Related Experiment Video
Updated: Apr 11, 2026

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
Published on: June 10, 2025
Hearing the Veteran's Voice in Congestive Heart Failure Readmissions
Carl W Stevenson1, Daria Pori, Kattie Payne
1Carl W. Stevenson, RN, BSN, has 23 years of experience as an RN in cardiac care, medical/surgical nursing, and quality improvement for local and national VA committees. He has been conducting research with patients with CHF for the past 5 years. He has presented a podium presentation and three poster presentations on this topic. Daria Pori, RD, DSO, is a registered dietitian with 23 years of experience helping people manage chronic diseases, including heart failure, with the appropriate medical nutrition therapy for their conditions. Kattie Payne, PhD, MSN, RN, has 42 years of experience as an RN in bedside nursing, family nurse clinician, health care administration, nursing education, and writing consumer education materials. Her passion is caring for those with diabetes or heart disease. Her dissertation focused on hospitalized patients taking cardiovascular drugs. Mary Black, RN, MSN, has 18 years of experience as an RN in medical surgical nursing, nurse educator, and nurse manager. She has worked with patients with CHF and helped them focus on disease management from admission diagnosis of CHF, inpatient care, CHF risks, symptoms, treatment, and lifestyle choices. Victoria E. Taylor, BSN, MSA, has 34 years of experience as an RN in several areas, including cardiac care, military nursing and maternity care. However, she currently works in Home Tele health at the Boise, VA, where a large portion of her patient caseload has congestive heart Failure.
Veterans often delay seeking care for worsening congestive heart failure (CHF), primarily recognizing breathing changes over weight gain. Improved discharge education is crucial to link symptoms with necessary medical interventions.
Area of Science:
- Cardiology
- Health Services Research
- Patient Experience
Background:
- Congestive heart failure (CHF) readmissions pose a significant challenge in healthcare.
- Previous interventions reduced readmission rates from 35% to 23% but fell short of the national average of 21%.
Purpose of the Study:
- To examine congestive heart failure (CHF) readmissions from the veterans' perspective.
- To identify factors contributing to CHF readmissions, including disease education, self-care management, and barriers to self-care.
- To understand veterans' explanations for readmission and barriers to treatment adherence.
Main Methods:
- Qualitative interviews were conducted with 21 veterans at a rural Veterans Health Administration hospital.
- Participants were asked about their understanding of CHF symptoms and their experiences with seeking medical care.
Main Results:
- Ninety percent of veterans identified changes in breathing as a sign of worsening CHF.
- Only 29% recognized weight gain as a symptom, and 38% reported experiencing early symptoms but only two contacted their doctor.
- Daily weight monitoring was practiced by 30% of veterans, with most having no issues with the process.
Conclusions:
- Veterans' understanding of CHF is symptom-focused, with less clarity on the role of daily weight monitoring.
- There are delays in seeking medical care for worsening CHF symptoms.
- Discharge instructions need to more clearly link recognized symptoms with the need for urgent medical intervention.
Related Concept Videos
Heart Failure VII: Nursing Interventions
Heart Failure V: Medical Management
Heart Failure III: Clinical Manifestations
Heart Failure VI: Adjunct Therapies
Heart Failure IV: Classification and Diagnostic Evaluation
Mitral Regurgitation IV: Nursing Management

