During the principal piece of my practicum, Mei Lee, a 65-year-elderly person determined to have a cardiovascular breakdown, and I met for a two-hour meeting to examine the chance of utilizing medical services innovation, care coordination, and local area assets to address her sickness. What’s more, I had discussions with specialists in the business and took a gander at sites and distributions that zeroed in on proof-based practice.
Mei Lee and I had an extended discussion about her well-being, the hardships of living with cardiovascular breakdown, and the manners by which cutting-edge clinical innovation has helped out. Mei Lee imparted her encounters to the numerous clinical devices and ways of dealing with challenging times that she uses to deal with her cardiovascular breakdown. She is definite about how she consistently checked her circulatory strain and her heartbeat oximeter at home. She additionally said that she was thinking about downloading an application for cardiovascular breakdown onto her cell phone, notwithstanding the way that she had never done as such. Mei Lee was keen on telehealth because she conjectured that it might help her better deal with her condition.
Evidence-Based Practice Sources Review
I went through various papers and websites that included information on evidence-based practices for treating heart failure and healthcare IT. The advantages of utilizing vital sign monitors in treating heart failure have been widely studied in the medical literature. Some examples of these monitors are blood pressure cuffs, pulse oximeters, and glucose monitors (Farwati et al., 2021). These devices provide patients access to data in real-time and make it possible to make an accurate diagnosis of illnesses that are deteriorating at an earlier stage, therefore empowering patients to take an active part in their treatment. The content also drew attention to a number of the potential disadvantages that may emerge as a consequence of placing all of one’s monitoring confidence on technological solutions. It brought to light the need for medical professionals to participate in both the evaluation of data and making decisions about clinical care. In the study, the researchers found data that pointed in different directions on the question of whether or not heart failure management programs on smartphones are helpful. However, other studies discovered challenges with accessibility, patient compliance, and confidentiality. Some researchers discovered positive outcomes, while others discovered challenges.
Additionally, whether telehealth may be used to treat heart failure was investigated in the body, as mentioned above in the research. Fast intercessions, virtual conferences, and remote observation are everything that can be achieved through the utilization of telehealth. A few promising examination projects have zeroed in on working on quiet results and diminishing the times’ patients must be readmitted to the medical clinic (Farwati et al., 2021). Then again, challenges were recognized, too, like a shortage of promptly open hardware, drowsy web associations, and patients’ reluctance to embrace virtual treatment.
Barriers and Cost of Technology Used in this Problem
Potential impediments to the use of technology for the treatment of heart failure include deficiencies in health literacy, a shortage of specialized skills or financial resources, difficulties with language, and cognitive impairments. Heart failure (HF), despite improvements in diagnostic and treatment tools, heart failure (HF) continues to be a severe public health problem in the United States and globally (Centers for Medicare and Medicaid Services, 2023). This gap may be closed, and HF care can be improved using digital health tools. It’s possible that these elements will make it more difficult for patients to obtain and comprehend the data provided by monitoring devices or smartphone apps. Older folks like Mei Lee probably need help picking up new forms of technology.
Because of a lack of cash or inadequate health insurance, some patients may be unable to pay the upfront cost of required technical devices or the continuous costs of maintaining and repairing such devices. Due to their low financial means, Mei Lee and others like her may need help purchasing monitoring devices, smartphone apps, or telehealth services. This may be the case for other people as well.
The utilization of medical care innovation, facilitated care, and local area benefits all can possibly add to a decrease in the high pace of readmissions that patients with cardiovascular breakdown experience. While making and incorporating mechanical arrangements, it is fundamental that the inclinations, limitations, and monetary requirements of patients be thought about (Johnson et al., 2018). My involvement in nursing innovation is upheld by the examination that has been finished on the subject, which expounds on the advantages and disadvantages related to its utilization.
Care Coordination and Community Resources
Coordination of care and utilizing local area assets are essential to reducing the high pace of readmissions related to cardiovascular breakdown patients. Care coordination is the most common way of planning the conveyance of medical services through organizing the exercises of medical services specialists, patients, and their families, as well as conveying appropriate data and keeping open lines of correspondence among all gatherings. Care coordination may likewise be considered the most common way of organizing the conveyance of medical services. Better consideration coordination and expanded utilization of local area assets might prompt enhancements in understanding results, diminished paces of medical clinic readmissions, and more prominent general care quality.
Evidence from literature
Since organizing treatment and utilizing local area assets have been demonstrated to find actual success strategies, it is conceivable that these procedures could assist with bringing down the high frequency of readmissions among cardiovascular breakdown patients. As per the discoveries of a new deliberate examination completed by (Maulik et al., 2019), care coordination treatments, for example, nurture drove studios and multidisciplinary cardiovascular breakdown treatment groups, might be valuable in lessening the number of patients who need readmission because of cardiovascular breakdown. As noted in the review, the utilization of local area administrations like home clinical consideration and friend-encouraging groups of people could work on patient outcomes while diminishing the expenses of giving medical care to those patients.
In their investigation of patients with cardiovascular breakdown, the researchers considered both the coordination of care as well as the accessibility of neighborhood assets. Patients who were determined to have cardiovascular breakdown profited from an instructive program, home visits, and proposals to neighborhood offices that were planned by the specialists who led this review (Xu et al., 2022). As an immediate result of the review, patients who experienced cardiovascular breakdown showed huge headways in their capacity to care for themselves and had fewer clinic readmissions.
It has been shown that care dexterity and utilizing the assets that are open locally may have various valuable impacts; by and by, it is fundamental to stand by listening to individuals who have worries around here. Johnson et al. (2018) observed that different variables, including care coordination models, authoritative climate, and patient socioeconomics, influenced treatments’ viability. These examinations shed light on the need to carry out care coordination strategies that are customized and patient-focused to get the best results possible.
Relation of the Literature Evidence With My Nursing Practice
As a medical caretaker, I have direct involvement in the viability of care coordination and the utilization of open local area assets in the therapy of an expansive assortment of ailments, one of which is cardiovascular breakdown. I have likewise had the valuable chance to see this firsthand. We can guarantee that everybody gets the consideration they need, that release plans are completed effortlessly, and that all pertinent local area assets are utilized thanks to our cooperation with different individuals from the clinical group, patients, and their families. This cooperative exertion has worked on quiet results by diminishing the time patients need to return to the emergency clinic.
Albeit the coordination of care and local area assets could be favorable, doing so is challenging. Some of these difficulties include needing more funding and assets, incoherent medical care frameworks, deficient contact and data dividing between clinical experts, and a shortage of help from the neighborhood populace. It is crucial to zero in on framework-level issues to conquer these obstacles. It is also necessary to foster multidisciplinary collaboration and lobby for sufficient financing to allow comprehensive care coordination.
State Board Nursing Practice Standards Review
State board rules on nursing practice, organizational principles, and government laws all significantly impact a variety of areas of nursing practice, including the coordination of care, technology improvements, and the most effective use of community resources. The responsibilities of nurses in care coordination, patient safety, and making the most of limited resources are outlined in detail in the guidelines and standards presented here. By sticking to these proposals, attendants can upgrade the nature of therapy, the security of patients, the clinical area, and the singular costs for people like Mei Lee. This might be achieved through innovation, composed care, and local area administrations.
The degree of nursing practice is influenced by guidelines and rules at all levels, including the area, state, and government, particularly concerning the development of advancement, the coordination of care, and the availability of neighboring resources. These guidelines and regulations might address subjects like repayment for help with care coordination, limitations on utilizing local area assets, and the combination of contemporary innovation into the arrangement of clinical consideration. To guarantee consistency and successfully push for changes that support the viable utilization of innovation, coordination of care, and social administrations, practically speaking, enlisted attendants are expected to remain current on the significant regulations and guidelines.
Concerning the issue of high readmission rates for patients with cardiovascular breakdown, explicit contemplations incorporate the accompanying: Patients who experience the ill effects of cardiovascular breakdown might have the option to fix their condition with the help of home consideration administrations. These administrations might incorporate nonstop checking, the organization of medication, and patient schooling, all inside the patient’s home. For patients to have the option to satisfy arrangements associated with their medical problems, like exams, heart restoration, and interviews with specialists, it is fundamental for them to approach trustworthy transportation. It’s conceivable that people will not seek the expected clinical treatment they need since they don’t approach transportation.
Conclusion
Cardiovascular breakdown is a predominant medical condition, and care groups might have the option to help individuals who are influenced by it by paying attention to the people who are impacted, teaching the people who are impacted, and giving space to those impacted to address other people who are in comparable conditions. Patients determined to have cardiovascular breakdown might acquire something from the profound guiding, local area outreach exercises, and asset route benefits presented by strict gatherings.
References
Centers for Medicare and Medicaid Services. (2023, February 23). Hospital readmissions reduction program (HRRP). Cms.gov. https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program
Farwati, M., Riaz, H., & Tang, W. H. W. (2021). Digital Health Applications in Heart Failure: a Critical Appraisal of Literature. Current Treatment Options in Cardiovascular Medicine, 23(2). https://doi.org/10.1007/s11936-020-00885-z
Johnson, A., Winner, L., Simmons, T., Eid, S. M., Hody, R. E., Sampedro, A., Augustine, S. M., Sylvester, C., & Kapil Parakh. (2018). Using Innovative Methodologies From Technology and Manufacturing Companies to Reduce Heart Failure Readmissions. Using Innovative Methodologies from Technology and Manufacturing Companies to Reduce Heart Failure Readmissions, 31(3), 272–278. https://doi.org/10.1177/1062860614562627
Maulik S. Joshi, & Anne-Marie J. Audet. (2019, April 17). Community Factors and Hospital Readmission Rates. Www.commonwealthfund.org. https://www.commonwealthfund.org/publications/journal-article/2014/apr/community-factors-and-hospital-readmission-rates
Xu, H., Granger, B. B., Drake, C. D., Peterson, E. D., & Dupre, M. E. (2022). Effectiveness of telemedicine visits in reducing 30‐day readmissions among patients with heart failure during the COVID‐19 pandemic. Journal of the American Heart Association, 11(7). https://doi.org/10.1161/jaha.121.023935
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