Implications of Transitional Care Interventions on Hospital Readmissions in Patients With Destination Therapy Left Ventricular Assist Devices

Research and Theory for Nursing Practice
Jackeline IselerKaren Hirschman

Abstract

The rising number of patients with a left ventricular assist device (LVAD) require care management to successfully transition home after implantation. These patients and their families need to manage their heart failure, and the complexities of an LVAD and the associated lifestyle modifications. Translating knowledge of transitional care interventions in patients with chronic diseases to those with an LVAD may provide valuable insight. To help inform the furthering of care transitions in the LVAD patient population, an integrative review was conducted. The aim of this review was to explore the transitions of care interventions of care in patients and its potential for application in the destination therapy LVAD. This integrative review was guided by the Whittemore and Knafl's methodology. A total of 12 articles from 264 retrieved articles met inclusion criteria and were included in the literature review. This review identified that evidence-based transitional care interventions have been shown to decrease avoidable rehospitalization, the associated costs, and improve quality of life when compared to usual care. A common feature of transitional care interventions is the inclusion of nurse leadership. Nurses should be prepared to...Continue Reading

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