**** please comment peers DQS answer with citations and references 🙂 *****

Response one: When a patient has a diagnosis of nonacute cardiorespiratory issues, in order for the nurse to provide resources for the individual the nurse must first assess readiness and educational level to determine what resources would be acceptable for the patient. Patients and or family members should be provided with multiple means of resources such as written or web based for self-education of their disease (Johnson, 2018). When providing resources nurses must be knowledgeable of their cultural beliefs or spiritual preferences to provide the adequate resources. By incorporating a patients spiritual or cultural needs this supports the patient’s independence to make decisions for their care. Educate the patient on their ailment so that they can comply with medications, treatment, and rehabilitation. Provide the patients with nutritional education to promote health promotion a diet can consist of whole fruits and grains, lean proteins, or a variety of vegetables (Johnson, 2018). Avoiding tobacco products, get immunizations, and take the necessary medication (Johnson, 2018). All these measures will help reduce the chances of readmission. The goal for the individual with cardiorespiratory issues are to motivate and push them to be independent and return to baseline before they were sick.

Reference:

Johnson, A. R. (2018). Cardiorespiratory Complexities. Retrieved from Grand Canyon University: https://lc.gcumedia.com/nrs410v/pathophysiology-cl…

Response two: Hospital 30 -day readmissions are costly and now a significant priority. In 2012, Centers for Medicaid and Medicare Services (CMS) started penalizing hospitals that had readmissions of primary diagnosis of acute myocardial infarction (AMI), heart failure (HF), and pneumonia (Chang & Rising, 2014). So how do hospitals address these penalties? Through transitional care strategies. Transitional care strategies consist of hospital-based transitional care interventions that aim to iron out the switch from the inpatient to the outpatient setting and avoid excessive readmissions and adverse events (Rennke & Ranji). A nurse on the admission of a patient with a diagnosis of nonacute cardiorespiratory issues must assess the patient’s readiness and educational level for the nurse to provide the best resources and be successful. A cardiorespiratory illness often threatens patient independence, so it is of importance that patients and or family members are provided with multiple means of resources such as written or web-based for self-education of their disease (Johnson, 2018). When offering resources, nurses must be knowledgeable of the patient’s cultural beliefs or spiritual preferences to provide suitable resources. By integrating patients with spiritual or cultural needs, this supports the patient’s independence to make decisions for their care. By educating the patient and family members on the diagnosis, they can abide by medications, treatment, and rehabilitation. Nurses can assess what is needed as far as with medical equipment, medication, transportation, living arrangements, cardiac and pulmonary rehabilitation, and employment issues. Cardiac and pulmonary rehabilitation are two essential resources that help with self-management of the condition and gives the patient their independence. Medication administration is significant in preventing readmissions. Nurses need to make sure that patients know the medication they are taking and why they are taking it. Some patients stop taking medications and end back in the hospital. Education will help decrease the chances of readmission. The goal for the individual with cardiorespiratory issues is to encourage their independence and return to baseline before their diagnosis.

References

Chang, A. M., & Rising, K. L. (2014). Cardiovascular Admissions, Readmissions, and Transitions of Care. Current emergency and hospital medicine reports, 2(1), 45–51. doi:10.1007/s40138-013-0031-5

Johnson, A. R. (2018). Cardiorespiratory Complexities. Retrieved from Grand Canyon University: https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/help

Rennke, S., & Ranji, S. R. (2015). Transitional care strategies from hospital to home: a review for the neurohospitalist. The Neurohospitalist, 5(1), 35–42. doi:10.1177/1941874414540683

response three: Resources available for nonacute care with cardiorespiratory issues would include home medical equipment such as walkers, canes or wheelchairs. A medication may be started to help decrease obstruction, patient needs to be compliant with taking the medications per doctor’s orders. Transportation to follow up appointments , living conditions with the support of help like a ground floor apartment, rehab programs to encourage treatments, well balanced diet , exercise and learning one’s own limits within daily duties are important tasks to health maintenance. Patient education and understanding realistic goals are more likely to help patients prevent complications that may mean admission to a health facility ( Johnson, A. R. 2018). Teaching education on activity level of symptom tolerance with rest periods can help patient plan and coordinate daily activities for self-care within a home setting. Including the family members in the decision making for support will help the patient with resources and encouragement.

References

Johnson, A. R. (2018). Cardiorespiratory Complexities. Retrieved from Grand Canyon University: https://lc.gcumedia,com/nrs410v/pathophysiology-cl… clients-health/v1.1/#/help