Show simple item record

dc.contributor.advisorBredenkamp, Nancyen_US
dc.contributor.authorBrodecky, Bridgeten_US
dc.contributor.authorBredenkamp, Nancyen_US
dc.contributor.authorRuiz, Joelen_US
dc.contributor.authorWalker, Emilyen_US
dc.contributor.authorGoetz, Jeffen_US
dc.date.accessioned2014-06-03T19:32:01Z
dc.date.available2015-05-17T08:40:10Z
dc.date.issued2014-06-03
dc.identifier.urihttp://hdl.handle.net/10504/49980
dc.description.abstractObjective: Heart failure (HF) is a chronic clinical syndrome that has been identified to cause high rates of mortality, morbidity, and increased health care costs. Heart failure patients frequently experience hospitalizations due to acute exacerbations. A high percentage of readmissions have been reported to occur soon after discharge (Anderson, 2013).|Methods: This descriptive study was a retrospective chart review of 36 adult heart failure patients at a Midwest heart and vascular specialty hospital readmitted to the hospital within 30 days of discharge. The study’s aim was to determine if the hospital met the 96% medication compliance on discharge and 96% compliance with scheduling a 2-week follow-up based standards for adult HF patients are being implemented upon hospital discharge that may reduce morbidity, mortality, and a 30-day hospital readmission. Social, transitional, and clinical care factors were examined. In addition, heart failure specific medication components were examined. After the information and data was collected, indicators for 30-day hospital readmission in the HF population were identified.|Results: Patients ranged in age from 60 to 85+ years of age with 72% of the patients were male. The majority of patients re-admitted were initially discharged home (70%). 61% of patients did not have a scheduled two-week follow-up at initial discharge. All but one patient had five or more comorbidities. At initial discharge no prescribed medications met the 96% benchmark. Also, the benchmark for scheduled two-week follow-up was not met (40%).|Implication for Practice: The American Heart Association has since released updated HF guidelines and future studies should use these as the variable inclusion criteria. Implications for the nurse practitioner working in primary care are to be familiar with the new HF guidelines and assure their patients are receiving the necessary interventions post-discharge. In addition, frequent review of patients HF management is necessary to assure interventions have not been excluded inadvertently.en_US
dc.rightsCopyright is retained by the Author. A non-exclusive distribution right is granted to Creighton Universityen_US
dc.subject.meshHeart Failureen_US
dc.subject.meshInpatienten_US
dc.subject.meshPatient Readmissionen_US
dc.subject.meshRetrospective Studiesen_US
dc.titleAnalysis of Clinical, Social, Transitional Care, and Medication Reconciliation Factors Associated with 30-Day Adult Heart Failure Readmissionsen_US
dc.typePosteren_US
dc.rights.holderBridget Brodeckyen_US
dc.rights.holderJoel Ruizen_US
dc.rights.holderEmily Walkeren_US
dc.rights.holderJeff Goetzen_US
dc.description.notePosteren_US
dc.program.unitSchool of Nursing (1971 - July 2013)en_US
dc.program.unitCollege of Nursingen_US
dc.embargo.terms2015-05-17
dc.degree.levelMSNen_US
dc.degree.disciplineMaster of Science in Nursing (MSN) Degree Programen_US
dc.degree.nameMaster of Science in Nursingen_US
dc.degree.committeeBredenkamp, Nancyen_US


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record