心脏衰竭的表现课件.pptVIP

* Deventer-Alkmaar HF Study Physician and Nurse Directed HF Clinic vs. Usual Care 1 year intervention 9 scheduled visits 3 telephone 6 office 1 week after discharge Verbal and written education Optimized Rx Easy Access Advice for self-care * Deventer-Alkmaar HF Study 51% risk reduction in Primary End-Point Hospitalization for worsened HF and/or All Cause Mortality NNT - 5 Improved EF at 1 Year Improved NYHA Class Significant Improvement in QOL Scores * Multi-Disciplinary Management Quick and sustained improvements 6 wk intervention Cost savings of $67,804 Comprehensive inpatient education, discharge planning, and outpatient support vs. usual care* Multi-Disciplinary Team Physician Champion Advanced Practice Nurse or PA Nurse Educator Home Health Nurse Dietician Physical Therapy Social Services Pharmacist * * Nursing Nursing is a profession focused on assisting individuals, families, and communities in attaining, maintaining, and recovering optimal health and functioning. Modern definitions of nursing define it as a science and an art that focuses on promoting quality of life as defined by persons and families, throughout their life experiences from birth to care at the end of life. * Collaborative practice is intended to combine the knowledge and skills of several health professionals to maximize the efficiency of both the clinicians and the health care system. Collaborative practice brings together health care professionals with different and complimentary knowledge and skills to increase the scope of and access to patient services. Collaborative Practice Shared responsibility and outcomes * Collaborative Practice Correct and accurate transfer of vital patient information Effective team collaboration that produces positive patient care outcomes Behaviors that aid and encourage respect, trust and credibility among team members Expected Outcomes * * Just One Day EL 89 y/o female CAD, S/P MI Ischemic CM/EF 20/NYHA Class III DM Type II Chronic Renal