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CARE OF HOME BOUND
Care of the Home Bound Heart Failure Patient
Melinda D. Owens
Western Governors University
, 2
Executive Summary
Heart failure is such a prevalent part of health care today. With Covid-19 in existence,
we are seeing more and more heart related admissions. By adding care of the heart failure
patient to our curriculum, we will be able to support new nurses and create a strong foundation.
The more education we can offer to heart failure patients, the more the patient will be able to
manage their health at home and avoid unnecessary readmissions. Arming students with the
information to provide evidence-based education to homebound heart failure patients will assist
in helping patients to manage their symptoms at home. Keeping up with the times and providing
the education that is much needed for patients will be the change needed to assist in educating
the community while preparing our students.
Many hospital physicians I spoke with believe that patients and the community will
benefit by additional education and help to keep heart failure patients out of the hospital. Many
patients are lacking in the education to help effectively manage their own symptoms at home.
Managing these symptoms is a lifestyle change and every heart failure patient is different with
the level of education that they have about heart failure. Providing additional education to heart
failure patients and giving them educational resources to use as references will help to open the
lines of communication and assist the heart failure patient in managing their symptoms on their
own.
Community population nurses have a huge impact on the outcomes of patients and their
families regarding their health. Opening the lines of communication within the community,
reaching out to patients at home will lead to improved outcomes and better educated patients.
Patients feel better about their health when they feel more in control. Teaching patients how to
manage their symptoms, what to look out for, and what to do is important. For example, if
, 3
patients notice they have put on some weight or are having their swelling and follow directions
to notify their physician, their physician could have them take an additional dose of their diuretic
and then re-weight themselves the next morning and possibly get the weight off at home rather
than having to come to the hospital.
The proposal to implement care of the homebound heart failure patient into the nursing
curricula for Med Surg II at Western University is crucial to the success of the home bound heart
failure patient. Stakeholders will assist in problem solving and identifying both weaknesses and
strengths of this proposal.
Students will be able to improve patient outcomes, increase patient satisfaction, and
decrease hospital readmissions if patients are better educated and can help to manage their own
heart failure at home. Reduced hospital admissions will not only help the patient financially, but
it will also help the hospital system as well. If patients are readmitted within thirty days from
discharge for the same problem, for example heart failure, the hospital is unable to bill insurance
again for the same type of visit. This costs hospitals huge amounts of money so helping to
decrease these readmissions will also be financially beneficial for the hospital as well.
Five phases make up the framework of the ADDIE model. The ADDIE model will assist
in the development of the proposed curriculum and will serve as the model for the design of the
proposal. The ADDIE model phases are the analysis, design, development, implementation, and
evaluation phase.
Analysis Phase
Meeting the demands of society and getting the most out of clinical time is the analysis
phase. Defining a deficiency or gap in the curriculum occurs in this phase.
, 4
Design Phase
The second phase, the design phase, is the learning objectives and potential outcomes are
designed. Human simulation will be used to define the resources and tools needed for the
proposal in this phase.
Development Phase
The curriculum proposal plans are developed in this phase and is a result of the
advancement from the design phase. This phase will work to develop plans to enhance the
teaching and learning experience, improve clinical experiences, and promote patient centered
outcomes. Defined student learning outcomes and activities are completed in this phase.
Implementation
This is the final phase before students are introduced to the change. This phase will
include a plan for faculty training and ensures all applications are in place and fully functional.
At this point, everything should be in place and readily available.
Evaluation
The final step, evaluation, is where both the formative and summative assessments are
used to gain feedback on the course. This phase will identify success of the implementation and
determine impact of proposed change. The implementation will be successful if the gap has
closed, if not, revisions should be made in response to the results of the feedback.
CARE OF HOME BOUND
Care of the Home Bound Heart Failure Patient
Melinda D. Owens
Western Governors University
, 2
Executive Summary
Heart failure is such a prevalent part of health care today. With Covid-19 in existence,
we are seeing more and more heart related admissions. By adding care of the heart failure
patient to our curriculum, we will be able to support new nurses and create a strong foundation.
The more education we can offer to heart failure patients, the more the patient will be able to
manage their health at home and avoid unnecessary readmissions. Arming students with the
information to provide evidence-based education to homebound heart failure patients will assist
in helping patients to manage their symptoms at home. Keeping up with the times and providing
the education that is much needed for patients will be the change needed to assist in educating
the community while preparing our students.
Many hospital physicians I spoke with believe that patients and the community will
benefit by additional education and help to keep heart failure patients out of the hospital. Many
patients are lacking in the education to help effectively manage their own symptoms at home.
Managing these symptoms is a lifestyle change and every heart failure patient is different with
the level of education that they have about heart failure. Providing additional education to heart
failure patients and giving them educational resources to use as references will help to open the
lines of communication and assist the heart failure patient in managing their symptoms on their
own.
Community population nurses have a huge impact on the outcomes of patients and their
families regarding their health. Opening the lines of communication within the community,
reaching out to patients at home will lead to improved outcomes and better educated patients.
Patients feel better about their health when they feel more in control. Teaching patients how to
manage their symptoms, what to look out for, and what to do is important. For example, if
, 3
patients notice they have put on some weight or are having their swelling and follow directions
to notify their physician, their physician could have them take an additional dose of their diuretic
and then re-weight themselves the next morning and possibly get the weight off at home rather
than having to come to the hospital.
The proposal to implement care of the homebound heart failure patient into the nursing
curricula for Med Surg II at Western University is crucial to the success of the home bound heart
failure patient. Stakeholders will assist in problem solving and identifying both weaknesses and
strengths of this proposal.
Students will be able to improve patient outcomes, increase patient satisfaction, and
decrease hospital readmissions if patients are better educated and can help to manage their own
heart failure at home. Reduced hospital admissions will not only help the patient financially, but
it will also help the hospital system as well. If patients are readmitted within thirty days from
discharge for the same problem, for example heart failure, the hospital is unable to bill insurance
again for the same type of visit. This costs hospitals huge amounts of money so helping to
decrease these readmissions will also be financially beneficial for the hospital as well.
Five phases make up the framework of the ADDIE model. The ADDIE model will assist
in the development of the proposed curriculum and will serve as the model for the design of the
proposal. The ADDIE model phases are the analysis, design, development, implementation, and
evaluation phase.
Analysis Phase
Meeting the demands of society and getting the most out of clinical time is the analysis
phase. Defining a deficiency or gap in the curriculum occurs in this phase.
, 4
Design Phase
The second phase, the design phase, is the learning objectives and potential outcomes are
designed. Human simulation will be used to define the resources and tools needed for the
proposal in this phase.
Development Phase
The curriculum proposal plans are developed in this phase and is a result of the
advancement from the design phase. This phase will work to develop plans to enhance the
teaching and learning experience, improve clinical experiences, and promote patient centered
outcomes. Defined student learning outcomes and activities are completed in this phase.
Implementation
This is the final phase before students are introduced to the change. This phase will
include a plan for faculty training and ensures all applications are in place and fully functional.
At this point, everything should be in place and readily available.
Evaluation
The final step, evaluation, is where both the formative and summative assessments are
used to gain feedback on the course. This phase will identify success of the implementation and
determine impact of proposed change. The implementation will be successful if the gap has
closed, if not, revisions should be made in response to the results of the feedback.
