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• W2531327852 abstract "Effectiveness of Cognitive Screening for Heart Failure Patients by Comfort Nkengla Bachelor/Masters of Nursing and Health Care Education, University of Phoenix, 2008 Bachelor of Science, University of Valdosta, 2005 Project Submitted in Partial Fulfillment of the Requirements for the Degree Doctor of Nursing Practice Walden University July 2016 Abstract Cognitive impairment is commonly seen in the elderly population. It is unclear if cognitive deficit in heart failure (HF) patients is a primary factor for higher hospital readmission rates in this population. The Centers for Medicare and Medicaid Services have established strict guidelines for reimbursement on readmissions that occur within 30 days. It is imperative that organizations identify and rectify issues that impact readmissions. The aim of this project was to determine if there is a reduction in HF readmission after patients are screened for cognitive impairment. Orem’s self-care model guided the project by providing a framework of inquiry regarding the impact of cognitive impairment on self-care deficits and the need for support for persons with heart failure. The project examined the hospital’s 30-day readmission rate for the HF patients who received cognitive screening using a chi-square test; this analysis excluded HF patients who were not screened for cognitive impairment. Readmission rates for all patients during a 6-month period were examined. Two hundred sixty-eight patient records were reviewed; 48 patients were readmitted, and of those, 28 patients had completed the cognitive assessment, meeting the criteria for the project. The change in readmission rates was not significant (p = 0.196), suggesting that cognitive screening of patients is not associated with reduced readmission rates. Further research should examine the role of cognitive screening in addition to other resources on the 30-day readmission rate of HF patients. Social change will be improved as a result of the improved quality of life for HF patients and the reduced per-capita cost of health care in the United States.Cognitive impairment is commonly seen in the elderly population. It is unclear if cognitive deficit in heart failure (HF) patients is a primary factor for higher hospital readmission rates in this population. The Centers for Medicare and Medicaid Services have established strict guidelines for reimbursement on readmissions that occur within 30 days. It is imperative that organizations identify and rectify issues that impact readmissions. The aim of this project was to determine if there is a reduction in HF readmission after patients are screened for cognitive impairment. Orem’s self-care model guided the project by providing a framework of inquiry regarding the impact of cognitive impairment on self-care deficits and the need for support for persons with heart failure. The project examined the hospital’s 30-day readmission rate for the HF patients who received cognitive screening using a chi-square test; this analysis excluded HF patients who were not screened for cognitive impairment. Readmission rates for all patients during a 6-month period were examined. Two hundred sixty-eight patient records were reviewed; 48 patients were readmitted, and of those, 28 patients had completed the cognitive assessment, meeting the criteria for the project. The change in readmission rates was not significant (p = 0.196), suggesting that cognitive screening of patients is not associated with reduced readmission rates. Further research should examine the role of cognitive screening in addition to other resources on the 30-day readmission rate of HF patients. Social change will be improved as a result of the improved quality of life for HF patients and the reduced per-capita cost of health care in the United States. Effectiveness of Cognitive Screening for Heart Failure Patients. by Comfort Nkengla Bachelor/Masters of Nursing and Health Care Education, University of Phoenix, 2008 Bachelor of Science, University of Valdosta, 2005 Project Submitted in Partial Fulfillment of the Requirements for the Degree Doctor of Nursing Practice Walden University July 2016 Dedication To my father and mother As a young girl, you instilled in me to always follow my dream and for that I will be forever grateful. Acknowledgments I would like to thank everyone who was instrumental in supporting me through this project. Dr. Sarah Cassell, words cannot express how grateful I am having you as a mentor. This paper could not have been written to its fullest without your input. You never accepted anything I presented to you for review which was less than my best efforts. For that I say “Thank you.” To my professor, Dr. Deborah Lewis, your kind nature gave me the spirit to push forward each time I had had the thought of giving up. To the faculty at Walden University, I want to extend thanks for your time and support throughout my DNP academic journey. To all my family –My husband, mother, brothers, and sisters your support will always be appreciated. To my sister Mechie and cousin Bernard –Thanks for your intellectual advice." @default.
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• W2531327852 date "2016-01-01" @default.
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• W2531327852 title "Effectiveness of Cognitive Screening for Heart Failure Patients" @default.
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