Prevent readmission for heart failure in Singapore essay  sample

In Prevent readmission for heart failure essay sample will explain about Is heart failure is the leading cause of hospital readmissions, Causes readmission to the hospital for heart failure, How can Singaporean prevent the readmission of heart failure, Heart failure readmission predictors tool, the Readmission rate for heart failure, How can Singapean reduce my CHF readmission rate? Cost of readmission of heart failure per Singaporean patient, Hospital readmissions reduction program in Singapore, etc.

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Introduction- Prevent readmission for heart failure in Singapore essay

Heart failure is a common condition that can be managed with medical intervention. These interventions include lifestyle changes, medications, and other therapies. However, readmissions in Singapore are still very common in patients who experience heart failure. This essay sample will discuss readmission for heart failure measures to take to avoid readmission for heart failure essay.

Main body-Prevent readmission for heart failure in Singapore essay

Is heart failure the leading cause of hospital readmissions in Singapore?

Yes. For patients with CHF (chronic heart failure), there’s no one specific “reason” that they end up in the hospital in Singapore; it can be for any number of reasons, including emergencies or planned procedures.

The only way to reduce the likelihood of readmissions is if you’re hospitalized for a health problem caused specifically by heart problems (for example, blood clots in your lungs), which means you will stay overnight due to an adverse event or because you need your medication adjusted.

All other Singaporean patients without CHF likely won’t need an overnight stay and are more likely to be outpatients who come back after following instructions at home. Patients who feel well often don’t follow instructions as closely as they should, so their readmission rate is high.

Causes readmission to the Singapore hospital for heart failure

Readmission to a hospital for heart failure in Singapore can have many causes. These include fluid overload, worsening symptoms of inadequate blood flow through the body which can trigger chest pain, repeat pulmonary emboli or pulmonary edema, atrial fibrillation with a rapid ventricular response, or progressive hypotension leading to dizziness and confusion. You may want to talk to your doctor about ways you could help prevent these problems from occurring.

As far as prevention goes, this is one of those cases where making the right lifestyle changes will really go a long way to helping keep you out of that hospital bed in the first place.

An episode of readmission may be the sign that the underlying conditions that led to hospitalization have not been addressed or resolved. Not all cases of readmission involve a complication some patients simply need another intervention and release from the hospital before entering hospice care.

How can Singaporean prevent the readmission of heart failure?

One of the most effective interventions for lowering the risk of hospital readmission is prescribing omega-3 fatty acids.

The best group to target is those with symptomatic heart failure. They are twice as likely to be readmitted within 30 days after discharge, and four times as likely to die in this short time period, because they are sicker when they enter the hospital.

Omega-3s have been shown to lower triglycerides and raise HDL cholesterol which can reduce cardiac death by 50% relative to a placebo pill, plus EPA improves endothelial function which may remove some blockages that might lead to sudden cardiac arrest or arrhythmia. These therapies should be combined with lowering salt intake, stopping high blood pressure medications if possible, and reducing stress which will also cause a rise in blood pressure.

The best way to prevent readmission for heart failure is with lifestyle changes and medications that address the underlying causes of CHF, especially if you’re taking care of yourself by getting enough rest and avoiding stressful situations as much as possible. Prevention can help your recovery be more successful overall!

Heart failure readmission predictors in Singapore

Heart failure readmission predictors include:

• Uncontrolled (or poorly controlled) diabetes.
• Heart rate – should be less than 100 beats per minute, and more preferably 80-90.
• Systolic blood pressure should be less than 130 mm Hg or 55 mmHg if that’s what you’re using. If not, then the lower number is 115 systolic.
• Presence of atrial fibrillation. The higher the frequency of atrial premature contractions, or PVCs, the higher chance for rehospitalization due to heart failure. It could also lead to worsening heart failure symptoms and inadequate oxygen levels which can result in a seizure during sleep.

There has been a lot of research on the impact of atrial fibrillation and heart failure readmissions, especially since it can be a very avoidable complication.

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Singaporean readmission rate for heart failure

The readmission rate is the rate in Singapore in which an admitted patient is later re-admitted to the same hospital within 30 days of initial admission. Studies show that one in 10 patients are readmitted, meaning that they are admitted for a second time within 30 days. The majority of these re-admissions take place in the month following discharge from the hospital, with most happening between one and three weeks after discharge.

• The readmission rate for heart failure in Singapore was found to be 23.6%. This means that within the first week following discharge, 44 of 231 patients (or 23.6%) were re-hospitalized with heart failure before their planned date of discharge (>30 days).
• Outpatient follow-up was performed on all outpatients seen in the hospital.
• Data were collected through retrospective review for patient records where at least two five-year age groups are available, namely >60 years and 30 to 60 years preceding the current study period.
• Data used in this research is obtained from the National Health Services institutional data set which consists mainly of outpatient clinic visits 5 to 10 years ago.

How can Singaporean reduce my CHF readmission rate?

Carefully review whether or not your care is in line with these three I’s of CHF care:

• Get the right diagnosis, by eliminating myocarditis through ECG, CMP, and serum troponin-T; assessing for endocarditis; checking your heart’s function with diagnostic imaging (echocardiography); using the right blood pressure medication (ACE-i or ARBs) to control that condition.
• Get the right treatment, by treating high blood pressure, hyperlipidemia and diabetes; use beta-blockers; follow up on recommending an implantable defibrillator if heart rhythms are unstable or ventricular arrhythmia persists despite medication adjustment; advise my patients to quit smoking and to reduce alcohol intake.

Including a chart of the care recommendations within your discharge plan may also help remind providers what you need from them before they see you in follow-up to avoid readmissions for heart failure. This will ensure that all parties involved are on the same page regarding treatment, medications, lifestyle changes (including dietary modifications) and indicate which pharmacy should be called if there are any questions/concerns following discharge.

Cost of readmission of heart failure per Singaporean patient

The average cost of readmission for heart failure is an estimated $28,843 per Singaporean patient. That means one episode of heart failure treatment will cost a patient’s the total amount of the surgery.

This number includes costs for hospitalization, medications, and outpatient follow-up care. The surgery estimate does not include any potential complications that arise during the surgery or post-surgery recovery time or expenses incurred due to death during an operation stay at the hospital.

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Hospital readmissions reduction program in Singapore

The hospital readmission reduction program in Singapore is aimed at reducing the number of readmissions and improving the quality of care. Each level 3 hospital has a dedicated readmission team and patient coordinator and quality indicators include:

• • Length-of-stay (LOS) – How long patients stay in hospital after their follow-up.
  • Readmissions – The number of people who return to hospital within 30 days of discharge from the same episode – Deaths after discharge from acute care within 24 hours, 7 days, or 30 days.
  • Early intervention goals for fall prevention, pressure ulcers prevention & clinical infections prevention.
  • Quality control assessments are placed on pharmacists, doctors, nurse practitioners.

Conclusion:

Preventing readmissions for heart failure is an important part of reducing the cost and improving the quality of care. We can help you reduce your CHF readmission rate with our hospital readmissions reduction program in Singapore. Contact us today to learn more about how we can work together to prevent heart failure readmissions!

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