Heart failure is a serious medical condition that is brought by the failure of the heart to pump sufficient blood throughout the body at the right pressure. Generally, this condition is a progressive and chronic disease in which the heart muscle is incapable to pump adequate blood for all blood and oxygen needs of the body. Since the heart cannot keep up with its workload under this condition, it attempts to make up for the failure through enlarging, developing more muscle mass, and pumping faster. Enlarging involves stretching the heart chamber more in order to pump more blood while developing more muscle mass occurs because of increase in size of the contracting cells and pumping faster helps to enhance the heart's output ("About Heart Failure," n.d.). As a major health problem, potential solutions for heart failure is a nursing focused plan that incorporates identifying nursing goals, monitoring the patient, and specific nursing interventions.
Change Model Overview:
One of the major approaches that can be used to address the problem of heart failure is the change model introduced by Larrabee and Rosswurm. This model guides nurse practitioners through a systematic procedure for the change to evidence-based practice. This is realized through the model's recognition that converting research into practice needs a solid foundation in change theory, principles of use of research, and utilizing standardized arrangement.
Assessment of the Need for Change:
According to Rosswurm and Larrabee, the first step of the change model is evaluating the need for change in order to guide nurses into clinical decision making in the health care setting. Heart failure patients are usually divided into three major groups i.e. those with an ejection fraction of less than 40%, patients with ejection fraction between 40 and 50%, and patients with an ejection fraction of over 50%. Patients with an ejection fraction of below 40% are considered to have heart failure with reduced ejection fraction or systolic heart failure. These patients tend to have high rates of readmission for the disease and increased in-hospital complications. This is primarily because the ejection fraction measurement reveals that blood pumping is below the normal level and at high risks of severe irregular heartbeats. Due to the likely life-threatening effect of irregular heartbeats, addressing this issue requires development and use of effective evidence-based...
Heart Failure Guidelines The 2009 revision of the ACC/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults contains a number of evidence-based updates, revised text, and a new section called "hospitalized patient" (Hunt et al. e395). These revisions are the result of a task force that convened in 2008 and represent new findings published between 2005 and 2008. Four stages along a continuum of heart failure are described, with
Readmission of Heart Failure Patients Re-Hospitalization and Heart Failure Patients Heart failure is one of the top health problems in the United States leading to high rates of morbidity and mortality among people aged 60 years and above. The complications associated with health heart failure increases the readmission rates within 30 days of patients' discharges. In essence, the increase of readmission rate has been associated with high healthcare costs in the United
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