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Essay Available:
Pages:
9 pages/β‰ˆ2475 words
Sources:
4 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Research Paper
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 46.66
Topic:

Making a Safe Transistion

Research Paper Instructions:

In October 2012, changes were made in Medicare payment rules. Hospitals are now penalized when a patient returns within 30 days for treatment of the same problem. One of the targeted medical diagnoses for this payment change is heart failure (HF). Therefore, it is essential that the interdisciplinary team be utilized to ensure a safe transition between the acute care setting and home for the patient with HF.
Using APA format, write a six (6) to ten (10) page paper (excludes cover and reference page) that addresses the disease management needs of adult patients with HF for a safe transition between the acute care setting and home and the role of the interdisciplinary team in that transition.
A minimum of three (3) current professional references must be provided. Current references include professional publications or valid and current websites dated within five (5) years. Additionally, a textbook that is no more than one (1) edition old may be used.
The paper will consist of four (4) parts and must be submitted by the close of week 6.
Parts 1, 2, and 3 will focus on a disease management issue for the patient with HF and the role of the interdisciplinary team in this issue.
Part 4 is the evaluation of the effectiveness of the interdisciplinary team in this safe transition to home.
Part 1: Medication Adherence
Part 1 must include the following:
a.Three (3) common classes of medications used to manage HF are beta adrenergic blockers, diuretics and ACE Inhibitors. Why are these medications used to manage HF? 
b.What are some common side effects of these classes of medications? Which of these side effects would be reported and why? Which side effects would not be reported and why? 
c.Describe any special instructions that would be included with each class of these medications. For example, food-drug interactions and medications that should be avoided. 
d.Which health care discipline, in addition to the RN, is best suited to help with medication adherence? How will this team member collaborate with the RN, the patient and the family to help promote medication adherence and a safe transition to home? 
Part 2: Dietary Modifications
Part 2 must include the following:
a.What is the role of diet in managing HF? What changes need to be made to the present diet? What role does culture play with diet? 
b.What obstacles might be encountered when informing the patient about the changes in diet?
c.Which health care discipline, in addition to the RN, is best suited to help with dietary modifications? How will this team member collaborate with the RN, the patient and the family to help promote healthy eating and a safe transition to home? 
Part 3: Physical Activity
Part 3 must include the following:
a.What is the role of physical activity in managing HF? 
b.How would the RN promote adherence to a daily physical activity routine? 
c.Which health care discipline, in addition to the RN, is best suited to help with physical activity? How will this team member collaborate with the RN, the patient and the family to help promote physical activity and a safe transition to home? 
Part 4: Evaluating the Effectiveness of the Interdisciplinary Team
Part 4 must include the following:
a.In detail, describe how the effectiveness of the interdisciplinary team would be evaluated for assisting the patient with adherence to medication therapy, dietary modifications and a physical activity program to prevent readmission to the acute care setting. 
Compose your work using a word processor (or other software as appropriate) and save it frequently to your computer. Use a 12 font size, double space your work and use APA format for citations, references, and overall format.

Research Paper Sample Content Preview:
Making a Safe Transition
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Making a Safe Transition
Congestive Heart Failure, or simply Heart Failure (HF), is known to take place whenever a person’s heart muscle does not pump blood as properly as it should. A number of conditions for instance high blood pressure or narrowed arteries in a person’s heart – coronary artery disease – will steadily leave a person’s heart very stiff or weak to fill and pump blood in an efficient manner (Moser & Riegel, 2012). This paper mainly addresses the disease management needs of adult patients with Heart Failure (HF).
Part 1: Medication Adherence
Medications for managing HF: Three common classes of medications used in managing heart failure are diuretics, adrenergic blockers, and ACE Inhibitors. Adrenergic blockers: Beta-adrenergic blocking agents decrease the heart rate and improve heart function in patients with Heart Failure. Researchers have reported reduced hospitalization, improved survival, as well as decreased rates of worsening HF rates in stable Heart Failure patients introduced to beta-blockers (Orenstein, 2011). The moment a patient is started on beta-adrenergic blockers, it is critical to ensure follow-up. In essence, beta-adrenergic blockers block the adrenergic effects of adrenaline and therefore prevent the sick heart of the patient from being forced to work harder (Dumitru, 2012). Alpha-adrenergic blockers result in arterial and venous dilation, as well as smooth muscle relaxation of the prostatic capsule and bladder neck.
Side effects: Beta-adrenergic blockers (cardioselective) and Beta-blockers (non-selective) have several side effects. The side effects that should be reported because they are serious include impotence, can aggravate heart failure and peripheral vascular disease, and sudden withdrawal of the medicine could actually cause heart attack or angina in patients suffering from heart disease (Orenstein, 2011). Side effects that should not be reported because they are minor include dizziness, depression, wheezing, insomnia, lower exercise tolerance, and fatigue. Alpha-adenergic have the following side effects: heart palpitations, weakness, decrease in blood pressure (BP) after standing, dry mouth, headache, nasal congestion, as well as fainting. These side effects are minor and therefore should not be reported (Lainscak et al., 2011).
Special instructions: the use of Propranolol could cover the hypoglycemic effect of insulin and put a stop to the breaking down of fat in reaction to hypoglycemia. Therefore, the levels of blood glucose should be monitored (Lainscak et al., 2011). Concurrent usage of antihypertensive medicines with beta-blockers may increase the hypotensive effect of propranolol and metoprolol medicines. Clients should therefore be monitored for a drop in blood pressure (Orenstein, 2011).
Diuretics: Diuretic therapy is of major importance in both chronic and acute management of Heart Failure. Administering diuretics to patients with Heart Failure brings about a decrease in peripheral vascular resistance as well as a rise in venous capacitance and dieresis (Beckerman, 2014). There are 3 key classes of diuretics: potassium-sparing gents, loop diuretics, and t...
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