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Signature Assignment-Case Study and Care Plan

Signature Assignment-Case Study and Care Plan

The realization of better clinical outcomes depends on effective collaborations between the healthcare teams and the patients. The providers’ role in this regard is to ensure the provision of quality healthcare services. On the other hand, the patients are required to adopt good health-seeking behavior, involve their caregivers in their disease processes, and work with them towards the resolution of their health predicaments. With the advancement of technology, various technological strategies have emerged that enhances communication between caregivers and their patients and have been significant in the care delivery processes. This paper seeks to outline a holistic care plan that incorporates telehealth and its significance in care optimization among patients with heart diseases.

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Heart diseases encompass several cardiovascular conditions such as cardiac arrhythmias, coronary artery disease, and congestive heart failure, among others. These diseases have been implicated globally in significant morbidity and mortality (Bouzekouk, 2020). In the U.S alone, about 696,000 deaths are attributable to these conditions (source CDC). The incidence of heart diseases shows few variations across the various ethnicities within the U.S. These conditions remain the leading cause of morbidity across all ethnic groups. These conditions are more common in males than females. A combination of environmental influence and behavior may explain the higher prevalence in males compared to females. The risk of developing heart conditions increases with age, with the average age for men standing at 64.5 while women stand at 70 years of age.

Even with the advancement of healthcare technology in the U.S., heart diseases still claim many lives annually and remain the costliest disease ahead of other non-communicable diseases such as diabetes. This is due to the increased needs of these patient populations. Their acuity level is high, often requiring specialized care with sophisticated instrumentation. Additionally, these patients often require a higher pill burden, a consequence of which is raised financial considerations. All these factors make the management of these diseases very expensive.

Case Study

A 71-year-old Caucasian female is brought to the emergency center with the chief complaint of prolonged pain in the chest region. Past medical history reveals that the patient had suffered similar pain that had prompted her hospital admission. Upon admission and further testing, the patient had a positive diagnosis of myocardial infarction. The patient is a known hypertensive and known diabetic. The patient is a frequent smoker, smoking up to 5 cigarettes per day. She is also an occasional alcohol binge drinker, a behavior she attributes to mental distress because of her domestic issues. Physical examination revealed a blood pressure of 106/66, H.R. of 101 beats/minute, and sinus rhythm. The patient was adherent to her hypertensive and diabetic medication and reported having been refilling her medications at a facility near her home. She is a Medicaid user and is also financially well off, having been able to cater for the cost of her previous treatments.

Plan of Care

The plan of care for this patient will entail strategies targeted at alleviating the current health issue and outline the various measures that will prevent the occurrence of future episodes. Surgical therapy with myocardial revascularization may confer long-term benefits to the patient. Myocardial revascularization has produced considerable benefits in perfusion restoration to the heart (Hawranek et al., 2018). It offers a good alternative to other treatment strategies, such as heart bypass surgery. This patient will also be started on hypolipidemic drugs to prevent the occurrence of thromboembolic incidents that may worsen the patient’s symptoms.

The long-term care plan will be focused on a holistic approach that targets a combination of the patient’s lifestyle, psychosocial factors, and pharmacologic therapies. A patient’s lifestyle behaviors are attributing factors to their disease exacerbation and the occurrence of some health conditions. In this patient, for instance, her smoking behavior and alcohol consumption may be the reason for her disease recurrence. Therefore, this patient should be advised on various lifestyle changes that may be beneficial to her health. Smoking cessation, stopping alcohol, and leading a stress-free life may be beneficial to the overall prognosis of her disease.

The psychosocial aspects of the patient should also be taken care of. Domestic issues that may have been stressing this patient should be interrogated and resolved. Counseling may be adequate in reinstating this patient’s sense of belonging and thus enabling her to lead a happy life. Pharmacological therapy with drugs is also paramount. The patient, upon discharge, should be given medications to manage her hypertension, diabetes, and dyslipidemia. These medications are necessary for minimizing future thromboembolic attacks. The patient should be educated on the significance of medication compliance in improving disease prognosis.

To ensure that the patient’s care plans are adhered to, telehealth may be utilized. Telehealth utilizes computer technologies such as mobile applications and digital information to enable access to healthcare remotely (El-Miedany, 2017). Technologies such as a smartwatch that records a patient’s vitals, such as heart rate, blood sugar, and pulse, are all necessary for the management of this patient. These wristwatches could be connected to mobile software, such as a mobile application that can transmit this information to the patient’s providers. These applications could also be fitted with patients’ medication information and reminders on when and how to take their medication. Video teleconferencing can also be used to talk to the patient directly and could offer a valuable tool for follow-ups and monitoring the prognosis of the patient’s disease.

The impact of using telehealth in the care delivery process is evident in enhanced clinical outcomes. By enabling patient monitoring, telehealth prevents the occurrence of patients’ medication-related errors as they may always ask their providers questions regarding their medications. Additionally, telehealth offers efficient, effective, and timely delivery of healthcare services to the patient remotely. Telehealth will also enable the education of the patients on markers for poor disease prognosis as well as when to see their doctors (El-Miedany, 2017). All these factors will not only increase the chances of survival for this patient but also improve their well-being.

Heart diseases have been implicated in significant morbidity and mortality in the U.S. Heart disease patients require higher acuity care, often with the medical and financial burden. Care plans for these patients should address both the short-term and long-term problems. Long-term solutions address both the psychosocial, pharmacological, and lifestyle needs. Telehealth offers a valuable tool by which long-term care plans can be made. This tool enables follow-ups and monitoring of these patients. Their impact is evident in enhanced clinical outcomes.

 References

Bouzekouk, D. (2020). The Burden of Cardiovascular Diseases in the GCC Countries:-Finding from the Global Burden Diseases Study 1990-2017. Singapore Journal Of Cardiology, 1(3), 90-94. https://doi.org/10.46978/sjc.20.1.2.15

El-Miedany, Y. (2017). Telehealth and telemedicine: how the digital era is changing standard health care. Smart Homecare Technology And Telehealth, Volume 4, 43-51. https://doi.org/10.2147/shtt.s116009

Hawranek, M., Desperak, P., Gąsior, P., Desperak, A., Lekston, A. and Gąsior, M., 2018. Early and long-term outcomes of complete revascularization with percutaneous coronary intervention in patients with multivessel coronary artery disease presenting with non-ST-segment elevation acute coronary syndromes. Advances in Interventional Cardiology, 14(1), pp.32-41.

Heart Disease Facts | cdc.gov. Centers for Disease Control and Prevention. (2021). Retrieved 8 December 2021, from https://www.cdc.gov/heartdisease/facts.htm.

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Question 


Apply what you have learned about Health Promotion and Disease Prevention, and demonstrate the ability to develop a holistic plan of care, incorporating Telehealth and defining assessment and intervention of specific populations incorporating unique attributes of populations for health promotion, wellness preservation, and maintenance of function across the health-illness continuum.

Signature Assignment-Case Study and Care Plan

Signature Assignment-Case Study and Care Plan

Develop a case study and a plan of care, incorporating current mobile App technology:

Select a population. Define your population by gender, age, ethnicity, socioeconomic status, spiritual need, and healthcare need. Apply concepts learned in the course to identify healthcare needs specific to the population and access to care (Utilize your textbook Chapters 1-25 and identified Websites). Also, use at least two references within the five years.
Develop a case study for a patient in your chosen population.
Define a provider-level plan of care that includes telehealth, alternative therapies, and mobile App technology discussed in this class. Describe how telehealth could impact the impact of care delivery of this patient.
Hint: Concise, condensed information, with specifics and details about population and unique needs, with a plan for meeting these needs should be considered. Incorporate the content you have learned in this course.
Length: 3 pages not including the title page and references page
Format: APA, 6th edition format is to be observed (12 pt., 1” margins, Times New Roman)
Research: Two references within the last five years