Answer 2 for NRS 455 Discuss discharge resources that are available for chronic cardiorespiratory issues to support patient independence and prevent readmission
An
Discharge planning for patients with chronic cardiorespiratory issues is crucial to ensure their ongoing care, independence, and to prevent readmission. Several discharge resources can support patients and contribute to their overall well-being. According to the text, the cardiorespiratory patient will have a variety of needs such as cardiac rehabilitation, pulmonary rehabilitation, or even the need of medical equipment (Johnson, 2022). Pulmonary and cardiac rehabilitation programs can help patients improve their exercise tolerance, strengthen respiratory muscles, and enhance overall cardiovascular health. These programs are often supervised by healthcare professionals and may include exercise training, education, and counseling to guide the patients to be independent and self-manage their conditions (Johnson, 2022). Support groups can also offer practical tips for daily living and coping strategies. Joining local support groups can also be beneficial and provide patients with a sense of community, emotional support, and shared experiences, which can be beneficial for managing chronic conditions (Thompson et al., 2022).
The financial implications of readmission underscore the importance of implementing strategies that enhance patient care outcomes while aligning with value-based reimbursement models (Upadhyay, et al., 2019). With the implementation of value-based care and penalties for excessive readmissions, hospitals are motivated to reduce avoidable hospitalizations. Medicare, for example, imposes penalties on hospitals with higher-than-expected readmission rates within 30 days of discharge for certain conditions, including heart failure, pneumonia, and COPD. Hospitals may see reduced reimbursement rates or face financial penalties for failing to meet readmission reduction targets (Upadhyay, et al., 2019). Additionally, readmissions can lead to prolonged periods of medical expenses and potential loss of income for patients and their families.
References:
Johnson, R. A. (2022). Cardiorespiratory complexities. In Grand Canyon University (Eds.), Pathophysiology: Clinical applications for client health. https://bibliu.com/app/#/view/books/1000000000590/epub/Chapter1.html
Thompson, D.M., Booth, L., Moore, D. (2022). Peer support for people with chronic conditions: A systematic review of reviews. BMC Health Serv Res 22, 427. https://doi.org/10.1186/s12913-022-07816-7
Upadhyay, S., Stephenson, A. L., & Smith, D. G. (2019). Readmission rates and their impact on hospital financial performance: A study of Washington hospitals. Inquiry: A Journal of Medical Care Organization, Provision and Financing, 56, 46958019860386. https://doi.org/10.1177/0046958019860386
