VHSO Emergency Department Chronic Heart Failure Patient Education Project

2.50
Hdl Handle:
http://hdl.handle.net/10755/307972
Category:
Abstract
Type:
Presentation
Title:
VHSO Emergency Department Chronic Heart Failure Patient Education Project
Author(s):
McClain, Ronda
Lead Author STTI Affiliation:
Non-member
Author Details:
Ronda McClain, RN, ronda.mcclain@va.gov
Abstract:

Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013

Proposed change in practice: Implement a program to identify, assess learning needs, and create an educational packet tailored to the individual needs of Veterans evaluated in the Emergency Department (ED) with diagnoses relating to Chronic Heart Failure (CHF).
Purpose and Rationale: CHF is a progressive disease affecting 4-5 million Americans, it is characterized by frequent hospital admissions and high mortality rates. ED staff questioned whether an educational intervention targeting CHF patients would improve patient outcomes, decrease acute admissions, or reduce the frequency of ED repeat visits.  The purpose of the Evidence-Based Practice Project (EBP) was to increase patient education, promote compliance, contribute to clinical stability, obtain better patient outcomes as well as improve quality of life and reduce rates of hospital admissions and readmissions.
Implementation Strategy:  Each patient presenting to the ED with a diagnosis related to CHF will receive an education packet consisting of general information on CHF management based in research. This education also includes the names and phone numbers for the Primary Care Providers. The ED nurse identifies patients with CHF diagnoses and initiates discharge teaching to begin in the ER. This is tracked for follow up and data analysis.

Synthesis of the Evidence: Literature suggests patients generally have little education and understanding of the complexities involved with CHF management or the progression of the condition. Management includes exercise, medication, diet, and psychological support for patients who are commonly elderly.  There may be multifactorial chronic processes including mentation changes and loss of family support. Studies show that an educational intervention can have a positive impact on CHF outcomes.  
Evaluation of Plan: There will be a chart review of 30 day readmission rates and review after three (3) months and one (1) year to evaluate repeat ED visits and readmission rate for CHF.

Keywords:
Emergency Department; Discharge Instructions; CHF
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleVHSO Emergency Department Chronic Heart Failure Patient Education Projecten_GB
dc.contributor.authorMcClain, Rondaen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsRonda McClain, RN, ronda.mcclain@va.goven_GB
dc.identifier.urihttp://hdl.handle.net/10755/307972-
dc.description.abstract<p>Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013</p><b>Proposed change in practice</b>: Implement a program to identify, assess learning needs, and create an educational packet tailored to the individual needs of Veterans evaluated in the Emergency Department (ED) with diagnoses relating to Chronic Heart Failure (CHF). <br /="/"><b>Purpose and Rationale</b>: CHF is a progressive disease affecting 4-5 million Americans, it is characterized by frequent hospital admissions and high mortality rates. ED staff questioned whether an educational intervention targeting CHF patients would improve patient outcomes, decrease acute admissions, or reduce the frequency of ED repeat visits.  The purpose of the Evidence-Based Practice Project (EBP) was to increase patient education, promote compliance, contribute to clinical stability, obtain better patient outcomes as well as improve quality of life and reduce rates of hospital admissions and readmissions.<br /="/"><b>Implementation Strategy</b>:  Each patient presenting to the ED with a diagnosis related to CHF will receive an education packet consisting of general information on CHF management based in research. This education also includes the names and phone numbers for the Primary Care Providers. The ED nurse identifies patients with CHF diagnoses and initiates discharge teaching to begin in the ER. This is tracked for follow up and data analysis. <p><b>Synthesis of the Evidence</b>: Literature suggests patients generally have little education and understanding of the complexities involved with CHF management or the progression of the condition. Management includes exercise, medication, diet, and psychological support for patients who are commonly elderly.  There may be multifactorial chronic processes including mentation changes and loss of family support. Studies show that an educational intervention can have a positive impact on CHF outcomes.  <br /="/"><b>Evaluation of Plan</b>: There will be a chart review of 30 day readmission rates and review after three (3) months and one (1) year to evaluate repeat ED visits and readmission rate for CHF.en_GB
dc.subjectEmergency Departmenten_GB
dc.subjectDischarge Instructionsen_GB
dc.subjectCHFen_GB
dc.date.available2013-12-19T17:24:51Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:24:51Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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.en_GB
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