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Medication Adherence

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M6A3: Making a Safe Transition Paper
In October 2012, changes were made in Medicare payment rules. Hospitals are now penalized when a patient returns within 30 days for treatment of the same problem. One of the targeted medical diagnoses for this payment change is heart failure (HF). Therefore, it is essential that the interdisciplinary team be utilized to ensure a safe transition between the acute care setting and home for the patient with HF.

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Using APA format, write a six (6) to ten (10) page paper (excludes cover and reference page) that addresses the disease management needs of adult patients with HF for a safe transition between the acute care setting and home and the role of the interdisciplinary team in that transition.
A minimum of three (3) current professional references must be provided. Current references include professional publications or valid and current websites dated within five (5) years. Additionally, a textbook that is no more than one (1) edition old may be used.

The paper will consist of four (4) parts and must be submitted by the close of week 6.
Parts 1, 2, and 3 will focus on a disease management issue for the patient with HF and the role of the interdisciplinary team in this issue.
Part 4 is the evaluation of the effectiveness of the interdisciplinary team in this safe transition to home.

Part 1: Medication Adherence
Part 1 must include the following:
a. Three (3) common classes of medications used to manage HF are beta adrenergic blockers, diuretics and ACE Inhibitors. Why are these medications used to manage HF?
b. What are some common side effects of these classes of medications? Which of these side effects would be reported and why? Which side effects would not be reported and why?
c. Describe any special instructions that would be included with each class of these medications. For example, food-drug interactions and medications that should be avoided.
d. Which health care discipline, in addition to the RN, is best suited to help with medication adherence? How will this team member collaborate with the RN, the patient and the family to help promote medication adherence and a safe transition to home?


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