Data Meta-Analysis of 20 studies, representing 5624 individual heart failure patients data showed that self-management interventions had a beneficial effect to heart failure related hospitalizations and even elicited a small increase in heart failure related quality of life. (1)
Self-management of heart failure patients decreases over all hospital readmissions and readmissions specifically for heart failure. With a reported monetary savings from $1300 to $7515 dollars per patient per year. This is according to a review of 6 randomized trials with 857 patients. (2)
The Center for Disease Control (CDC) State of Aging and Health In America Report as well as The Institute Of Medicine (IOM) identify self-management as a priority for US Health care. With self-management prioritized for imporving quality and effectiveness of chronic heart failure patient care. (3)
US Health Care Systems are under pressure to slow/reverse the often poor outcomes (most notably hospital readmission rates) and escalating health care costs associated with chronic illness care.
In emerging changes (directives) in health care policy a patients role is being transformed from being a passive to an active consumer who becomes an engaged member of the health care team. (3)
It is critical for desireable outcomes for active participation of an informed patient. Giving them a key role in influencing health care cost and quality. The rationale being that self-management as a fact takes place in each individuals every day life. (3)
Clinitians strongly encourage heart failure patients to regularly take medications, monitor symptoms, keep appointments, monitor weight, and follow a low-salt diet.
Hibbard et al (4) showed that patients more actively involved were more likely to engage in self-management behaviours, such as better medication adherence. Depending on the level of participation by the patient, some see successful self-management as compliance and more active patients saw self-management as a form of control and working in partnership with their health care professionals. (4)
The Cardiac Vitals Journal is an easy go-to Daily Heart Patient Journal for Doctors, Nutritionists & Physical Therapists when you have questions of how the patient has been progressing in their process of self-maintenance.
There are 4 Sections within the book, instructions for each section, to last approximately 3 months. Patients use the Journal to document daily vitals, daily food choices, sodium, potassium, fluid intake/output, am & pm blood pressures & heart rate. An area is included for insulin detailing & blood sugar for those who need it, daily medications & supplements, & daily exercise habits.
By Raven Marie Robins (Deel)
REFERENCES
(1) Jonkman NH, Westland H, Groenwold, Rolf H. H. Do Self-Management Interventions Work in Patients with Heart Failure? An Individual Patient data Meta-Analysis. Circulation 2016 Mar 22; 133(12):1189-1198 PMIC: PMC5180429
(2) Jovicic A, Holroyd-Lieduc JM, Straus SE Effects of Self-Management Intervention on Health Outcomes of Patients With Heart Failure: A Systematic Review of Randomized Controlled Trials. BMC Cardiovasc Disord. 2006 Nov 2; 6:43 PMID: 17081306
(3) Gardetto NJ Self Management In Heart Failure: Where Have We Been and Where Should We Go? Journal Multidisciplinary Health C 2011; 4: 39-51
(4) Hibbard JH, Mahoney ER, Stock R, Tusler M Do Increases In Patient Activation Result in Improved Self-Management Behaviours? Health Serv Res. 2007;42(4): 14443-14463
Company’s Keywords:
heart failure, heart disease, dietary, wellness, medicine documentation, exercise, patient care, cardiac, dieting, insulin tracking, nutrition, prescription documentation, medical devices, sodium tracking, congenital heart disease, pediatric heart disease, medical tools, health, self management, medical resources
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