Hospital discharge plan for patients with congestive heart failure

Abstract

This integrative review investigates how nurses plan the hospital discharge of patients withCongestive Heart Failure (CHF) since an inadequate discharge plan and patients' subsequent non-adherence to instruction provided upon discharge are indicated as potential factors for re-hospitalization. A total of 24 papers were found in a search carried out in the LILACS and MEDLINE databases between 2004 and 2008, which given the inclusion criteria, were reduced to 14 papers. The papers were analyzed and categorized into 'Health Education', and 'Nursing Care'. The synthesis of results indicates that the discharge plan devised by nurses is based on two categories. The actions of nurses to promote health education can enable patients with CHF to improve self-care. Plan del alta hospitalaria para pacientes con insuficiencia cardíaca congestiva Artículo de revisión integradora que tiene por objetivo identificar como las enfermeras han planificado el alta de los pacientes con Insuficiencia Cardíaca Congestiva, ya que el plan de alta inadecuado y el no seguimiento de las orientaciones dadas son apuntados como posibles factores de rehospitalización. A través de la búsqueda en las bases de datos LILACS y MEDLINE, abarcando el período de 2.004 a 2.008, fueron encontrados 24 artículos, que por el criterio de selección de la muestra resultaron en 14. Los artículos fueron analizados y categorizados en Educación en Salud y Cuidado de Enfermería. Con eso fue posible sintetizar los resultados e identificar que el plan de alta realizado por los enfermeros está basado en estas dos categorías, ya que a través de las conductas del enfermero para promover la educación en salud será posible proporcionar al paciente con Insuficiencia Cardíaca Congestiva una mejoría en el autocuidado.

Validation of a Nursing Discharge Plan for Pregnant and High-Risk Puerperal Women

“…4 Deve ser considerado como uma etapa da sistematização da assistência de enfermagem, que direciona a implementação de ações no período entre a admissão e a alta hospitalar, 4 sendo que tanto as orientações de alta quanto o entendimento da gestante e/ou puérpera sobre elas devem aparecer no registro de enfermagem. 5 A ausência de planos de alta de enfermagem contribui para agravar o cenário atual da saúde, pois é cada vez mais comum pacientes com necessidades de cuidados intensivos rece-berem alta hospitalar na tentativa de redução de custos e infecções, como também é comum que o enfermeiro tenha pouca oportunidade de orientá-los bem como a sua família em tempo hábil antes da alta. 3 A preocupação em se planejar a alta hospitalar se dá, principalmente, devido ao alto custo das internações, agravado pela falta de continuidade do cuidado domiciliar, acarretando reinternações 4 e exposição ao risco de infecção do paciente durante a re-hospitalização.…”

Diagnósticos e intervenções de enfermagem para a pessoa com insuficiência cardíaca descompensada Nursing diagnoses and interventions for people with decompensated heart failure

“…Educational nursing interventions performed during hospitalization improve knowledge of the HF, self-care and quality of life for patients and their families. [11][12][13][14][15][16][17][18][19][20][21][22] Literature shows that the non-pharmacological treatment is very important in controlling the disease. Thus, the nurse has gained a prominent role in the treatment of HF, justifying their actions in specialized clinics in monitoring and follow-up of patients with HF.…”

“…Thus, the application of the NP, together with the clinical practice and the use of a standardized language, supports the development and promotes the organization of critical thinking and diagnostic reasoning, as well as provides a precise care, enabling the evidence-based practice. 11,8 However, nurses need knowledge and skills required to achieve the quality of work, combining the use of rating systems that have standardized language, allowing the care planning and the development of nurses' clinical competence. 12 The International Classification of Nursing Practice (ICNP®) is one of the classification systems consisting of three elements: phenomenon, result and nursing actions whose aim is to establish a common language to describe the nursing practice, facilitating communication between nurses and with other professionals, as well as globally describing the provision of nursing care in the context of the individual, family and community.…”

Effect of the Nurse-Led Sexual Health Discharge Program on the Sexual Function of Older Patients Undergoing Transurethral Resection of Prostate: A Randomized Controlled Trial

“…Planning for the discharge process and transnational care to home is an important task of healthcare professionals, especially nurses [11]. The discharge program should be started upon admission, continued to the discharge and follow up visits [12], as well as should be specialized to each patient's needs [13]. The discharge planning program has positive effects on mental health [11] and cardiovascular health [13].…”

“…The discharge program should be started upon admission, continued to the discharge and follow up visits [12], as well as should be specialized to each patient's needs [13]. The discharge planning program has positive effects on mental health [11] and cardiovascular health [13]. It addition, it can reduce the readmission rate of patients to the hospital [14].…”