Responses to classmates

Instructions:

· At least two responses to classmates should also be completed.

· Responses should add to the discussion.  For example, a probing question, further support with scholarly references, or respectful disagreement with scholarly references.

· Use proper APA formatting for all posts.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Response one: A- Lee

The study conducted by Andreae et al. (2018) combines three well-researched areas of healthcare — heart failure, depression, and nutrition — and presents a new way of looking at the association between these areas and how they may ultimately affect the overall health status of heart failure patients.   According to the Centers for Disease Control and Prevention (CDC, 2020), over 6 million adults in the United States have heart failure, many of whom are 70 years old or older.   The CDC also estimates that heart failure costed the U.S. nearly $31 billion back in 2012.   These statistics underscore the importance of continued research on heart failure in order to better prevent and effectively manage the disease. 

I do not believe this article contributes primarily to nursing theory or general nursing knowledge.  Rather, I believe the findings of this study largely contributes to nursing practice – specifically for nurses who frequently encounter and care for heart failure patients.   The article by Andreae et al. (2018) highlights the significance of their findings and its relevance in clinical applications when caring for heart failure patients.   This study outlines the importance of identifying signs of depression and poor appetite in order to improve overall health outcomes.  As someone who currently works on a cardiac unit and cares for patients in heart failure, these findings are quite eye opening and bring to light a couple of areas (i.e., nutrition and depression) that may sometimes be overshadowed by other cardiac-focused assessments.

References

Andreae, C., Strömberg, A., Chung, M. L., Hjelm, C., & Årestedt, K. (2018). Depressive symptoms moderate the association between appetite and health status in patients with heart failure. The Journal of Cardiovascular Nursing, 33(2), e15–e20. https://doi.org/10.1097/JCN.0000000000000428 (Links to an external site.)

Centers for Disease Control and Prevention. (2020). Heart failure.  https://www.cdc.gov/heartdisease/heart_failure.htm (Links to an external site.)

Response Two: Bet

 The research affirms that Heart failure (HF) is a global pandemic affecting 2% of the world’s adult population, with a crescendo of 10 % to 20% among persons above 70 years. It’s also a progressive condition marked by abridged cardiac pump purpose, leading to arduous signs often leading to hospitalization.  Five years after diagnosis chances of death are estimated to be 50% or higher. This report went to unfamiliar territory to examine the relationship linking appetite and wellbeing in people with heart failure and explored whether depressive signs are the cause of this relationship. It showed that decreased appetite leads to lower energy intake which augments the risk of malnutrition development. (Andreae, et al.2018)

The findings contribute to both nursing theory and nursing practice. In nursing theory, the results showed that patients with an advanced level of appetite reported considerably healthier wellbeing. This is basic knowledge because when a patient eats without persuasion his well-being always improves and can also fall into general nursing knowledge.  (Koehler, et al.2021).

In nursing practice, the above knowledge is crucial as it will improve wellbeing in people with HF as it’s vital to target appetite while also identifying and treating depressive symptoms. The findings point out that a decrease in appetite could be cited as a sign of deprived wellbeing and in nursing practice; nurses should gauge appetite in patients with HF for eradication or decrease the threat of developing malnutrition and weakened wellbeing in patients.  (Lin, et al.2020).

References:

Andreae, C., Strömberg, A., Chung, M. L., Hjelm, C., & Årestedt, K. (2018). Depressive symptoms moderate the association between appetite and health status in patients with heart failure. Journal of Cardiovascular Nursing, 33(2), E15-E20.

Koehler, J., Stengel, A., Hofmann, T., Wegscheider, K., Koehler, K., Sehner, S., … & Laufs, U. (2021). Telemonitoring in patients with chronic heart failure and moderate depressed symptoms: results of the Telemedical Interventional Monitoring in Heart Failure (TIM‐HF) study. European journal of heart failure, 23(1), 186-194.

Lin, C. Y., Miller, J. L., Lennie, T. A., Biddle, M. J., Mudd-Martin, G., Hammash, M., & Moser, D. K. (2020). Perceived Control Predicts Symptom Status in Patients With Heart Failure. Journal of Cardiovascular Nursing, 35(6), 530-537.