Management of Patients with Congestive Heart Failure: Evaluation of Asherence to Practice Guidelines Based on Level of Care

Keywords

Congestive heart failure; Agency for Health Care Policy and Research

Abstract

Advances in technology are creating decreases in the number of premature deaths from cardiovascular disease, resulting in an increase in life expectancy. This decrease in mortality and increase in life expectancy has created an annual increase in the incidence of Congestive Heart Failure (CHF). Positive outcomes of adherence to recommendations for the treatment of CHF are documented in the literature. Recommendations focus on the reduction of symptoms, prevention of the progression of CHF, improved quality of life and the prevention of sudden death.

The purpose of this study was to evaluate the degree of adherence and the differences in the adherence to Agency for Health Care Policy and Research practice guidelines between physicians caring for patients in the acute care setting and in the primary care setting as well as by specialty.

This study identified significant differences in the assessment, diagnostic testing and medication regimen based on physician specialty as well as level of care. Education provided to patients diagnosed with CHF was found to be lacking in both the inpatient and outpatient setting and by physician specialties. Reinforcing and educating health care provides through evidence based practices will assist in the overall care of patients with CHF, decrease cost and improve the quality of life of those diagnosed with CHF.

Notes

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Graduation Date

2000

Advisor

Byers, Jacqueline

Degree

Master of Science (M.S.)

College

College of Health and Public Affairs

Department

Nursing

Format

Print

Pages

120 p.

Language

English

Length of Campus-only Access

None

Access Status

Masters Thesis (Open Access)

Identifier

DP0022680

Subjects

Dissertations, Academic -- Health and Public Affairs; Health and Public Affairs -- Dissertations, Academic

Accessibility Status

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