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average of 79% of costs incurred over the lifetime of a heart failure patient happen during their time in the hospital. Today the national average for an EKG is $138 (Incorporated, 2018). In Tennessee, the average hospital stay cost is $1,880 in a non-profit facility. Heart failure patients often require lengthy hospitalizations, averaging about 5 days per hospitalization. Each hospital stay could cost over $9,400 increasing the financial burden on the patient or family members. C. My current facility follows the ACCF and AHA guidelines for heart failure treatment. The order sets that have been created include medications, care plans, admission orders, and discharge orders. Each patient also has their pathway individualized based on their needs for treatment at the time of admission. Best practice for managing heart failure is to include patientand family participation in care. By involving the patient, it encourages the patient to take
“ownership” of his health journey and allows the patient to feel as though they have some control over the situation. Nurses and other care providers work together with the patient and family members to ensure that education is provided in a way that is understood and allow for questions or concerns to be voiced before discharge. As the RN, I work with my patients to ensure that they understand the information provided by the doctor and schedule follow up appointments as needed. I encourage my patients to notify their provider with any concerns or questions they may have after they are discharged. During discharge, I review all medications and medication changes with the patients, making sure they have prescriptions if needed. Discharge education includes diet, exercise, any special instructions provided by the doctor, and follow up appointments. 1. Three strategies to promote best practice for heart failure patients would include providing scales to all heart failure patients to ensure they are checking daily weight gain/loss, ensure the heart failure clinic team is a part of the patients care team, and educate the patient on use of the online patient portal/electronic chart. Providing patients with a scale helps to serve as a reminder that they need to be tracking their weight every day and informing their care team of any acute changes. Involving the heart failure clinic team as part of a patient’s care team is typically only initiated through a consult during a hospitalization. This consult can often be overlooked and steps should be taken to consider including an automatic consult as part of the heart failure pathway on admission. Educating patients on how to access their chart through theonline patient portal system helps to offer more resources for patients and encourages patient involvement in their own care. The patient can look at laboratory results, care team notes, medications, discharge orders, and other diagnostic test results through the portal. This can help to educate the patient and provide a place of reference if the patient or family members are unclear about results.