The number of patients that are being sent back to the health centers is high. Consequently, there is a high state of recidivism being reported. Such a scenario is a challenge to the US and the rest of the world. This is because between 20 and 50 percent of CHF are being readmitted one to six months after discharge ( Belfiore et al.,. 2020 ). If nurses can gain advanced skills, they will be able to handle increased cases of CHF. Nurses will be able to conduct evaluations of patients to make sure that clients have recovered fully. The current gap is that there are many CHF patients are being readmitted even though such cases are preventable. All cases and causes of CHF readmission must be noted. As such available resources such as Readmission after Heart Failure scale (RAHF) and Early Warning Scoring System (EWSS) must be used ( Riley et al., 2018; Toukhsati et al., 2015 ). For this to happen, nurses must conduct CHF monitoring exercises appropriately. Also researching the use of rating scales by health workers is essential ( Chamberlain et al., 2018 ).
Nurses need to use evidence-based care protocols when caring for CHF patients ( Howie-Esquivel et al., 2015 ). Resultantly it will be possible to be able to take care of such patients holistically. Nurses need to have access to evidence-based literature. Moreover, the training offered to such professionals needs to adhere to evidence-based research. Such recommendations require that nurses provide patients with appropriate follow-up schedule. Such schedules will inform patients when they are due for therapy or any other specialized care. Nurses should know about post-discharge care that CHF patients need including the required additional care. L ack of discharge planning with adequate follow-up is a crucial reason for this problem (Wood et al., 2018). According to Adib-Hajbaghery et al. (2013), lack of continuous care is also a contributing factor for increased cases of CHF. Nevertheless, Riley (2015) state that the teaching nursing staff need to evaluate patients and develop appropriate mechanisms for discharging patients.
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References
Adib-Hajbaghery, M., Maghaminejad, F., & Abbasi, A. (2013). The role of continuous care in reducing readmission for patients with heart failure. Journal of caring sciences, 2(4), 255–267. https://doi.org/10.5681/jcs.2013.031
Belfiore, A., Palmieri, V. O., Di Gennaro, C., Settimo, E., De Sario, M. G., Lattanzio, S., ... & Portincasa, P. (2020). Long-term management of chronic heart failure patients in internal medicine. Internal and Emergency Medicine, 15(1), 49-58.
Chamberlain, R. S., Sond, J., Mahendraraj, K., Lau, C. S., & Siracuse, B. L. (2018). Determining 30-day readmission risk for heart failure patients: the Readmission After Heart Failure scale. International journal of general medicine, 11, 127–141. https://doi.org/10.2147/IJGM.S150676
Howie-Esquivel, J., Carroll, M., Brinker, E., Kao, H., Pantilat, S., Rago, K., & De Marco, T. (2015). A Strategy to Reduce Heart Failure Readmissions and Inpatient Costs. Cardiology Research, 6(1), 201–208. https://doi.org/10.14740/cr384w
Riley, J. (2015). The Key Roles for the Nurse in Acute Heart Failure Management. Cardiac failure review, 1 (2), 123–127. https://doi.org/10.15420/cfr.2015.1.2.123
Toukhsati, S. R., Driscoll, A., & Hare, D. L. (2015). Patient Self-management in Chronic Heart Failure - Establishing Concordance Between Guidelines and Practice. Cardiac failure review, 1 (2), 128–131. https://doi.org/10.15420/cfr.2015.1.2.128
Wood, R. L. (2018). Confronting Challenges in Reducing Heart Failure 30‐Day Readmissions: Lessons Learned With Implications for Evidence‐Based Practice. World Views on Evidence-based Nursing . https://doi.org/10.1111/wvn.12336
