An Interdisciplinary Approach to Congestive Heart Failure
Stephanie Gray, Jessica Keith, Karen Rowland, Jorge Sanchez, Tracy Sansossio,
Dana Taylor and Lori Wells
Distance Learning-Online
Submitted in partial fulfillment of the requirements in the course
Nursing 464: Developing Case Management Skills in the School of Nursing
Old Dominion University
NORFOLK, VIRGINIA
Summer, 2007
An Interdisciplinary Approach to Congestive Heart Failure
Congestive heart failure is “an extremely common illness, accounting for increasing hospital admissions and a large segment of costs to health care systems. It is the leading cause of hospital admissions and readmissions in Americans aged over 65 years of age. The illness has been estimated to account for 2% of total health care costs in industrialized nations” (Goble, A.J., Worchester, M., Le Grande M., & Parkinson, A., 2002). The American Heart Association published the following statement, “advances in the treatment of heart failure and early intervention to prevent decompensation may delay disease progression and improve survival” (Grady, K., Dracup, K., Kennedy, G., Moser, D., Piano, M., Stevenson, L., & Young, J., 2000, pg. number for quote).
Research literature is abundant on the subject of congestive heart failure, although, the literature is not as abundant on the subject of using the multidisciplinary action plan (MAP) with this disease in the hospital setting. The first research article by Ducharme, Doyon, White, Rouleau, and Brophy (date), found discussespresented the impact of care at a multidisciplinary congestive heart failure clinic. This study revealed that care at a multidisciplinary level reduced the number of hospital readmissions and hospital days and improved quality of life. For example, within the MAP one-on-one patient education started with the first clinic visit and ended with a follow up plan. The second study by Goble, Worchester, LeGrande, and Parkinson (date), researched what core features should be included in a MAP. These included patient education, literature with explanation, record of diagnosis and medications to show the patient, discharge plan, home visit and contacts. These features showed extensive improvement in the management of congestive heart failure. For example, hospital readmissions were reduced in all of the 10 studies and the range of reduction of hospital readmissions was from 27% to 73% (Goble, A.J., Worcester, M., Le Grande, M., & Parkinson, A., 2002).
Understanding a MAP
The use of Clinical Pathways or MAP is considered standards for a patient’s care. Quality care is expected for all patients and needs to be delivered in a cost effective and efficient manner. Healthcare is considered very costly and the companies that are expected to pay for the care demand regulations in patient care. The development and implementation of the MAP requires a team to compile the usual aspects of care for a specific diagnosis. The team must include members from all areas of patient care contributing their skills and input for developing this MAP. The timeline of the MAP should include goals to strive for during the patient’s care. The inpatient plan of care should reflect achievable goals for a specific day of care. Although this is a planned timeline, all patients are individuals and may require continued assessment to monitor their personal progress. The MAP requires the collaboration of members from different avenues of inpatient care. The joint efforts and support of all members from clerical to clinical is required to make this plan work to the patient’s advantage. The patient’s outcomes need to be in specific, measurable realistic, and achievable and time referenced. The results of interventions will allow for adjustments in the plan of care.
Benefits of a MAP
The case management plan can be adapted for use by patients and families. Existing MAPs can be rewritten in
Tiffany Haisler BUS343: International Marketing Robert McKinley 9/1/2014 Japan: Final Paper With populations the world over growing older and birth rates declining, the demand for elderly care and assistance will only gain more momentum. Caring for the elderly is not just limited to medical care. There are great numbers of seniors that have become shut-ins and recluses because they have no immediate family to provide for them and most of their friends have passed on or are incapacitated themselves…
Health care delivery services is changing as we speak. The world we live in is becoming smarter about their health and how you should take care of yourself. By more people becoming healthier about their health it change a lot of things that will take place in health care. Demographics and disease trends are likely to influence health care delivery services in the future by many things. Three thing that may stand out the most are age, obesity, and the future. I will cover how age will explain over…
Health How are companies providing healthcare benefits for their employees compared to a decade ago? Individual Final Research Project: Are companies still providing healthcare benefits for their employees compared to a decade ago? GB520-14M Strategic Human Resource Management Kaplan University October 12, 2012 Healthcare Benefits: A Decade of Evolution…
Health Report Health Care Health care is a system given to mostly everyone in the world. Many countries are unable to give people affordable treatment and this is why many undeveloped countries suffer from poor health care and not many hospitals. In the United Kingdom, health care is free. This is because of free health care system called the National Health Service that was formed in 1948 under Clement Attlee’s labour government. The NHS is a free health care service in the United Kingdom. It…
href="http://www.libraryindex.com/pages/1862/International-Comparisons-Health-Care-OVERVIEWS-SELECTED-HEALTH-CARE-SYSTEMS.html">International Comparisons of Health Care - Overviews Of Selected Health Care Systems</a> International Comparisons of Health Care - Overviews Of Selected Health Care Systems The OECD international health data enable researchers to compare health systems to one another in terms of health care costs and quality. In May 2004 Peter Hussey, Gerard Anderson, Robin Osborn…
Health-care is the maintenance and improvement of physical and mental health, especially through the provision of medical services is important to ensure a healthy body (), a healthy workplace, a healthy community and a healthy nation is what we strive for. The benefits from good health can result in longer lasting life expectancy. If the individual is healthy the individuals workplace with its employees and customers is protect with good health-care, the community is protected from contagious disease…
While most Americans agree that health care and health insurance are in need of improvement, the question of whether the government or the free market should be responsible for these areas. D. Eric Schansberg evaluates the relevant information in this argument and asserts that in analyzing market provided health care versus government regulated heath care, analysis needed to be made regarding three major factors. First, how competitive are the actual markets for health care. Secondly, what barriers are…
at his plans to reconstruct the broken health care system and four years later delivered with the Affordable Health Care Act. President Obama exerts great enthusiasm for his healthcare solution claiming it to equalize and lower the cost of health care for Americans as a whole. Many people with healthcare coverage through their companies and those without any coverage worry what new benefits and strains will be mandated upon them. Although Obama’s health care legislation will hinder many profit seeking…
force that initiates and directs behavior. In addition, motivation is a key aspect for any health care organization to have, and it is vital to acknowledge the basic theory and methods. For health care leaders or future managers, understanding the three motivational methods is significant in order to use them within the organization. Once, the three motivational methods have been acknowledged, than health care managers can start to see how the changes will affect the organization. In addition, the…
the issue of health care. Like to every story there are two sides, in this case its whether or not the government should be responsible for healthcare. The government should be responsible for the health care and health care options of its citizens. Many people now a days don’t care as much for their health care, as they should. That’s when the government steps in regulating laws and such for health care. Without the government involved, not everyone will take his or her health seriously. Therefore…