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- Title
The Three Rs for Preventing Heart Failure Readmission: Review, Reassess, and Reeducate.
- Authors
Ryan, Catherine J.; Bierle, Rebecca (Schuetz); Vuckovic, Karen M.
- Abstract
Despite improvements in heart failure therapies, hospitalization readmission rates remain high. Nationally, increasing attention has been directed toward reducing readmission rates and thus identifying patients with the highest risk for readmission. This article summarizes the evidence related to decreasing readmission for patients with heart failure within 30 days after discharge, focusing on the acute setting. Each patient requires an individualized plan for successful transition from hospital to home and preventing readmission. Nurses must review the patient's current plan of care and adherence to it and look for clues to failure of the plan that could lead to readmission to the hospital. In addition, nurses must reassess the current plan with the patient and family to ensure that the plan continues to meet the patient's needs. Finally, nurses must continually reeducate patients about their plan of care, their plan for self-management, and strategies to prevent hospital readmission for heart failure.
- Subjects
QUALITY of life; MENTAL health; MENTAL depression; BIOMARKERS; CRITICAL care medicine; HEALTH care teams; HEART failure; INTERPROFESSIONAL relations; MEDICAL care; MEDICAL personnel; NURSE-patient relationships; NURSING care plans; NURSING specialties; HEALTH outcome assessment; PATIENT compliance; PATIENT education; PATIENT monitoring; PREVENTIVE health services; QUESTIONNAIRES; HEALTH self-care; TELEMEDICINE; HOSPICE nurses; COMORBIDITY; SOCIAL support; SOCIOECONOMIC factors; DISCHARGE planning; PATIENT-centered care; PATIENTS' families; PATIENT readmissions
- Publication
Critical Care Nurse, 2019, Vol 39, Issue 2, p85
- ISSN
0279-5442
- Publication type
Article
- DOI
10.4037/ccn2019345