NRS 410 Topic One Discussion Question Two

NRS 410 Topic One Discussion Question Two

NRS 410 Topic One Discussion Question Two

Discuss what resources are often necessary for nonacute care for cardiorespiratory issues. Explain how they support patient independence and decrease readmission.

Upon discharge, patients with cardiorespiratory conditions will likely need additional resources to promote independence and prevent repeat hospital admissions. Non acute care patients may benefit greatly from cardiac or pulmonary rehabilitation. These programs operate as a bridge to independence for patients after a cardiac event or a COPD exacerbation and help them learn to manage their condition and exercises to restore cardiorespiratory function. Cardiac rehab programs have been shown to improve daily functioning and reduce the risk of another cardiac event or repeat hospital admission (Servey, 2016).

Patients may also need additional durable medical equipment to function safely at home. This could include oxygen supplies or mobility aids like a cane or walker (Johnson, 2018). Living conditions should also be examined for potential needs, like bars in the bathroom/shower, or ramps for a wheelchair. Patients may also need help arranging transportation to medical appointments or to pick up medications from the pharmacy (Johnson, 2018). If they plan to return to work they may need documentation that shows what modified work they may perform, or they may need additional time off for recovery (Johnson, 2018). All of these resources can help patients regain their independence with a cardiorespiratory condition. Ambulatory aids help preserve their ability to move around independently, and environmental modifications ensure their home is safe while they perform their ADLS. Furthermore, ensuring they have access to necessary medical equipment, their medications, transportation to follow up care, and a safe home environment will help prevent hospital readmissions.

Re: Topic 1 DQ 2
High blood pressure often has no obvious symptoms to alert a person that something is wrong. That is why hypertension is sometimes called “the silent killer”. According to the American Heart Association, high blood pressure cannot be cured, but can be managed effectively through appropriate medication and changes in lifestyle. Examples of lifestyle changes:

Understanding self-care and self-understanding-people must comply with healthcare providers’ recommendations. People must be accountable by keeping appointments and taking medications as directed.
Knowledgeable about health status-“Know Your Numbers” is a campaign to encourage people to pay attention and be able to identify and abnormal values to their blood pressure, total cholesterol, HDL, blood glucose and BMI.
Diet-eating more veggies, fruits, whole grains, fat free or low fat dairy, and lean protein from seafood, poultry, eggs, nuts, seeds and soy products. DASH diet and Mediterranean-style diets are most recommended.
Weight Control-consume appropriate serving sizes of recommended food. Setting targets for 5-10% reduction can make a significant impact on cardiovascular disease risks.
Physical activity and exercise-aerobic exercise improves oxygen consumption, inflammation, bold pressure, insulin resistance, sleep quality and quality of life.
Tobacco and Alcohol cessation-smoking tobacco and drinking alcohol contributes to the development of hypertension.
https://www.ahajournals.org/doi/full/10.1161/JAHA.117.006997

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Re: Topic 1 DQ 2
Cardiorespiratory issues are often chronic and so require continued care and management. Because of the nature of these issues, after an acute episode, subsequent therapies to support the cardiorespiratory condition as well as medical equipment are necessary to help speed up their rehabilitation. Cardiac rehabilitation is geared toward patients that have suffered from a cardiac condition. Pulmonary rehabilitation is geared toward patients with breathing difficulties due to certain chronic lung conditions. (Pulmonary rehabilitation, n.d.). Some of the resources necessary for non acute care include equipment to aid in activities of daily living, mobility devices, transportation access and adequate living conditions. Other resources include medication prescription assistance and portable breathing devices. (Grand Canyon University, 2018)

NRS 410 Topic One Discussion Question Two

These resources can provide a bridge for the patients to regain their independence in self-care. Nurses have an important role in providing this education and should assess a patient’s understanding to ensure their successful transition to independent care. During this transition, nurses should be empathetic to the patient’s circumstances and prepare to advocate for the patient and their health. Some of the education topics should promote exercise and dietary recommendations with respect to the patient’s diagnosis. Cessation of any cigarette smoking should be emphasized for all the cardiorespiratory conditions. In addition adequate patient centered discharge planning and follow up has been found to reduce readmission. (Kripalani et al., 2014) NRS 410 Topic One Discussion Question Two

Reference:

Grand Canyon University (Ed). (2018). Pathophysiology: Clinical applications for client health. Retrieved from: https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/1

Kripalani, S., Theobald, C. N., Anctil, B., & Vasilevskis, E. E. (2014). Reducing Hospital Readmission: Current Strategies and Future Directions. Annual Review of Medicine, 65, 471–485. https://doi.org/10.1146/annurev-med-022613-090415

Pulmonary Rehabilitation | National Heart, Lung, and Blood Institute (NHLBI). (n.d.). Retrieved from: https://www.nhlbi.nih.gov/health-topics/pulmonary-rehabilitation

Re: Topic 1 DQ 2
Resources for Nonacute Care: Cardiopulmonary ConditionsPatients with nonacute cardiorespiratory issues will require ample support and resources to facilitate independence and decrease readmission. Consistent, thorough patient education is vital, and empowers the patient by giving them the knowledge and information needed in order to self-manage their condition (Johnson, 2018). After the patient’s cardiorespiratory condition is stabilized, the nurse plays in integral role in supporting and encouraging the patient to participate in physical and occupational therapies as indicated (Johnson, 2018). Additionally, the nurse must educate the patient to comply with their medication regimen, follow up appointments, therapies, and lifestyle modifications such as appropriate exercise and diet (Johnson, 2018). The avoidance of tobacco smoke and immunization recommendations should be discussed as well (Johnson, 2018). NRS 410 Topic One Discussion Question Two

Nurses will further reduce the likelihood of readmission and support patients’ independence by supporting their psychosocial, cultural, an spiritual needs (Johnson, 2018). Appropriate resources may include support groups for those with similar conditions and one-on-one talk therapy (Johnson, 2018). Further, the nurse must ensure the patient has appropriate medical equipment after discharge to facilitate independence and safety, such as walkers and portable oxygen (Johnson, 2018). The patient must have access to reliable transportation for appointments and to go to the pharmacy (Johnson, 2018). Additionally, resources may be needed in order to modify the patient’s living conditions to suite their medical needs (Johnson, 2018). This may include handicapped accessible ramps, ground-floor living, or a skilled nursing facility if the patient is not able to independently care for their needs (Johnson, 2018). Patients may need time off from their job in order to recuperate, or may need to be reassigned to a position that is conducive to their health needs (Johnson, 2018). Finally, pulmonary and cardiac rehabilitation may be indicated in order for patients to properly self-manage their condition (Johnson, 2018). NRS 410 Topic One Discussion Question Two

References

Johnson, A. (2018). Cardiorespiratory Complexities. Pathophysiology Clinical Applications for Client Health. Retrieved from https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/1