NR 630 ASSIGNMENT, INITIATION OF CAPSTONE PROJECT, CARDIAC WELLNESS

NR 630 ASSIGNMENT, INITIATION OF CAPSTONE PROJECT, CARDIAC WELLNESS Initiation of Capstone Project Cardiac Wellness Program Melissa Brooks Chamberlain University Spring Cardiac Wellness Program In 2012, 17.5 million people died from heart disease and accounted for 31 percent of the global mortality rate. The conditions that were reported on were acute coronary syndromes such as ST elevation, myocardial infarction, non-ST elevation myocardial infarction, and unstable angina. These patients are fifty percent more likely to be readmitted with life threatening conditions. (Hamilton, Mills, B. McRae, & Thompson, 2018) With an aging demographic in the community and the current demands placed on nursing leaders to provide quality and affordable healthcare while maintaining patient satisfaction determined a need to look for evidence-based research to decrease cardiac readmissions through the implementation of a cardiac wellness program. The goal for the program is to decrease the hospitals cardiac readmissions by forty percent and show a return on investment in one year. Summary: The article describes the opportunity the Affordable Care Act offers to improve public health in the United States by building workplace cultures of health. The author suggests that the prevention and public health fund offers the community opportunities to strengthen public health through wellness programs with a strategy to focus on wellness and prevention. This article is relevant and provides current evidence-based data to support the implementation of a cardiac wellness program. Anderko L, Roffenbender JS, Goetzel RZ, Millard F, Wildenhaus K, DeSantis, C., Novelli, W. (2012). Promoting prevention through the affordable care act: Workplace Wellness. Preventing Chronic Disease, 9:120092. Summary: This study found that a high percentage of cardiovascular disease patients have poor dentition, but overall lack awareness of how their oral health can impact their cardiovascular outcomes. The results suggest that a holistic cardiac wellness program should promote the importance of providing health advice and referral services to affordable dental professionals. The article reinforces the aspects of preventative healthcare playing a key role in the cardiac wellness setting by developing a dental referral pathway and the opportunity to receive oral health education. This article is relevant and provides current evidence-based data to support the need to incorporate oral health education into a holistic cardiac wellness program. Sanchez, P., Everett, B., Ajwani, S., Bhole, S., Bishop, J., Lintern, K., Nolan, Rajaratnaum, R., Redfern, J., Sheehan, M., Skarligos, F., Spencer, L., Srinivas, R., George,. (2017). Oral health and cardiovascular care: perceptions of people with cardiovascular disease. PloS ONE. 12 (7). 1- 17. Summary: This article evaluates the barriers to care experienced by patients in the post- acute phase of their cardiac rehabilitation. It was discovered that geography, service availability and population density had a direct correlation on the limited access to cardiac rehabilitation services. The author reports a need for implementation of systemic data collection to establish benchmarks suggesting this will allow services to be evaluated and monitored. Utilizing emerging technology to create access to health pathways that facilitate a referral base and continuity of care. This article is relevant and provides current evidence-based data to support the need to incorporate alternative access pathways to patients with limited transportation and access issues. Hamilton, S., Mills, B., McRae, S., & Thompson, S. (2018). Evidence to service gap: cardiac rehabilitation and secondary prevention in rural and remote Western Australia. BMC Health Services Research, 181-9. doi:10.1186/s Summary: The article proposed that patients who received a customized plan of care would maintain compliance with exercise program and adhere to interventions compared to a control group who participated in a standardized plan of care process. Results suggested a trend that indicates the importance of developing individualized plans of care. Patients are more likely