How Health Care Workers Can Help Improve Compliance to Medication Patients Diagnosed With Chronic Heart Failure

Introduction

Patients with chronic heart failure need a lot of follow up care due to the high risk of re-admissions they are exposed to at all times. Patients with chronic heart failure are thus, considered high-risk patients in health care. Nurses, in this case, are the most important part of the process because they are trained in caring for patients with chronic heart failure better than any other health care workers apart from doctors (Mexico, et al., 2018). The nurses have to have the best possible knowledge about self-care so that they can train their patients on how to care for themselves at the comfort of their homes (Toukhsati, Driscoll, & Hare, 2015). Nurses can also train patients and their caregivers on the signs and symptoms that require a trip to the hospital before it turns fatal for the patient. It is also important to note that the majority of patients with chronic heart failure are elderly patients.

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Population of Focus

The population of focus in this study is all patients with chronic heart conditions. They require the best interventions possible to ensure that their lives are prolonged as long as possible and are comfortable  (Pi & Hu, 2016). The help of nurses will be important in determining how well to handle the challenges they face in dealing with chronic heart failure patients.

Intervention

As a nurse in practice, it is important to make it known to patients the importance of the interventions that they will be subjected to, such as the importance of having a pacifier and other forms of interventions (Riley, 2015). Nurses have to ensure that the patient gets enough rest, hours of activity, and their general well-being, which is a delicate exercise that is always a life or death situation for the patients.

Compliance

In the study, it is important to educate patients and their caregivers on the importance of being compliant with their medication. The knowledge that nurses can pass to their patients and their caregivers is crucial for saving their lives (Shah, Simms, Barksdale, & Wu, 2015). Therefore, adequate information ensures that people living with chronic heart failure illnesses can better manage the quality of their lives on a daily basis. The results of non-compliance, in this case, are limited (Freitas da Silva, et al., 2015). It is the duty of the nurses to communicate the same freely and truthfully to patients and their caregivers.  

Outcome

Nurses can embark on a project that makes patients more compliant with their medication. In the process, it is apparent that patients with other chronic illnesses such as high blood pressure are less compliant compared to those with only chronic heart failure  (Ruppar, Cooper, Mehr, Delgado, & Dunbar-Jacob, 2016). It is evident that the adherence to medication and interventions reduce the mortality rates of patients diagnosed and living with chronic heart failure conditions. 

Time

The study can be conducted over a period of three months. During this time, patients with a new diagnosis can be requested to participate in the study along with patients who have been earlier diagnosed. The participation of the nurses will be the most important because they have statistics from their years of experience (Glogowska, et al., 2015). They have observations on the outcome and fate of the patients who were compliant and those that were not compliant with their medication and interventions as advised by the health care providers. 

Conclusion

The PICOT study is expected to help nurses work with their patients to ensure that they give the best form of care to their patients with chronic heart failure conditions. The study is aimed at reducing the mortality rates of patients who already live with chronic heart failure, as well as, those who will be diagnosed in the future. 

References

Freitas da Silva, A., Cavalcanti, A. C., Malta, M., Arruda, C., Gandin, T., da Fe, A., & Rabelo-Silva, E. R. (2015, June 2). Treatment adherence in heart failure patients followed up by nurses in two specialized clinics. NCBI, 888-894. Retrieved from NCBI: https://www.dignityhealth.org/articles/managing-patients-who-use-online-medical-information-to-self-diagnose

Glogowska, M., Simmonds, R., McLachlan, S., Cramer, H., Sanders, T., Johnson, R., . . . Purdy, S. (2015, October 5). Managing Patients With Heart Failure: A Qualitative Study of Multidisciplinary Teams With Specialist Heart Failure Nurses. Analysis of Family Medicine, 466-471. Retrieved from Analysis of Family Medicine: https://www.ausmed.com/cpd/articles/how-to-handle-difficult-patients

Mexico, T. U., Ruppar, T. M., Cooper, P. S., Mehr, D. R., Delgado, J. M., & Dunbar-Jacob, J. M. (2018, September 23). Medication adherence interventions improve heart failure mortality and readmission rates: systematic review and meta-analysis of controlled trials. Journal of the American Heart Association. Retrieved from Journal of the American Heart Association: https://rnbsnonline.unm.edu/articles/importance-of-communication-in-nursing.aspx

Pi, H.-Y., & Hu, X. (2016, April 23). Nursing care in old patients with heart failure: current status and future perspectives. Journal of Geriatric Cardiology, 387-390. Retrieved from Nursing Times: https://www.phillymag.com/be-well-philly/2013/04/26/never-ever-self-diagnosis-google/

Riley, J. (2015, March). The key roles for the nurse in acute heart failure management. Cardiac failure reviews, 123-127. Retrieved from BCMJ: https://www.bcmj.org/letters/risks-online-self-diagnosing-cyberchondriacs

Ruppar, T. M., Cooper, P. S., Mehr, D. R., Delgado, J. M., & Dunbar-Jacob, J. (2016, September 15). Medication Adherence Interventions Improve Heart Failure Mortality and Readmission Rates: Systematic Review and Meta‐Analysis of Controlled Trials. Journal of the American Heart Association. Retrieved from Participatory medicine: https://participatorymedicine.org/journal/evidence/research/2010/09/15/self-diagnosis-a-discursive-systematic-review-of-the-medical-literature/

Shah, D., Simms, K., Barksdale, D. J., & Wu, J.-R. (2015). Improving medication adherence of patients with chronic heart failure: challenges and solutions. Dove Press, 87-95.Toukhsati, S. R., Driscoll, A., & Hare, D. (2015, April 25). Patient self-management in chronic heart failure- Establishing concordance between guidelines and practice. Cardiac Failure Review, 128-131. Retrieved from https://www.verywellhealth.com/perils-of-using-the-internet-to-self-diagnose-4117449

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