likely to receive treatment for high blood pressure. Also, only 50% of American Indians, 44% of Asian

A literature review of nurse – guided patient –centered heart failure education programs reveal that several studies have recommended strategies to promote improved outcomes for heart failure patients by placing emphasis on education focused on promoting patient self-care management in regards to diet, exercise, weight monitoring, and medication adherence (Baptiste, Mark, Groff-Paris, & Taylor, 2014, p. 53). Heart failure self-care refers to all of the practices in which patients engage to maintain their own health and the decisions that they make about managing signs and symptoms. Hospital initiatives working to improve heart failure readmission rates should implement a patient education program that focuses on self-care. To make it easier to manage the heart failure population at any given time, all patients presenting with heart failure should be admitted to a specific inpatient ward, and daily nursing huddles should be utilized in order to identify heart failure patients. All heart failure patients should be educated by the nursing staff throughout their stay by specialty nurse educators who are themselves educated on heart failure treatments and protocols. The research concluded that implementing standardized patient education programs that focus on self-care management

There are many causes for heart failure. The most common cause is coronary heart disease (Moore and Roth, 2015). CHD is a disease in which the coronary arteries are blocked, preventing the heart muscles from getting the oxygenated blood they need. Heart failure can be caused by other present or past conditions like high blood pressure, diabetes, abnormal heart valves, diseased heart muscle, irregular heartbeats, heart defects, serious lung disease, poisons or substance abuse, and sleep apnea (Heart Failure Overview).

but it takes an even greater toll on the African-American community, says Emory Heart & Vascular Center Cardiothoracic Surgeon William Cooper, MD. It affects African-Americans and African-American Woman the most because of many different reasons, one would be because majority of them are economically disadvantaged, which tends to make them have to eat cheaper, unhealthy food. Cardiovascular disease in the African-American woman community is usually passed down through the generation because of the unhealthy habits that are taught to the woman when comes to food, taking care of your body, and etc. Their diets usually consist of high fats, salty, and unhealthy foods. They are also not taught to regularly visit to their doctor for health checkups.

According to the office of the minority health, approximately 48% of African American women and 44% of African American men suffer from some form of the cardiovascular disease which includes heart disease and stroke and adults are 40 percent more likely to have high blood pressure while the women are 1.6 times more likely to die from heart diseases and complications than other ethnic groups (The Office of Minority Health, 2016).

Heart Failure is a progressive heart disease when the muscle of the heart is weakened so that it cannot pump blood as it should; the blood backs up into the blood vessels around the lungs and the other parts of the body (NHS Choice, 2015). In heart failure, the heart is not able to maintain a normal range cardiac output to meet the metabolic needs of the body (Kemp and Conte, 2012). Heart failure is a major worldwide public health problem, it is the end stage of heart disease and it could lead to high mortality. At present, heart failure is usually associated with old age, given the dramatic increase in the population of older people (ACCF/AHA, 2013). In the USA, there are about 5.7 million adults who have heart failure, about half of the people die within 5 years of diagnosis, and it costs the nation an estimated $30.7 billion each year (ACCF/AHA, 2013).

Heart failure is a major health problem worldwide, but especially in the United States. The CDC estimates that over 5.7 million Americans are living with heart failure, and that

Clinical coordinators would oversee the process to monitor for safety, quality, recruitment, and retention of patients in the program. The patients would receive detailed instructions and protocols on how to make calls daily, report vital signs, weight, and answer questions about their health and symptoms of heart failure. (Chaudrey et al., 2010). Results would then be transferred via a secure network connection. The providers could then evaluate the data to identify and manage early signs of decompensation, and to make recommendations on patient care. Providers could also provide patient education to help patients understand their discharge instructions and medications. (Inglis et al., 2011).

When nursing any patient with heart failure it is important to have an understanding of how the heart should work to understand how it stops working correctly. This knowledge is important as writtler (2006) (cited in Jones) feels that district nurses have little knowledge when it comes to heart failure. Patient, Writler (2006) feels that by understanding how the heart works and how it is damaged we, as district nurses will be able to recognise the signs of heart failure earlier7a?.

The incidence of heart failure is between 2 to 5 per 1000 cases in the USA. Males are more likely to have heart failure with a 5.64 per 1000 incidence as compared to 3.27 for their female counterparts. The rate of those with heart failure increases with age, 8.4% for those above age 75. The African-American community also has a high prevalence of heart failure (Pham, 2016). There is also a large racial disparity between African-American heart transplant recipients and the patients of other ethnicities. According to Tracie White from Sanford Medicine, the adjusted mortality rates from 2002-2005 were 24% for whites and 33.7% for African-Americans. The research indicated that African-American heart transplant patients were most likely to die from a cardiovascular event or a graft failure. This is different from all other races in which infection or malignancy are the leading causes of death for them (White,