FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1010719777> ?p ?o ?g. }

• W1010719777 endingPage "185" @default.
• W1010719777 startingPage "177" @default.
• W1010719777 abstract "Our purpose was to examine congestive heart failure (CHF) readmissions from the veterans' perspective. The use of health care provider interventions, such as standardized education materials, home telehealth, and a CHF clinic, was able to reduce readmissions rates from 35% to 23%. Our objective was to use input from the veterans to fine-tune our efforts and achieve readmission rates for patients with CHF below the national average of 21%. We wanted to identify factors that result in CHF readmissions, including disease education, self-care management, and barriers to self-care. This study was directed toward answering two questions: 1. What is the veteran’s explanation for readmission? 2. According to the veteran, what are the barriers to following their treatment regimen?It was a rural 84-bed Veterans Health Administration hospital in the Western United States.Before this study, our efforts to reduce CHF readmissions were one-sided, all from the health care professionals' viewpoint. We wanted to hear what the veteran had to say; so, we interviewed 25 veterans. Four veterans were excluded due to issues with their consents. Ninety percent (n = 19/21) responded that they knew their CHF was worse by a change in their breathing (shortness of breath). They identified 48 signs/symptoms that indicated worsening CHF. Weight gain was noted as an indication of worsening CHF symptoms (n = 6/48) in 12.5% of the responses. Twenty-five percent (n = 12/48) of the veterans stated they recognized the early symptoms of worsening CHF. Thirty-eight percent (n = 8/21) of the veterans stated they had early symptoms of worsening CHF, but only two of them contacted their doctor. It is interesting to note that only 29% (n = 6/21) of the veterans recognized weight gain as a sign of worsening CHF and all of these veterans listed other symptoms (such as shortness of breath) along with weight gain. Weighing on a daily basis was practiced by only 30% of the group (n = 7/21); all but two of the veterans had no problems with weighing themselves. More than 71% of the veterans responded that they had no problems following their diet or taking their medications. More than half of the veterans did not need help with meals, transportation, or daily grooming/dressing/toileting.We were concerned about the evident delays in seeking medical care for worsening CHF. All veterans who did need help with the activities of daily living, medications, or diet had their needs met through their support systems. They did not perceive any barriers to seeking care. However, there remain many unanswered questions. Does the patient understand their discharge education and know how to use this information from daily weights or recognition of early symptoms, to indicate their need for urgent and emergency medical interventions? Or is it a problem that the education is not sufficient? Is it a question of the burden of care from multiple comorbid conditions or of taking too many medications? Do social issues drive readmissions? These questions are further explored in a second study, which is in the data analysis stage.There are three key findings from our study. 1. Veterans think in terms of symptoms that increase the impact of CHF on their life. 2. The relationship between daily weight and controlling CHF is not clear to veterans. 3. Hospital discharge instructions should clearly associate symptoms that are associated with worsening CHF." @default.
• W1010719777 created "2016-06-24" @default.
• W1010719777 creator A5043923762 @default.
• W1010719777 creator A5075467074 @default.
• W1010719777 creator A5081766294 @default.
• W1010719777 creator A5087120117 @default.
• W1010719777 creator A5088643977 @default.
• W1010719777 date "2015-07-01" @default.
• W1010719777 modified "2023-09-26" @default.
• W1010719777 title "Hearing the Veteran's Voice in Congestive Heart Failure Readmissions" @default.
• W1010719777 cites W2000460140 @default.
• W1010719777 cites W2023343904 @default.
• W1010719777 cites W2024077052 @default.
• W1010719777 cites W2034028556 @default.
• W1010719777 cites W2035080683 @default.
• W1010719777 cites W2042507422 @default.
• W1010719777 cites W2049384314 @default.
• W1010719777 cites W2050856345 @default.
• W1010719777 cites W2074151142 @default.
• W1010719777 cites W2083221422 @default.
• W1010719777 cites W2089125160 @default.
• W1010719777 cites W2090837986 @default.
• W1010719777 cites W2098708006 @default.
• W1010719777 cites W2105902975 @default.
• W1010719777 cites W2112542758 @default.
• W1010719777 cites W2129845938 @default.
• W1010719777 cites W2137298866 @default.
• W1010719777 cites W2143304299 @default.
• W1010719777 cites W2157293194 @default.
• W1010719777 cites W2163418502 @default.
• W1010719777 cites W4211187386 @default.
• W1010719777 cites W4292022394 @default.
• W1010719777 doi "https://doi.org/10.1097/ncm.0000000000000080" @default.
• W1010719777 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26035259" @default.
• W1010719777 hasPublicationYear "2015" @default.
• W1010719777 type Work @default.
• W1010719777 sameAs 1010719777 @default.
• W1010719777 citedByCount "12" @default.
• W1010719777 countsByYear W10107197772016 @default.
• W1010719777 countsByYear W10107197772017 @default.
• W1010719777 countsByYear W10107197772018 @default.
• W1010719777 countsByYear W10107197772019 @default.
• W1010719777 countsByYear W10107197772020 @default.
• W1010719777 countsByYear W10107197772021 @default.
• W1010719777 crossrefType "journal-article" @default.
• W1010719777 hasAuthorship W1010719777A5043923762 @default.
• W1010719777 hasAuthorship W1010719777A5075467074 @default.
• W1010719777 hasAuthorship W1010719777A5081766294 @default.
• W1010719777 hasAuthorship W1010719777A5087120117 @default.
• W1010719777 hasAuthorship W1010719777A5088643977 @default.
• W1010719777 hasConcept C118552586 @default.
• W1010719777 hasConcept C126322002 @default.
• W1010719777 hasConcept C160735492 @default.
• W1010719777 hasConcept C162324750 @default.
• W1010719777 hasConcept C177713679 @default.
• W1010719777 hasConcept C1862650 @default.
• W1010719777 hasConcept C194828623 @default.
• W1010719777 hasConcept C27415008 @default.
• W1010719777 hasConcept C2775969662 @default.
• W1010719777 hasConcept C2778198053 @default.
• W1010719777 hasConcept C2779134260 @default.
• W1010719777 hasConcept C2779734285 @default.
• W1010719777 hasConcept C2779891985 @default.
• W1010719777 hasConcept C2781050511 @default.
• W1010719777 hasConcept C2781413609 @default.
• W1010719777 hasConcept C2982889124 @default.
• W1010719777 hasConcept C50522688 @default.
• W1010719777 hasConcept C512399662 @default.
• W1010719777 hasConcept C71924100 @default.
• W1010719777 hasConceptScore W1010719777C118552586 @default.
• W1010719777 hasConceptScore W1010719777C126322002 @default.
• W1010719777 hasConceptScore W1010719777C160735492 @default.
• W1010719777 hasConceptScore W1010719777C162324750 @default.
• W1010719777 hasConceptScore W1010719777C177713679 @default.
• W1010719777 hasConceptScore W1010719777C1862650 @default.
• W1010719777 hasConceptScore W1010719777C194828623 @default.
• W1010719777 hasConceptScore W1010719777C27415008 @default.
• W1010719777 hasConceptScore W1010719777C2775969662 @default.
• W1010719777 hasConceptScore W1010719777C2778198053 @default.
• W1010719777 hasConceptScore W1010719777C2779134260 @default.
• W1010719777 hasConceptScore W1010719777C2779734285 @default.
• W1010719777 hasConceptScore W1010719777C2779891985 @default.
• W1010719777 hasConceptScore W1010719777C2781050511 @default.
• W1010719777 hasConceptScore W1010719777C2781413609 @default.
• W1010719777 hasConceptScore W1010719777C2982889124 @default.
• W1010719777 hasConceptScore W1010719777C50522688 @default.
• W1010719777 hasConceptScore W1010719777C512399662 @default.
• W1010719777 hasConceptScore W1010719777C71924100 @default.
• W1010719777 hasIssue "4" @default.
• W1010719777 hasLocation W10107197771 @default.
• W1010719777 hasLocation W10107197772 @default.
• W1010719777 hasOpenAccess W1010719777 @default.
• W1010719777 hasPrimaryLocation W10107197771 @default.
• W1010719777 hasRelatedWork W1994604620 @default.
• W1010719777 hasRelatedWork W2038198348 @default.
• W1010719777 hasRelatedWork W2038317545 @default.
• W1010719777 hasRelatedWork W2078117844 @default.
• W1010719777 hasRelatedWork W2124125394 @default.

• next