Congestive Heart Failure
By Dino Reyes RN
Congestive Heart Failure in
African American
 Symptoms: Shortness of breath, Always tired, Swelling
in legs. Difficulty breathing when lying down.
 Treatments: Ace Inhibitors, Beta Blockers, Calcium
Channel Blockers, Diuretics, Potassium Supplements
 Diet: Low Sodium Diet, Fluid restrictions.
 Higher Risk of Heart Disease compare to Non-African
American
Learning Needs Assessment
 We need to ask three things about the patient
1. What do they need to learn?
2. When is the best time to teach the patient?
3. What kind of learning style can we use to benefit the
patients? Hands on? Visual aids? Cartoons?
 Illness Belief
1. How do they feel about the Illness?
2. How will the illness affect their life?
3. How do they feel about the possible outcome now they
have an illness?
Health Promotion Model
(Piktochart)
Health Promotion/Health
Education Plan
 Goal: To be prevent readmission
 Behavioral Objectives
1. Identify support group outside family.
2. Proper Illness Belief towards CHF
3. Willingness to participate during nursing visits.
Research/Evidenced Based
Practice
Evaluation
 Follow up visit from Home Health Nurse.
 Being able to show how to log in to websites, browse
the page and how to communicate with PCP online.
 Identify how they coped when it became physically and
emotionally challenging.
Conclusion
 The most important part I learned is assessing not just
what they know about a disease but also how do they
feel about the disease. (Illness Belief). Illness Belief is
different from knowledge of illness. Community
support is as important as every other interventions.
With the support of the community we not just able to
treat the patient as a whole but also communal.
Reference
 Albert, N. M. (2013). Parallel Paths to Improve Heart Failure Outcomes: Evidence
Matters. American Journal of Critical Care, 22(4), 289-296. doi:10.4037/ajcc2013212
 Family Planning & Community Health Group San Diego | NCHS. (n.d.). Retrieved April
24, 2016, from http://www.nchs-health.org/community-resources/our-programs/
 Kim, S. M., & Han, H. (2013). Evidence-Based Strategies to Reduce Readmission in
Patients with Heart Failure. The Journal for Nurse Practitioners, 9(4), 224-232.
doi:10.1016/j.nurpra.2013.01.006
 Medscape Log In. (n.d.). Retrieved April 24, 2016, from
http://www.medscape.com/viewarticle/782534_3
 Understanding Blood Pressure Readings. (n.d.). Retrieved April 24, 2016, from
http://www.heart.org/HEARTORG/Conditions/More/MyHeartandStrokeNews/African-
Americans-and-Heart-Disease_UCM_444863_Article.jsp#.VxyR0yMrJT5
 Escondido Senior Center Services, City of Escondido, Park Avenue Community Center -
Escondido - - County of San Diego, California. (n.d.). Retrieved April 24, 2016, from
http://sandiego.networkofcare.org/aging/services/agency.aspx?pid=EscondidoSeniorCen
terServicesCityofEscondidoParkAvenueCommunityCenter_4_1_0

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Nurs370 ppt

  • 2. Congestive Heart Failure in African American  Symptoms: Shortness of breath, Always tired, Swelling in legs. Difficulty breathing when lying down.  Treatments: Ace Inhibitors, Beta Blockers, Calcium Channel Blockers, Diuretics, Potassium Supplements  Diet: Low Sodium Diet, Fluid restrictions.  Higher Risk of Heart Disease compare to Non-African American
  • 3. Learning Needs Assessment  We need to ask three things about the patient 1. What do they need to learn? 2. When is the best time to teach the patient? 3. What kind of learning style can we use to benefit the patients? Hands on? Visual aids? Cartoons?  Illness Belief 1. How do they feel about the Illness? 2. How will the illness affect their life? 3. How do they feel about the possible outcome now they have an illness?
  • 5. Health Promotion/Health Education Plan  Goal: To be prevent readmission  Behavioral Objectives 1. Identify support group outside family. 2. Proper Illness Belief towards CHF 3. Willingness to participate during nursing visits.
  • 7. Evaluation  Follow up visit from Home Health Nurse.  Being able to show how to log in to websites, browse the page and how to communicate with PCP online.  Identify how they coped when it became physically and emotionally challenging.
  • 8. Conclusion  The most important part I learned is assessing not just what they know about a disease but also how do they feel about the disease. (Illness Belief). Illness Belief is different from knowledge of illness. Community support is as important as every other interventions. With the support of the community we not just able to treat the patient as a whole but also communal.
  • 9. Reference  Albert, N. M. (2013). Parallel Paths to Improve Heart Failure Outcomes: Evidence Matters. American Journal of Critical Care, 22(4), 289-296. doi:10.4037/ajcc2013212  Family Planning & Community Health Group San Diego | NCHS. (n.d.). Retrieved April 24, 2016, from http://www.nchs-health.org/community-resources/our-programs/  Kim, S. M., & Han, H. (2013). Evidence-Based Strategies to Reduce Readmission in Patients with Heart Failure. The Journal for Nurse Practitioners, 9(4), 224-232. doi:10.1016/j.nurpra.2013.01.006  Medscape Log In. (n.d.). Retrieved April 24, 2016, from http://www.medscape.com/viewarticle/782534_3  Understanding Blood Pressure Readings. (n.d.). Retrieved April 24, 2016, from http://www.heart.org/HEARTORG/Conditions/More/MyHeartandStrokeNews/African- Americans-and-Heart-Disease_UCM_444863_Article.jsp#.VxyR0yMrJT5  Escondido Senior Center Services, City of Escondido, Park Avenue Community Center - Escondido - - County of San Diego, California. (n.d.). Retrieved April 24, 2016, from http://sandiego.networkofcare.org/aging/services/agency.aspx?pid=EscondidoSeniorCen terServicesCityofEscondidoParkAvenueCommunityCenter_4_1_0

Editor's Notes

  • #4: Learning Needs Assessment: Explained how learning needs will be assessed and identified the priority needs for promoting health in the community.
  • #6: Identified a goal and developed three behavioral objectives that will indicate the educational plan for the community was successful. Developed topical content and described the educational methods and tools that will be used to teach the community described
  • #7: Research/Evidence: Discussed findings from research literature and how it is used in health promotion and health education plan for the selected community. EBP articles (minimum 3) Written Outline: Utilized APA; quality of content; nursing journals cited. (Total 5 points) .
  • #9: Conclusion: Discussed ideas for the "way forward" (Total: 5 points)