We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Nobody downloaded yet

Defining The Clinical Question - Essay Example

Comments (0) Cite this document
Defining The Clinical Question Valerie Sanford RN, MSN, CRNP, AACC Duke University School of Nursing Dr. Deirdre Thornlow, PhD, RN, CPHQ September 22, 2011 Introduction Heart failure is a chronic condition that affects an estimated 5 million Americans. The one year survival rate has been estimated at 80-90% in patients classified as NYHA class I-II and 50-60% in NYHA class III-IV; which is more than breast cancer, ovarian cancer, and colon cancer…
Download full paperFile format: .doc, available for editing
Polish This Essay95.1% of users find it useful
Defining The Clinical Question
Read TextPreview

Extract of sample
"Defining The Clinical Question"

Download file to see previous pages Some studies have shown that education given to patients may be insufficient. Noncompliance with medication, diet, or symptom monitoring caused 15-64% of hospital readmissions. One way to combat these barriers is to design advanced practice nurse led heart failure clinics for outpatient management of heartfailure . Many studies have shown that heart failure clinics designed with advanced practice nurse post hospital follow-up improved patient education and compliance thus decreasing hospital readmissions (Paul 2008). The types of heart failure patient typically followed in advanced practice nurse led clinics are New York Heart Association Classifications II-IV. These patients were classified based on either echocardiography or radiography evidence of pulmonary congestion or signs or symptoms of heart failure. Background Despite advancements in the management of this debilitating condition, such as introduction of beta blockers, aldosterone antagonist, and angiotensin receptor blockers mortality and morbidity among heart failure patients remain high. Generally 25-50% of hospitalized patients will be readmitted within 6 months of discharge (Gustafsson, Schou et al. 2009). The most cited incidents for readmissions are noncompliance with drug therapy, poor compliance with dietary restrictions, fluid restrictions, and inadequate medical therapy (Paul 2008). Thus, it appears that the readmission and mortality rates of heart failure patients maybe the result of less than optimal approach by the patient and provider. In terms of mortality the Framingham Study showed that once patient was diagnosed with heart failure the 6 year mortality was 85% for men and 67% for women . Heart failure puts a significant health and financial burden on patient’s families and society. Estimated cost of heart failure in the US is over $35 million according to the American Heart Association. As we all know the incidence of heart failure increases with age. According to the center for disease control 70% of the people over the age of 60 have heart failure and the number is expected to rise (Ferguson 2008) . For instance in 2000 approximately 12.7% of the American population was 65 years of age or older. It is estimated in 2020 this number will rise to 16.5%. In an effort to reduce 30 day readmissions, mortality, and overall cost a growing number of hospitals and medical groups are forming evidenced based heart failure clinics to combat this epic problem. The population to be evaluated in this project are patient diagnosed with heart failure with either systolic or diastolic impairment that have recently been hospitalized, The purposed intervention is one week follow up post discharge in a nurse practitioner led heart failure clinic. The patients will then be monitored by nurse practitioner and MD . A comparison will then be made to those patients followed by an MD only . The outcome that is proposed is that patients followed in a nurse practitioner and MD collaborative heart failure clinic will have a decrease in 30 day readmission rates to the hospital . Clinical Question Does the addition of a nurse practitioner to a heart failure clinic reduce 30 day readmission rates for heart failure patients? Keywords: A medline search was conducted using the terms “ ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“Defining The Clinical Question Essay Example | Topics and Well Written Essays - 2500 words”, n.d.)
Retrieved de https://studentshare.org/nursing/1392769-snthesis-of-the-literature
(Defining The Clinical Question Essay Example | Topics and Well Written Essays - 2500 Words)
“Defining The Clinical Question Essay Example | Topics and Well Written Essays - 2500 Words”, n.d. https://studentshare.org/nursing/1392769-snthesis-of-the-literature.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document
Defining Beauty
While there is a degree of proof that indicates our definition of beauty is inborn as a result of the symmetrical arrangement of facial features, the genetic development of a proportional body or the individual attractiveness of hair or eye color, there is far more evidence that our definitions of beauty are formed by our society.
6 Pages(1500 words)Essay
Defining Clinical Psychology as a Profession
Clinical psychology finds its settings in private practice. The topics in clinical psychology are very much centered on the various conditions and the methods that have been put forward that are used in the management of the mental health conditions. The topics in this field range from psychological assessment, advanced psychopathology, to psychopharmacology (Buchanan 2002, p.
4 Pages(1000 words)Term Paper
Clinical Psychology
Such stigma often colours the perception of society against the disease, especially as patients often believe such wrong perceptions as well. Panic disorder is one of these diseases which have been wrongly perceived by society, with patients perceived as neurotic, dramatic, or plain crazy.
8 Pages(2000 words)Essay
Defining Personality and Personality Disorders
Personality disorders are difficult because they deal with the essential elements of an individual that have gone wrong, making their social life cumbersome. They are often disenfranchised from the rest of the world, their ability to function made more difficult by the way in which they perceive and react to the world.
8 Pages(2000 words)Research Paper
Defining Intelligence
This test generally only assesses linguistic ("word smart") and logical-mathematical ("number/reasoning smart") intelligences. Many educators believe this is too limiting, and more use should be made of the broader range of intelligences.
3 Pages(750 words)Essay
Mentoring in the Clinical Setting
'Nurses must master the skills of visionary and strategic thinking to have an impact on institutional and political forces that control health development. The emergence of the phenomenon of transformation is providing a rare opportunity for nursing. Transformation provides a scenario for a new way of interacting, a new way of problem solving, and a means to developing a shared vision among health professionals in various settings".
14 Pages(3500 words)Essay
What do qualitative methods have to offer clinical psychology as research tools
Keeping in view the standards of scientific methods which are essential in clinical psychology, psychological researchers extensively use qualitative methods to conduct research in major areas of psychology. Qualitative psychological research includes methods that are
8 Pages(2000 words)Essay
Defining philosophy
One can say that it is unique from other ways of how one can address problems since one can use critical or general methodology using rational argument. Generally, philosophy can be still be defined as beliefs, concepts and attitude of individual concerning a
3 Pages(750 words)Essay
Clinical Care Classification System
The incorporation of electronic records on the formulation of vocabulary has since changed and revolutionized the nursing sector. The Clinical Care Classification has undergone several innovative changes
8 Pages(2000 words)Essay
Analysis and Application of Clinical Practice Guidelines & Scoring Rubric
s of a transparent and balanced procedure of systematically appraising, reviewing and making use of the best findings of clinical research of the best value to help in delivery of ideal clinical care to the sick. It is, therefore, clear that evidence-based Clinical Practice
5 Pages(1250 words)Essay
Let us find you another Essay on topic Defining The Clinical Question for FREE!
Contact us:
Contact Us Now
FREE Mobile Apps:
  • About StudentShare
  • Testimonials
  • FAQ
  • Blog
  • Free Essays
  • New Essays
  • Essays
  • The Newest Essay Topics
  • Index samples by all dates
Join us:
Contact Us