Signature Assignment.docx - Course Syllabus Initial Steps...

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Initial Steps for an Evidence-Based Project Template (Week 8) Project Title: The Effectiveness of Implementation of Home Healthcare Program for Patients Aged 65 and Above with Health Failure to Reduce Hospital Readmission Student Name: Francis G. Dellinger, RN Introduction: (25 to 50 words) Evaluating the effectiveness of home health care programs in reducing hospital readmission rates in patients ages 65 and above, diagnosed with Heart Failure, is the focus of this study. According to the Centers of Disease Control and Prevention, Heart Failure is a chronic, manageable condition, affecting 5.7 million adults in the United States (CDC, 2017). Hospital readmission rates from heart failure, seem to have risen overtime. M ore than 20% of patients are readmitted within 30 days and up to 50% by 6 months (O’Connor, 2017). The implementation of this study would lead to decreased readmissions and promote a better quality of life for elderly Heart Failure patients. Overview of the Problem: (50 to 70 words) This study hopes to eradicate the occurrence of adverse events that may induce recurrent hospitalizations in elderly patients with Heart Failure. For patients aged 65 and up, Heart Failure being the top cause of hospitalization, has become an important clinical and economic problem (Azad & Lemay, 2014). The provision of home health nursing to this vulnerable population will amend care transition from hospital to home (Jones, et al.,2017). Nursing practice will greatly benefit from this study as it could potentially serve as a guide for nurses in delivering quality care to patients by imparting sufficient education to enable patients in managing their care. Project Purpose Statement: (20 to 40 words) One of the main antecedents of hospitalization and readmission is Heart Failure, and it has become a major strain in health care (Ziaeian and Fonarow, 2016). This study aims to determine the efficiency of home healthcare program use in lessening the incidence of hospitalization in geriatric patients, with a diagnosis of health failure. Background and Significance: (50 to 100 words) 042017RML Course Syllabus
Readmissions among the elderly with heart failure is a pressing issue that should be given in-depth attention. This study will be of significance to patients, medical providers, as well as hospital administrators. Establishing health system techniques that may decline readmission will greatly benefit the aforementioned groups of population. Discharge planning coupled with post- discharge support has proven to improve health outcomes for patients above sixty-five years without an upsurge in terms of costs (Phillips, et al., 2004). Although further study is warranted, these extensive interventions can be encompassed by one home health care program. Heart failure patients with early follow-up upon discharge has significantly lower rates of thirty-day readmission (Hernandez, et al., 2010). This study can contribute better health outcomes for the geriatric patients by omitting hospital readmission through a home health program which includes

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