NU499 Nursing Capstone Population Health Plan.

Posted: November 28th, 2022

NU499 Nursing Capstone Population Health Plan.

NU499 Nursing Capstone Population Health Plan

Upstream Factors

The upstream factors likely to affect congestive heart failure (CHF) patients include socioeconomic environment and the physical environment.The socioeconomic disadvantage includes low income, low level of education, and poor neighborhood conditions that may contribute to disease(Lam et al., 2018). For example, the inability to afford good nutrition, proper physical exercises, and inability to afford healthcare may be attributable to the development and poor management of congestive heart failure (CHF). Equally, low literacy may also contribute to poor management CHF. The physical environment is also a contributing factor to CHF. Cumulative exposures to environmental risks such as tobacco smoke and air pollution have been linked to increased heart attacks and CHF (von Lueder&Agewall, 2018).NU499 Nursing Capstone Population Health Plan.

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Population Factors

Genetic factors, physiologic factors, and behavioral factors are the population factors that significantly affect patients with CHF. Genetic factors that predispose individuals to CHF include Single nucleotide polymorphisms (SNP) mutations, congenital heart disease, and family history of CHF(Lam et al., 2018).The behavioral factors includea sedentary lifestyle and dietary risk factors while the physiologic factors the impact of psychological stress on some transient cardiovascular responses that may encompass changes in the cardiac output and heart rate, leading to abnormal heart rhythm, peripheral resistance, and changes in blood pressure(Lam et al., 2018).NU499 Nursing Capstone Population Health Plan.

Health Care System Factors

Healthcare system factors likely to impact the care and health outcomes of patients with CHF include organization, providers, and policies. A health system that is adequately organized supports the provision of high-quality care. for instance, some minority populations have lower-cost health plans that may limit their utilization of healthcare services, while others have lesser limiting plans. In addition, organizational imposed physical cost and financial restrictions can also foster unequal clinical practice patterns among CHF patients(von Lueder&Agewall, 2018). The availability of providers significantly affects the care outcomes of CHF patients because the inability to access care for a CHF patient may lead to serious complications and even death. Some communities have low numbers of providers, while other communities do not face any disparity at all when it comes to the availability of providers. Finally, there are various policies that support financing and access to services relevant to the care of CHF patients(von Lueder&Agewall,2018).NU499 Nursing Capstone Population Health Plan.

Nursing Activities

Nursing activities for CHF patients include promoting health and maintenance using population-based nursing practice processes. It is important for nurses to educate CHF patients about behaviors likely to promote health and proper self-care behaviors(Riegel et al., 2017). Self-care for individuals with CHF includes maintaining the prescribed behavioral lifestyle changes and adhering to the appropriate treatment regimen. CHF patients can use self-care management to respond to symptoms as they occur. It is important for nurses to educate CHF patients regarding the self-care activities that can prevent complications and manage CHF (Riegel et al., 2017).NU499 Nursing Capstone Population Health Plan.

Population Health Outcomes

The population outcomes for CHF patients include reduced functional status and reduced quality of life. This is because CHF may adversely affect the functionality of the patients and therefore reduces the quality of life. In addition, CHF is associated with reduced life expectancy and a higher mortality rate, when compared to the other population (Savarese et al., 2017).NU499 Nursing Capstone Population Health Plan.

Conclusion

The identified upstream factors likely to impact CHF patients include socioeconomic environment and the physical environment, while genetic factors, physiologic factors, and behavioral factors are the population factors that significantly affect CHF patients.  The relevant healthcare system factors for CHF patients are organization, providers, and policies. Promotion of health and wellness is very vital for CHF patients and the population outcomes for CHF patients include reduced functional status, reduced quality of life, reduced life expectancy and higher mortality rate.NU499 Nursing Capstone Population Health Plan.