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Related Concept Videos

Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

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Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
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Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

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Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
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Heart Failure I: Introduction01:27

Heart Failure I: Introduction

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Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
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The Evidence for Evolution02:55

The Evidence for Evolution

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Genetic variations accumulating within populations over generations give rise to biological evolution. Evolutionary changes can result in the formation of novel varieties and entire new species. These changes are responsible for the diverse forms of life inhabiting the planet. The evidence for evolution suggests that all living organisms descended from common ancestors.
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Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

339
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Heart Failure Drugs: Diuretics01:22

Heart Failure Drugs: Diuretics

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Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
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Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
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Confronting Challenges in Reducing Heart Failure 30-Day Readmissions: Lessons Learned With Implications for

Racheal L Wood1, Laurie A Migliore2, Sandra J Nasshan3

  • 1Fort Belvoir Community Hospital, Fort Belvoir, VA, USA.

Worldviews on Evidence-Based Nursing
|December 6, 2018
PubMed
Summary

Reducing hospital readmissions for heart failure (HF) requires defined outcomes and collaboration. Sharing lessons learned through interdisciplinary consortia can improve success in HF readmission reduction initiatives.

Keywords:
application of theorycardiac carecardiovascular carecare delivery systemcirculatoryhealthcare outcomesnursing practicepatient outcomesquality improvementtreatment outcomes

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Area of Science:

  • Healthcare Management
  • Clinical Nursing
  • Evidence-Based Practice

Background:

  • Heart failure (HF) readmissions represent a significant portion of preventable hospitalizations.
  • Reducing HF readmissions is crucial for healthcare systems facing penalties and fiscal accountability.
  • Implementing evidence-based strategies for HF disease management presents challenges within complex healthcare systems.

Purpose of the Study:

  • To provide nurses with strategies and considerations for developing heart failure readmission reduction initiatives.
  • To share insights from practical implementation of HF readmission reduction projects.

Main Methods:

  • A framework-guided description of two comparable HF readmission reduction projects in military and civilian healthcare settings.
  • Analysis of implementation strategies, challenges, successes, and lessons learned.

Main Results:

  • Defined, attainable outcomes are essential for successful initiatives.
  • Multidisciplinary involvement, role redundancy, and stakeholder engagement are critical.
  • Continuous collaboration and resource dedication are key throughout implementation and sustainment.

Conclusions:

  • Interdisciplinary evidence-based practice consortiums can facilitate the sharing of best practices.
  • Sharing lessons learned optimizes the potential for success in HF readmission reduction.
  • Collaborative efforts enhance return on investment for initiatives aimed at reducing 30-day HF readmissions.