The patient-centered medical home (PCMH) is an important and vital concept in delivering quality and efficient care to patients outside the hospital setting. I once took care of a patient with a new onset congestive heart failure (CHF). CHF, as we all know, is a debilitating disease if not given sufficient medical attention and patient education. To prepare the patient with discharge, coordination of care with the help of the Home Health care (HHC) nurse, ensures continuity of care. The HHC nurse encourages the patient and family to take the necessary step to prevent exacerbation of the disease and promote healthier living through changes with their lifestyle that they can control. Also, access with the primary care provider (PCP) is an
The systematic review indicated (1) ‘Case management interventions were associated with reduction in all-cause mortality at 12 months follow up, but not at six months’. (Takenda, et al, 2012) The systematic review also went on to state that while case management interventions were not associated with reduced mortality, case management interventions were indicated to reduce the occurrence of patients presenting to hospital with exasperations of chronic heart failure. The benefits of case management based interventions were apparent after 12 months had lapsed. Six of the twenty five studies assessed (2) heart failure clinics, and the evidence for this intervention was less convincing with the review stating ‘there was no real difference in all-cause mortality, readmissions for HF or between patients who attended a clinic and those who received usual care’. (Takenda, et al., 2012)
...y hired nurses on the heart failure floor since discharge education remains one of the responsibilities. I believe knowledge is an important factor to empower the patients about heart failure care and nurses spend nearly 24 hours a day with hospitalized patients; therefore, nurses can be patient advocates by reinforcing teaching. Most importantly, I believe that catering to the patient’s individual needs and establishing a good nurse-patient relationship enhances trust and learning which in the long run, is very beneficial to both nursing practice and the quality of life of the patient. Overall, what I discovered about heart failure is that there is no simple solution in preventing heart failure hospital readmission. Even with the recommended evidence-based practice suggestions, hospital readmission rates for HF still seem to remain high throughout the country.
The aim of this essay is to critically analyse and appraise Local and National policies surrounding Long-Term health conditions (LTC) and complex care needs, which inform community practice. It is intended to critically appraise the complex care requirements of people with Heart Failure as the chosen LTC, outlining areas of care that need to be addressed by professionals utilising contemporary research and evidence based practice. As per the Nursing and Midwifery Council (NMC) (2010) all identities of people and local trusts will be kept confidential.
Scottish Intercollegiate Guideline Network (SIGN) 95 (2007): Management of Chronic Heart Failure (Online). Available at: http://www.sign.ac.uk/pdf/sign95.pdf (Accessed 8th June 2010)
Aging is inevitable. People go through life meeting milestones such as going to college, getting married, having children, and then growing old. Getting older is not only hard on the individual but, also the family. It is difficult for a person who has taken care of themselves all their life to wake up one day and realize they can no longer do things on their own. That is why their are nursing homes. There are many speculations about whether or not it is okay to place a family member in a nursing home however, there are many benefits to nursing homes. The adult children of the elderly should opt for professional care for their aged parents rather than allowing them to live on their own because, nursing homes have constant help, daily activities, and people who can give family members continous support.
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
This essay will explain what patient centred care is, how nurses use it in practice, the benefits of using it, and the barriers that need to be overcome to able to use it, and the key principles of patient centred care. It will explain how patient centred care enables nurses to communicate and engage with the patients in a more effective way, and how it helps understand the uniqueness of each patient, which helps professionals avoid ‘warehousing’ patients (treating them all the same). It will also demonstrate how this type of care can help maintain the dignity of patients when nurses carry out tasks such as personal care.
... the context of chronic illness: a family health promoting process. Journal of Nursing and Healthcare of Chronis Illness 3, (3), 283-92.
“Heart failure is among the most common diagnoses in hospitalized adults in the United States” (Cole
Katzenstein, Larry, and Ileana L. Pinã. Living with Heart Disease: Everything You Need to Know to Safeguard Your Health and Take Control of Your Life. New York: AARP/Sterling Pub. Co, 2007. Print.
The risk of these problems is greatly reduced by closely following health care provider’s recommendations for rehabilitation, follow-up visits, and treatments. Over time, the treatment plan may change as heart health improves or other medical problems develop. Good communication skills, including active listening, are essential for good patient care and compliant behavior
The chronic care model calls for an organizational change in the way individuals with illnesses are cared for, and the involvement of nurses, social workers and patients themselves. The challenge is moving in an effective way of improving quality from research carried out predominantly in health maintenance organizations to the mainstream of health care practice (Wielawski, 2006). Wagner’s explanation is to substitute the customary physician-centric office structure with one that supports clinical teamwork in association with the patient. The notion spreads outside the health care organization to collaborative associations in the community. Wagner et al. (2001) termed this approach the “chronic care model.” With this model, physicians, nurses, case managers, dieticians, and patient educators
These clinical staff will make house calls to United Healthcare clients secured by Medicare who face perpetual, and conceivably costly, conditions, for example, diabetes or congestive heart failure (Triad Business Journal, 2013). It 's a speculation United Healthcare trusts enhances tolerant health through more financially savvy, higher-quality care, and thus, helps the organization 's main concern (Triad Business Journal, 2013). It is expected that the House Calls system will be looking after 75,000 Medicare patients before the current years over (Triad Business Journal, 2013). United Healthcare right now covers around 250,000 seniors in the state with its Medicare Advantage items. Moreover with the strategic plan to hire more nurses and healthcare providers, such as in home visits offer the opportunity to assess the patient’s medication regimens, offer routine physical evaluations and react to any healthcare demands (Triad Business Journal, 2013). United Healthcare plans and suppliers envision such normal, preventive care will take off emergency room office visits or healthcare facility stays for more genuine, and costly, problems in the future (Triad Business Journal,
I thought the concierge healthcare was interesting since I had not heard of this type of healthcare. I agree with your point on how this will benefit the rich not the poor. I think this program would cause greater inequalities. Unequal access to health care would result in unnecessary costs. According to the Kaiser Family Foundation 30% of the total medical expenses for Blacks, Hispanics, and Asians are due to health inequities (Artiga, 2016).
Within all hospitals heart attack patients come first, they are the most important patient. With the well-organized hospital, the nurses and