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Essay / Research Paper Abstract
A 6 page research paper that discusses care of chronic health failure patients. Chronic heart failure (CHF) is a prevalent chronic condition hat can be characterized as encompassing “major fluctuations in clinical status” as the disease advances toward the more advanced stages (Di Salvo and Warner Stevenson, 2003, p. 87). In order to obtain the most positive patient outcomes possible and reduce hospitalizations, while maintaining quality of life, patient compliance with prescribed regimens for CHF is a crucial factor. This examination of literature examines the topic of CHF patient compliance as it applies to the practice and role of the family nurse practitioner, using Orem’s Self-Care Deficit theory. Bibliography lists 6 sources.
Page Count:
6 pages (~225 words per page)
File: D0_khchffnp.rtf
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Unformatted sample text from the term paper:
toward the more advanced stages (Di Salvo and Warner Stevenson, 2003, p. 87). In order to obtain the most positive patient outcomes possible and reduce hospitalizations, while maintaining quality of
life, patient compliance with prescribed regimens for CHF is a crucial factor. The following examination of literature examines the topic of CHF patient compliance as it applies to the practice
and role of the family nurse practitioner, using Orems Self-Care Deficit theory. Patient compliance has been defined as "the degree to which patient behavior coincides w3ith medical advice," while non-compliance
with medical advice is viewed as "objective irrational behavior" (Lutfey, 2004, p. 344). Patient compliance with both non-pharmacological and pharmacological CHF regimens necessitates a multidisciplinary approach (Figuerira, 2003). In this
context, education of both the patient and the patients family regarding CHF is crucial in achieving the goal of compliance with prescribed regimens of treatment (Figuerira, 2003). Nurse practitioners (NPs)
are ideally situated to have a positive impact on CHF patient outcomes. In one study that was conducted in order to determine the effect of patient management by NPs, the
research tam found that this factor caused significant improvement in patient outcomes, decreasing mortality rates by 36 percent and hospital readmissions were also considerably reduced (20.7 percent) (Figuerira, 2003).
While CHF has a mortality rate that ten times that of AIDS and is also responsible for far more hospitalizations than cancer, even when these hospitalizations are considered collectively, CHF
has received much less academic attention than these conditions (Di Salvo and Warner Stevenson, 2003). While there are multiple therapies that have been shown to improve outcomes in CHF patients,
there is a great deal of variability in these outcomes, which points to the need for a "individualized multidisciplinary" approach to care (Di Salvo and Warner Stevenson, 2003), p. 87).
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