There are many reasons I have used health care services at different times in my lifetime from birth to the present time. I have utilized pregnancy healthcare services. I have used health care services for preventive care such as a yearly Pap smear or health physicals. My friends, family and my co-workers may use health care services for the same reasons as mine, especially if they are of the same gender.
The peer-reviewed article that I chose was about heart disease. Heart disease needs particular attention from health care administrators, since “Chronic heart failure (CHF) is a progressive syndrome that results in a poor quality of life for the patient and places an economic burden on the health care system”. (Ramani, Uber, & Mehra, 2010). There is no one test to diagnose heart failure.
Hypertension increases the risk of heart failure 2 to 3 fold. (He, et al, 2001) The American College of Cardiology (ACC) has identified 4 stages of heart failure. (Hunt, Abraham, Chin et al, 2009). Screening patients for heart failure is sometimes controversial. Health care administrators...
Takeda A, Taylor SJC, Taylor RS, Khan F, Krum H, Underwood M. (2012). Clinical service organisation for heart failure (Review). Cochrane Database of Systematic Reviews. Issue 9. Art. No.: CD002752. DOI: 10.1002/14651858.CD002752.pub3.
The symptoms of heart failure can be treated in several ways depending on the severity of illness. In early stages, non-invasive strategies such as life style changes, including diet and exercise, are usually recommended (Dumitru, 2015). These non-pharmacologic therapies include dietary sodium and fluid restriction, physical activity as appropriate, and attention
Predictive indicators of cardiovascular disease are abnormal visceral adiposity, insulin resistance, increased blood pressure, elevated triglyceride levels, and low high-density lipoprotein (HLD) cholesterol levels (Mitchell, 2011). Staff nurses with adequate teachings and screening tools can advocate for patients at risks by early identification and interventions.
These mechanisms contribute to the signs and symptoms of heart failure. However, the manifestations are nonspecific and do...
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)
Heart failure is a major clinical, social and economic problem in the United Kingdom according to the Department of Health [DH] (2013).The National Institute for Health and Clinical Excellence [NICE] (2010) reported that about 900,000 people suffer from heart failure in the United Kingdom. The National Institute for Cardiovascular Outcomes Research [NICOR] (2011) conducted a national audit which found that one in every 20 people over the age of 65 is diagnosed with heart failure which demonstrates that it mainly affects the elderly. As a leading cause of mortality, heart failure contributes to more than 6,000 deaths each year (NICOR, 2011). Newly diagnosed cases of heart failure have a 40% risk of dying within a year (NICOR, 2011). Despite advances in therapy, mortality is still high and only half of patients are alive five years after being diagnosed with heart failure (NICE, 2010).
Lesle, S. J., Hartswood, M., Meurig, C., McKee, S. P., & Slack, R. (2006). Clinical Decision Support Software for management of chronic heart failure: Development and Evaluation. Computers in Biology and Medicine vol. 36, 495-506.
My clinical rotation for NURN 236 is unique in that all patients I care for at Union Memorial Hospital in Baltimore, Maryland have a diagnosis of heart failure (HF). HF occurs when the heart is unable to pump adequate blood supply, resulting in insufficient oxygen and nutrients to the tissues of the body (Smeltzer, Bare, Hinkle, and Cheever, 2012). Approximately 670,000 Americans are diagnosed with HF each year and is the most common hospital discharge diagnosis among the elderly (Simpson, 2014). Moreover, according to the Centers for Medicare and Medicaid Services (CMS), HF is the leading cause of 30-day hospital readmission followed by acute myocardial infarction (AMI) and pneumonia (medicare.gov|Hospital Compare, 2013). This information along with my weekly HF patient cohort prompted my curiosity regarding impacts of HF readmissions, factors of HF readmission, and to compare suggested evidence based practice with policies utilized at Union Memorial for reducing the 30-day readmission rate for HF.
Whether it is Lipitor being used to lower cholesterol or aspirin to lower blood pressure, until the present, cardiovascular and heart diseases have been tackled by a variety of medications that address its various risk factors. However, this strategy focuses on secondary and tertiary prevention instead of heart diseases’ underlying causes. Yes, diabetes mellitus and hypertension have a concrete proven link to heart disease, but addressing them with medication only masks them and does not address the root of the problem.
Have you ever felt a chest pain, sudden dizziness, weakness, fatigue, etc.? If you answered “Yes” to any of this, it can be Atherosclerosis. On this paper I’m going explain in detail what does Atherosclerosis means. What are the causes, symptoms, treatments? Can we melt the fatty plaques naturally? And more different information in relation to this subject. Atherosclerosis is not an illness that you get from one day to another, actually is an illness that by age, high pressure, the type of your diet, lack of exercise, even people with diabetes would have atherosclerosis with the time. But is not something that cannot be treated, you can go to the doctor for a checkup, change of diet, increase your physical exercise, etc.
Heart disease is the leading cause of death worldwide. (social inequality, 2009). Heart disease is a structural or functional abnormality of the heart, or the blood vessel supplying the heart, that impairs its functioning. (free dictionary). Heart disease is also known as cardiovascular disease. Since there are many conditions related with heart disease. The most common types are coronary artery disease or damage in the heart’s major blood vessels, stroke or damage to the brain from interruption of its blood supply, and high blood pressure or a condition in which the force of the blood against the artery walls in too high. These conditions may lead to a heart attack. (mayo).
Hypertension is viewed as a critical condition because it places a lot of effort on the heart to pump blood to the body. According to Mastalerz-Migasthoug, & Kilis-Pstrusinska (2015), "hypertension (HT) is known as one of the most significant risk factors of atherosclerosis and cardiovascular diseases" (p. 1). It is an effortless task to examine blood pressure. While examining the blood pressure, two numbers will be displayed.
... internal regulatory accreditation survey which was coordinated and conducted by the Allina regulatory leads from across the system. The surveys are designed to replicate an actual Joint Commission survey by incorporating the same patient tracer methodology utilized by TJC. Non-compliant internal findings were evaluated by responsible individuals and corrective actions were put in place to bring the requirements into compliance. The internal survey findings were entered into the ARAS tool and became helpful adjuncts during the preparation of the 2010 PPR. A dedicated heart failure disease specific certification team worked diligently throughout the year to prepare the organization for a 2011 TJC certification survey. The application for heart failure program certification survey was submitted to the TJC in December 2010 with an anticipated site visit in early 2011.”
Cardiovascular disease, also known as heart disease, is a term used for diseases involving the heart, arteries, capillaries and veins. The problems associated with cardiovascular disease are often a result of atherosclerosis. Atherosclerosis is caused by a buildup of plaque in artery walls, which disrupts blood flow through the arteries (American Heart Association, 2011). Cardiovascular disease causes a variety of conditions including heart attacks, ischemic stroke, heart failure, coronary artery disease, arrhythmias and heart valve problems (American Heart Association, 2011). These conditions lead to serious health related issues for individuals, including death. Every year there are around 600,000 individuals in the United States that die from cardiovascular disease, making heart disease the leading cause of death in both men and women (CDC, 2014). Although there are ways to decrease the risk of heart disease, the rate has been consistently increasing over the years, costing America billions of dollars in health care services annually. Contributing factors to the rise in heart disease includes the rate of obesity and a lack of physical activity (Dhaliwal, Welborn & Howat, 2013; Poirier, Giles, Bray, Hong, Pi-Sunyer & Eckel, 2006). These articles provide research that answers the question of how obesity and physical activity are linked to cardiovascular disease.
... patients with heart failure: Impact on patients. American Journal of Critical Care, 20(6), 431-442.