I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

A clinical problem I am seeing during my practicum is the readmission rates. These readmission rates could be due to a variety of underlying issues such as language barriers, failure to understand discharge teaching, insufficient time to adequately provide discharge instructions or noncompliance. The Centers for Medicare and Medicaid (CMS) have put fourth measurements to help decrease hospital readmission rates. The CMS defines readmission as “an admission to a subsection hospital with in 30 days of a discharge from the same or another subsection hospital” (CMS, 2017). Three main diagnosis that were identified by CMS for having high readmission rates are, acute myocardial infarction, heart failure, and pneumonia (CMS, 2017). In my experience working on the cardiac unit there are many times we see patients readmitted for heart failure due to a failure to comply with their medication regimen. The increased readmission rates have an effect on nursing.     Two nursing implications of increased readmissions, specifically related to heart failure are improved knowledge and instruction about heart failure, and coordinating care after the patient has been discharged. Nurses must be further educated on the process of heart failure and how to better educate their patients prior to discharge. This can mean further education for nurses and increased time spent by the hospital to provide the education for the staff. The coordination of care post discharge is important to decrease the readmission rate for heart failure patients. A way to encourage patients to follow discharge instructions is to check in with them on a regular basis after discharge, this might be done through a phone call or a visit. I know that my hospital was trying to implement a process when an RN will call the patient at different intervals following discharge to check in with the patient. I think that both furthering an RN’s education about heart failure and implementing a system in which patients are checked in with after discharge could reduce the readmission rates of heart failure patients.       Reference:     Centers for Medicare and Medicaid (CMS). (2017). Readmissions Reduction Program (HRRP). Retrieved from:   https://www.cms.gov/medicare/medicare-fee-for-service payment/acuteinpatientpps/readmissions-reduction-program.html

InstructionsThe Impact of Chronic IllnessIdentify one person from the illness group you chose in Week 1. The person should not be a patient at the facility in which you work. You can use friends, family members, or coworkers. Do not use the person’s name in the paper but only initials. Administer the questionnaire you created in Week 1 to that person. Compile the data and analyze the responses to better illustrate where this person, his or her family, and friends are in relation to accepting the diagnosis in relation to the standard health or illness definitions. The analysis should also include coping skills, treatment, and support aspects of the illness. Identify how this will direct care plan development for the chosen illness group.Compile a report of your interview with the questions you created, the responses you received, your analysis, and your interpretation of how it will affect planning care for the group in a 4- to 5-page Microsoft Word document.Support your responses with examples.On a separate references page, cite all sources using APA format.Use this APA Citation Helper as a convenient reference for properly citing resources.This handout will provide you the details of formatting your essay using APA style.You may create your essay in this APA-formatted template.Submission DetailsName your document SU_NSG4055_W2_A2_LastName_FirstInitial.doc.Submit your document to the Submissions Area by the due date assigned.