Rates of readmission for patients with congestive heart failure (CHF) have been reported at 29% - 47% within three to six months (Rich et al 1995). One study reported an unplanned readmission rate of 20% within 28 days for this patient population (Lowe et al 1998). Factors such as poor understanding or poor compliance with diet, lifestyle recommendations, and medication regimens are often reported as reasons contributing to readmission. Trials in the US that have utilized interventions that address these issues have demonstrated significant improvements in readmission rates. These interventions have included a multidisciplinary proactive approach that provided structured follow-up and monitoring. This included nurse home visits, telephone follow-up, an intensive education program promoting patient self-management skills development and support service. Further to this, these studies have demonstrated reduced emergency department presentations, improved quality of life, reduced costs, improved compliance with lifestyle recommendations and medication behavior and improved functional capacity for patients with CHF.
Q1.The paragraph gives information about;
A) Different studies to improve readmission of patients with CHF
B) Ways of improvising lifestyle modifications to prevent readmission
C) Statistics of readmission, reasons, and suggestions to reduce it.
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