NURS 6051 Week 4 Discussion: Congestive Heart Failure
Congestive heart failure (CHF) is one of the common health challenges in aging persons. The health condition is one of the major causes of deaths and health complications for individuals that above sixty-five years. Congestive heart failure is not only a major cause of health complication and death in aging individuals but also contribute high number of re-admission among aging person. Moreover, treating congestive heart failure cost a fortune and is a major challenge to families with a CHF patient.NURS 6051 Week 4 Discussion: Congestive Heart Failure
Considering its significance to the health of aging persons, Health care provision for aging persons should therefore consider CHF management. Because of increased cases of CHF and its health and cost implications, various recent research studies have focused towards coming up with better chf management Congestive heart failure occurs when the heart is not able to meet the body’s demand for oxygen.
The heart of congestive heart failure patient is weak and is not able to supply sufficient blood in key body organs. The condition id further accelerated by secondary factors such a as high blood pressure and coronary artery disease which weaken the heart.
Similarly, faulty heart valves, a condition that occurs when the valves between heart chambers do not open properly forcing the heart to work harder to keep the blood flowing correctly also weakens the heart leading to heart failure. Other tertiary factors such as diabetes, severe anemia as well as kidney or liver filature could precipitate to heart failure.
The symptoms of the disease are easily recognizable such as shortness of breath coughing, swelling feet and ankles, swelling abdomen as well as weight gain. The treatment and recovery require keen supervision and medication that should be regularly maintained failure to which the condition accelerates depending on the seriousness of the disease or factor involved (Stewart et al 2002, pp361)..
Heart failure is common among the elderly and financially dependent population. These are often considered a burden to society and therefore given little attention and follow up.
The smaller financially stable population spends a considerable amount on medication and end up under cost and doctor supervision. In a community with limited or few resources there is little or no follow-up for the elderly after heir discharge from hospital.
This is because most of them often live lone and only receive one visit per week by a nurse. The nurse assesses their needs and ensures that they have taken their medicine. The regulatory and effectiveness of the medication depends on the patients discipline and punctuality in taking it (Ewald et al 2008, pp101).
The rates of discipline vary and depend on how the patient perceived the instruction on medications. This therefore poses a problem of taking medications on time. Since most of the patient lives alone, no one will remind them that a puff of cigarette or a sip of wine is a risk factor.
Medical conditions identified as risk factors to congestive heart failure include coronary artery disease, diabetes, hypertension, valvular heart disease, hyperthyroidism and earlier history of heart disease. Apart from medical conditions and age, lifestyle factors such as smoking, excessive consumption of alcohol and continuing use of anabolic steroids are noted as among risk factors of congestive heart failure. NURS 6051 Week 4 Discussion: Congestive Heart Failure
Statement of the problem
Congestive heart failure contributes to a high number of readmission cases in elderly patients and accounts to up to a quarter of all hospitalization expenditure.
Medical scientists have noted that congestive heart failure is not only a common indication of hospitalization in elderly patients but is also linked to early deaths and a high immortality rate among these patients (Rosamond Wet al. 2008, pp146).
This study will interrogate the rates of readmission as compared to admission in a local hospital with a bed capacity of 300 patients. The study will only focus on elderly 65 and above regardless of sex, race, ethnicity, socio eco, status in life etc. admitted only with CHF and reasons ranges from non-compliance of med, no diet modification, smoking, and alcohol.
No younger population or any less than 65 y/o. The research will narrow down to the readmission and admission rates for the period between January 2010 and March 2011 as well as the relevant data that will facilitate the development of a case management strategy (Krumholz et al 2000, pp 476). NURS 6051 Week 4 Discussion: Congestive Heart Failure