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The impact of using nursing presence in a community heart failure program


, : The impact of using nursing presence in a community heart failure program. Journal of Cardiovascular Nursing 22(2): 89-94; Quiz 95-6; Discussion 97-8

Nursing presence is the foundation of a long-term nurse-patient relationship that improves clinical decision making and ultimately patient outcomes. A home-based, advanced practice nurse-directed program uses presence at the heart of service delivery in an outpatient heart failure program that addresses complex healthcare needs of this patient population. The Community Case Management program has the following goals: (1) to improve access to appropriate cost-effective healthcare, (2) to prevent hospitalizations, and (3) to improve quality of life. An advanced practice cardiac nurse conducts home visits providing skilled nursing assessments, targeted education, emotional support, and advanced care planning to a vulnerable group of heart failure patients. Common nursing interventions are patient and caregiver education, therapeutic presence, supervision of adherence, and advocacy. The Community Case Management program provides a full continuum of care including disease management, case management, and palliative care serving patients and loved ones over the duration of their illness until death. Community Case Management results in fewer emergency room visits, unplanned hospitalizations, cost avoidance, as well as high patient satisfaction and improved quality of life. It is the contention of this author that the success of the program, while resting on expert multidisciplinary care, is also influenced by the spirit of a long-term therapeutic relationship that develops between the nurse, patient, and the patient's loved ones.

US$29.90

PMID: 17318031


Other references

Ohta, H.; Kasagi, K.; Endo, K.; Konishi, J.; Miyauchi, A.; Kuma, K., 1991: A case of medullary thyroid carcinoma with adenomatous nodule. Clinical Nuclear Medicine 16(12): 950-951

Johnson, L.; Jarvis, J.N.; Wilkins, E.G.L.; Hay, P.E., 2008: Thalidomide treatment for refractory HIV-associated colitis: a case series. Thalidomide has been used as a treatment for various human immunodeficiency virus (HIV)-associated and non-HIV-associated illnesses, generally in cases in which inflammatory disease is refractory to standard therapy. Here, we discuss the successfu...

Klove, B.; Ala-aho, P.; Okkonen, J.; Rossi, P., 2012: Possible effects of climate change on hydrogeological systems; results from research on esker aquifers in northern Finland. International Association of Hydrogeologists 27: 305-320

Rundell, W.Jr; Butler, A., 1977: Agriculture with hoof and horn: an analysis of the historical literature of the cattle industry. Agriculture Literature: Proud Heritage Future Promise ABicentennial Symposium: d Heritage Future Promise ABicentennial Symposium, (Pub 1977) 87-107

Vianello, A.; Casolo, V.; Petrussa, E.; Peresson, C.; Patui, S.; Bertolini, A.; Passamonti, S.; Braidot, E.; Zancani, M., 2012: The mitochondrial permeability transition pore (PTP) - an example of multiple molecular exaptation?. The mitochondrial permeability transition (PT) is a well-recognized phenomenon that allows mitochondria to undergo a sudden increase of permeability to solutes with molecular mass ≤ 1500Da, leading to organelle swelling and structural modificati...

King, T.A.; King, M.T.; White, K.J., 2017: Patient Reported Outcomes in Optimizing Myeloma Patients' Health-Related Quality of Life. To review the current state of evidence for the use of patient-reported outcomes (PROs) and health-related quality of life (HRQoL) in optimizing best supportive care for patients with multiple myeloma (MM). Peer-reviewed journal articles, research...

Cooper, R.A.; Jones, M.G.; Venables, S.E.; Lloyd, D., 1969: Subcellular fractionation of Polytomella caeca by zonal centrifugation. Biochemical Journal 114(4): 65p-65p

Crafts Brandner S.J.; Sutton T.G.; Sims J.L., 1988: Influence of leaf grafting on leaf constituents and senescence characteristics of burley and flue cured tobacco. Productivity of flue-cured tobacco (Nicotiana tabacum L.) is similar to that of burley tobacco in spite of the former's lower need for N fertilizer. The objective of this study was to utilize a leaf grafting technique to demonstrate the level...

Tome, M.; Ribeiro, F.; Faias, S., 2007: Height-diameter relationship for Eucalyptus globulus Labill. in Portugal. Tree height is an important variable for determining the tree volume and the stand volume. Sometimes tree height is not measured in the field, and for predicting it an equation is used as a function of tree diameter and other stand variables. The...

Schrader, Lf, 1979: Pricing problems in the food industry: broiler chickens and eggs. North Central regional research ication: (261) 41-46