Note: Sample below may appear distorted but all corresponding word document files contain proper formattingExcerpt from essay:
Heart failure is a serious medical condition that is brought by the failure of the heart to pump sufficient blood throughout the body at the right pressure. Generally, this condition is a progressive and chronic disease in which the heart muscle is incapable to pump adequate blood for all blood and oxygen needs of the body. Since the heart cannot keep up with its workload under this condition, it attempts to make up for the failure through enlarging, developing more muscle mass, and pumping faster. Enlarging involves stretching the heart chamber more in order to pump more blood while developing more muscle mass occurs because of increase in size of the contracting cells and pumping faster helps to enhance the heart's output ("About Heart Failure," n.d.). As a major health problem, potential solutions for heart failure is a nursing focused plan that incorporates identifying nursing goals, monitoring the patient, and specific nursing interventions.
Change Model Overview:
One of the major approaches that can be used to address the problem of heart failure is the change model introduced by Larrabee and Rosswurm. This model guides nurse practitioners through a systematic procedure for the change to evidence-based practice. This is realized through the model's recognition that converting research into practice needs a solid foundation in change theory, principles of use of research, and utilizing standardized arrangement.
Assessment of the Need for Change:
According to Rosswurm and Larrabee, the first step of the change model is evaluating the need for change in order to guide nurses into clinical decision making in the health care setting. Heart failure patients are usually divided into three major groups i.e. those with an ejection fraction of less than 40%, patients with ejection fraction between 40 and 50%, and patients with an ejection fraction of over 50%. Patients with an ejection fraction of below 40% are considered to have heart failure with reduced ejection fraction or systolic heart failure. These patients tend to have high rates of readmission for the disease and increased in-hospital complications. This is primarily because the ejection fraction measurement reveals that blood pumping is below the normal level and at high risks of severe irregular heartbeats. Due to the likely life-threatening effect of irregular heartbeats, addressing this issue requires development and use of effective evidence-based practices.
Linking the Problem, Interventions, and Outcomes:
Generally, an ejection fraction of below 40% may confirm that an individual has heart failure. This problem could result in the progression of heart failure into life-threatening situations, particularly irregular heartbeats. Some of the potential interventions include consideration of life style changes such as proper nutrition and exercising and educating patient or creating awareness regarding the disease. The current practices in addressing this problem include taking medication, ACE inhibitor and ARBS, and unhealthy lifestyles. The current practices do not contribute to reduced cases of heart failure but enhances the cases. Lifestyle changes and patient education can help deal with the disease and contribute to various outcomes like reduced risks of hospitalization and risk of death.
Synthesize the Best Evidence:
The proposed interventions can be carried out through nursing assessment and management with various goals like enhanced patient comfort, maintain peripheral perfusion, address self-care deficits, and ease and prevent signs of fluid overload. Lifestyle changes and patient education can be implemented through advanced monitoring after admission in order to identify the root cause and reaction to treatment (O'Donovan, 2010, p.33). The significance of the proposed interventions is evident in the fact that current practice such as the use of echocardiography does not change hospital admission and discharge regardless of the significant changes in the patient's medical status (Aurigemma, 2006, p.309). According to Hsich & Wilkoff (2013), patient education to address the problem should focus on various aspects like maintaining fluid balance, decreasing sodium in daily diet, and learning about ideal body weight.
The need for change in the measures used to address the condition is demonstrated by the seeming ineffectiveness of current practices. Intervention measures should not only focus on treatment initiatives but also prevention, which would help in reducing these cases. Satpathy et. al. (2006) state that the primary prevention or management of the disease requires lifestyle changes like smoking cessation, reduced alcohol consumption, exercising, and dietary changes (p.843). These changes are necessary because one of the major contributing…[continue]
"Change Of Practice In Addressing Heart Failure" (2014, March 27) Retrieved November 29, 2016, from http://www.paperdue.com/essay/change-of-practice-in-addressing-heart-failure-186105
"Change Of Practice In Addressing Heart Failure" 27 March 2014. Web.29 November. 2016. <http://www.paperdue.com/essay/change-of-practice-in-addressing-heart-failure-186105>
"Change Of Practice In Addressing Heart Failure", 27 March 2014, Accessed.29 November. 2016, http://www.paperdue.com/essay/change-of-practice-in-addressing-heart-failure-186105
Heart Failure Guidelines The 2009 revision of the ACC/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults contains a number of evidence-based updates, revised text, and a new section called "hospitalized patient" (Hunt et al. e395). These revisions are the result of a task force that convened in 2008 and represent new findings published between 2005 and 2008. Four stages along a continuum of heart failure are described, with
Change Management -- a Case Study of British Telecom About CRM Theoretical Perspectives, Concepts and Practices Involved in Implementing a CRM Change Management About British Telecom British Telecom -- Implementing CRM CRM Systems -- Data Quality and systems Integration British Telecom -- A Case Study BT's Solution Analyzing BT's CRM from an Academic Perspective An Example of Systems Integration British Telecom -- Building Customer Relationships Problems with Implementing a CRM System Change Management -- A Case Study of British Telecom Today, when one thinks
The change leader should feel confident about the change if decision criteria are driven by impartial and objective considerations and his position is based on organizational, mission, vision and strategies. Then leader should try to convince all employees on objective and factual grounds while also taking care of their emotional issues. If leaders do not behave well and control their own emotions then employee morale gets affected. "Most executives
Application and Integration of AACN Synergy Care Model In Clinical Practice Application and Integration of AACN Synergy Care model in Clinical Practice Objective of this paper is to discuss the integration and application of AACN Synergy Care model in Clinical Practice. The paper discusses the background of the model, philosophical underpinning the model is based and strategic knowledge used to formulate the model to enhance greater understanding on the application of the model
Diabetes According to Waryasz & McDermott (2009), the global prevalence of diabetes among people aged between 20 and 79 rose to 6.4% affecting 285 million people in 2010 and the rate will rise to 7.7% affecting 439 million people by 2030. Amid 2010 and 2030, the rate of individuals with diabetes will increase by 69% in developing nations, and a twenty percent rate in developed nations. In 2011, the number rose
We want people to come into the Lagos economy. There is room to do this by: obtaining a resident registration card. The value of registration will benefit everyone in terms of: the provisions of amenities, security and the protection of businesses. This is an enormous step forward." (Fashola Signs Lagos Residents' Registration Bill into Law 2011) The information from this source is useful because it is illustrating how the state
Framwork for Practise and Presentation Sociology -- Social Work There are several factors that contribute to seeming intractability and complexity of social issues. We cannot retrieve an actual picture of any problem considering a single issue. The root causes of social issues are related to individual circumstances and some are beyond the individual control. Central goal of social work profession is the social justice. Social workers can better serve all the