Disciplines
Community Health and Preventive Medicine | Critical Care Nursing | Other Rehabilitation and Therapy
Abstract (300 words maximum)
Interventions to Decrease Readmission Rates in LVAD Patients
Karolina Jackson
WellStar School of Nursing, Kennesaw State University
NURS 4417: Advanced Clinical Practicum
Lynnda Campbell
October 21, 2022
Abstract
Background: Patients who have undergone implantation of a left ventricular assistive device are at a higher risk for readmission- whether that be due to driveline dressing infections, thrombosis, bleeding at the site of implantation, or electrolyte imbalances. These readmission rates in the LVAD population can be decreased through appropriate intervention methods. Literature Review: This study’s main purpose was to discover interventions healthcare facilities and core LVAD staff can implement in practice to decrease rates of readmissions. Literature found highly suggests that lack of education, infection, and postoperative bleeding are some of the main causes of readmission in the LVAD population, decreasing these risk factors by implementing rigorous, patient-based interventions is the goal of the study. Method: For this research, I would first find willing participants who have just undergone LVAD implantation. With these patients who have volunteered, during the postoperative period, individualized plans for what these patients needed to decrease their risk of readmission would be made. The control group would be the patients who opted out of receiving the individualized care plan pathway. These individualized care plan pathways would include education classes, inpatient rehabilitation, instructions for maintaining sterility during driveline dressing changes, and ways to decrease thrombosis/bleeding at the surgical site. Evaluation: how will you analyze/evaluate what you propose to do? In order to evaluate the effectiveness of the individualized care given to these patients, I would compare data from studies previously with no individualized care plans and the new data from readmission rates with the individualized care interventions. I would use the postoperative period of 60 days to compare the results of patients who were readmitted and patients who managed to stay out of the hospital other than outpatient services. I would consider the intervention effective if the readmission rates in LVAD patients decreased by at least 15%.
Academic department under which the project should be listed
Wellstar College of Health and Human Services
Primary Investigator (PI) Name
Christie Emerson
Additional Faculty
Lynnda Campbell
Nursing 4417 Clinical Instructor
ljc4561@kennesaw.edu
Included in
Community Health and Preventive Medicine Commons, Critical Care Nursing Commons, Other Rehabilitation and Therapy Commons
Interventions to Decrease Readmission Rates in LVAD Patients
Interventions to Decrease Readmission Rates in LVAD Patients
Karolina Jackson
WellStar School of Nursing, Kennesaw State University
NURS 4417: Advanced Clinical Practicum
Lynnda Campbell
October 21, 2022
Abstract
Background: Patients who have undergone implantation of a left ventricular assistive device are at a higher risk for readmission- whether that be due to driveline dressing infections, thrombosis, bleeding at the site of implantation, or electrolyte imbalances. These readmission rates in the LVAD population can be decreased through appropriate intervention methods. Literature Review: This study’s main purpose was to discover interventions healthcare facilities and core LVAD staff can implement in practice to decrease rates of readmissions. Literature found highly suggests that lack of education, infection, and postoperative bleeding are some of the main causes of readmission in the LVAD population, decreasing these risk factors by implementing rigorous, patient-based interventions is the goal of the study. Method: For this research, I would first find willing participants who have just undergone LVAD implantation. With these patients who have volunteered, during the postoperative period, individualized plans for what these patients needed to decrease their risk of readmission would be made. The control group would be the patients who opted out of receiving the individualized care plan pathway. These individualized care plan pathways would include education classes, inpatient rehabilitation, instructions for maintaining sterility during driveline dressing changes, and ways to decrease thrombosis/bleeding at the surgical site. Evaluation: how will you analyze/evaluate what you propose to do? In order to evaluate the effectiveness of the individualized care given to these patients, I would compare data from studies previously with no individualized care plans and the new data from readmission rates with the individualized care interventions. I would use the postoperative period of 60 days to compare the results of patients who were readmitted and patients who managed to stay out of the hospital other than outpatient services. I would consider the intervention effective if the readmission rates in LVAD patients decreased by at least 15%.