Home Health Transitional Care Interventions (TCI) to Reduce Rehospitalization in Geriatric Patients with Heart Failure
Date
2019-04-12
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Abstract
This evidence-based project evaluates the evidence that high-intensity transitional care interventions at home are effective at preventing re-hospitalization, reducing mortality and improving quality of life in geriatric patients with heart failure. The project recommends consistent implementation, at home, of an interdisciplinary team, use of a standardized tool to assess re-hospitalization risk and regular use of the Teach Back method for patient and caregiver education (AHRQ, 2015). These strategies should be part of the standard outpatient intervention.
Description
This project was undertaken with Sonya Wade, DNSc, APRN, FNP-BC and Shainy Varghese, Ph.D., APRN, CPNP.
Keywords
Transitional Care Interventions, TCI, Geriatric Patients with Heart Failure, Home health, Transitional Care Interventions, TCI, Geriatric Patients with Heart Failure, Home health care