Delivery of an In-Home Intervention by Clinical Nurse Specialists for People Living with Chronic Heart Failure

2.50
Hdl Handle:
http://hdl.handle.net/10755/164261
Category:
Abstract
Type:
Presentation
Title:
Delivery of an In-Home Intervention by Clinical Nurse Specialists for People Living with Chronic Heart Failure
Author(s):
Clark, Angela P.; Davila, Ashley; Delville, Carol
Author Details:
Angela P. Clark, PhD, RN, CNS, FAAN, FAHA, The University of Texas at Austin, Austin, Texas, USA, email: nacnsorg@nacns.org; Ashley Davila, MSN, CNS; Carol Delville MSN, CNS
Abstract:
Purpose: To describe the characteristics of an intervention designed to provide education and support to people with chronic heart failure (HF) in their home settings and delivered by a team of Clinical Nurse Specialists. Significance: Nearly 5 million people are living with chronic HF and need extensive education and support to attain maximal health outcomes and quality of life. A constellation of devastating symptoms accompanies heart failure and its pharmacologic treatment, including severe dyspnea, profound fatigue, edema, nausea, cognitive impairment/memory problems, dizziness, depression, and difficulty sleeping. Helping patients to learn effective self-care and health promotion strategies is critical in decreasing costly rehospitalizations for acute exacerbations of HF symptoms. Design: A randomized control trial is currently underway with 50 participants- 25 for each group: the intervention group receives the education-support intervention (8 home visits), followed by 3 months of phone and/or email support, then 3 months with no contact; the attention-control group receives information about healthy aging/health promotion without content about HF (2-3 visits). Methods: Uses expertise of Clinical Nurse Specialists to deliver the intervention. Incorporates evidence- based practice national guidelines for HF care *Uses a variety of instruments to measure health status and health care outcomes. Focuses on a variety of topics compiled into 8 modules in participant notebook: medications; diet education (low sodium, fluid) with "pantry analysis"; symptom management; managing emergencies; depression and stress management; rest and sleep; exercise strategies; health responsibility behaviors; relationships. Includes empowering skills for self care despite a serious chronic disease. Incorporates content on memory improvement to target cognitive impairment. Tests each participant 4 times over the length of the intervention: BL, 3, 6, 9 months Findings: Improvement on a variety of instruments measuring knowledge, depression, quality of life, and memory has been found in the intervention group. Exemplars from the data will be presented. Conclusions: Delivery of a comprehensive intervention by Clinical Nurse Specialists is an effective way to provide education and support to this population. Implications for Practice: CNS-delivered interventions in the home may reduce costly rehospitalizations.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2008
Conference Name:
Clinical Nurse Specialists: Leaders in Clinical Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Atlanta, Georgia, USA
Description:
Conference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgia
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleDelivery of an In-Home Intervention by Clinical Nurse Specialists for People Living with Chronic Heart Failureen_GB
dc.contributor.authorClark, Angela P.en_US
dc.contributor.authorDavila, Ashleyen_US
dc.contributor.authorDelville, Carolen_US
dc.author.detailsAngela P. Clark, PhD, RN, CNS, FAAN, FAHA, The University of Texas at Austin, Austin, Texas, USA, email: nacnsorg@nacns.org; Ashley Davila, MSN, CNS; Carol Delville MSN, CNSen_US
dc.identifier.urihttp://hdl.handle.net/10755/164261-
dc.description.abstractPurpose: To describe the characteristics of an intervention designed to provide education and support to people with chronic heart failure (HF) in their home settings and delivered by a team of Clinical Nurse Specialists. Significance: Nearly 5 million people are living with chronic HF and need extensive education and support to attain maximal health outcomes and quality of life. A constellation of devastating symptoms accompanies heart failure and its pharmacologic treatment, including severe dyspnea, profound fatigue, edema, nausea, cognitive impairment/memory problems, dizziness, depression, and difficulty sleeping. Helping patients to learn effective self-care and health promotion strategies is critical in decreasing costly rehospitalizations for acute exacerbations of HF symptoms. Design: A randomized control trial is currently underway with 50 participants- 25 for each group: the intervention group receives the education-support intervention (8 home visits), followed by 3 months of phone and/or email support, then 3 months with no contact; the attention-control group receives information about healthy aging/health promotion without content about HF (2-3 visits). Methods: Uses expertise of Clinical Nurse Specialists to deliver the intervention. Incorporates evidence- based practice national guidelines for HF care *Uses a variety of instruments to measure health status and health care outcomes. Focuses on a variety of topics compiled into 8 modules in participant notebook: medications; diet education (low sodium, fluid) with "pantry analysis"; symptom management; managing emergencies; depression and stress management; rest and sleep; exercise strategies; health responsibility behaviors; relationships. Includes empowering skills for self care despite a serious chronic disease. Incorporates content on memory improvement to target cognitive impairment. Tests each participant 4 times over the length of the intervention: BL, 3, 6, 9 months Findings: Improvement on a variety of instruments measuring knowledge, depression, quality of life, and memory has been found in the intervention group. Exemplars from the data will be presented. Conclusions: Delivery of a comprehensive intervention by Clinical Nurse Specialists is an effective way to provide education and support to this population. Implications for Practice: CNS-delivered interventions in the home may reduce costly rehospitalizations.en_GB
dc.date.available2011-10-27T11:45:02Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:45:02Z-
dc.conference.date2008en_US
dc.conference.nameClinical Nurse Specialists: Leaders in Clinical Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.descriptionConference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgiaen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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