The Use Of Advanced Practice Registered Nurse

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Congestive heart failure (CHF) is a chronic medical condition in which a patient’s heart is unable to adequately pump enough blood and oxygen to the other vital organs of their body (CDC, 2013). It is a chronic condition that calls for medicinal management and lifestyle changes, making patient adherence and compliance chief priorities. According to the Centers for Disease Control (CDC), numerous risk factors for patients with CHF include a diagnosis of coronary artery disease, elevated blood pressure, a history of diabetes, tobacco use, consuming a diet that is high in fat and cholesterol and/or those who live a sedentary lifestyle. Although there is not currently a cure for CHF, there are several ways to manage the disorder on an outpatient basis, keeping the opportunity for low hospital readmission rates possible. The purpose of this paper is to explore the use of Advanced Practice Registered Nurse (APRN) led outpatient heart failure clinics to manage CHF patient’s treatment and lower the percentage of CHF hospital readmission rates. This outcome can be defined as readmission into a hospital with a diagnosis of CHF as evidenced by an acute exacerbation of symptoms in a previously diagnosed CHF patient. Acute exacerbation symptoms may include shortness of breath, extremity swelling, chest pain, and/or weight gain. Morbidity, Mortality, and Economics In 2013, the CDC approximated that 5.1 million people in the United States were living with the diagnosis of CHF, making this a significant issue of morbidity. In fact, in 2009, one in nine deaths included CHF as the contributing cause and about half of the people diagnosed with CHF died within 5 years of their diagnosis (Go et al., 2013). With the escalating rise of CHF diagnoses, ... ... middle of paper ... ...wer readmission rates and overall hospital cost with the use of this approach to CHF management. They also found that quality of life, adherence to dietary restrictions, and target dose of pharmacological therapy were improved by the use of APRN led outpatient management (Case, Haynes, Holaday & Parker, 2010). Interdependent role Interdisciplinary collaboration is not only important to provide continuity of care, but it is also a safety measure for those providers caring for CHF Patients. The role of the acute care APRN is not to house the patient as their primary care, but to collaborate with their primary care provider (PCP) to provide the best management of their chronic condition. The interdependent role of the APRN will often include previously established evidence based practice (EBP) guidelines to care for the patients. These guidelines have been established
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