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NR 630 ASSIGNMENT, INITIATION OF CAPSTONE PROJECT, CARDIAC WELLNESS
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NR 630 ASSIGNMENT, INITIATION OF CAPSTONE PROJECT, CARDIAC WELLNESS
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Running head: INITIATION OF CAPSTONE PROJECT 1NR 630 ASSIGNMENT, INITIATION OF CAPSTONE
PROJECT, CARDIAC WELLNESS
Cardiac Wellness Program
In 2012, 17.5 million people died from heart disease and accounted for 31 percent of the
global mortality rate. The conditions that were reported on were acute coronary syndromes such
as ST elevation, myocardial infarction, non-ST elevation myocardial infarction, and unstable
angina. These patients are fifty percent more likely to be readmitted with life threatening
conditions. (Hamilton, Mills, B. McRae, & Thompson, 2018) With an aging demographic in the
community and the current demands placed on nursing leaders to provide quality and affordable
healthcare while maintaining patient satisfaction determined a need to look for evidence-based
research to decrease cardiac readmissions through the implementation of a cardiac wellness
program. The goal for the program is to decrease the hospitals cardiac readmissions by forty
percent and show a return on investment in one year.
Summary: The article describes the opportunity the Affordable Care Act offers to
improve public health in the United States by building workplace cultures of health. The author
suggests that the prevention and public health fund offers the community opportunities to
strengthen public health through wellness programs with a strategy to focus on wellness and
prevention. This article is relevant and provides current evidence-based data to support the
implementation of a cardiac wellness program. Anderko L, Roffenbender JS, Goetzel RZ,
Millard F, Wildenhaus K, DeSantis, C., Novelli, W. (2012). Promoting prevention through the
affordable care act: Workplace Wellness. Preventing Chronic Disease, 9:120092.
, INITIATION OF CAPSTONE PROJECT 2
Summary: This study found that a high percentage of cardiovascular disease patients
have poor dentition, but overall lack awareness of how their oral health can impact their
cardiovascular outcomes. The results suggest that a holistic cardiac wellness program should
promote the importance of providing health advice and referral services to affordable dental
professionals. The article reinforces the aspects of preventative healthcare playing a key role in
the cardiac wellness setting by developing a dental referral pathway and the opportunity to
receive oral health education. This article is relevant and provides current evidence-based data to
support the need to incorporate oral health education into a holistic cardiac wellness program.
Sanchez, P., Everett, B., Ajwani, S., Bhole, S., Bishop, J., Lintern, K., Nolan, Rajaratnaum, R.,
Redfern, J., Sheehan, M., Skarligos, F., Spencer, L., Srinivas, R., George,. (2017). Oral health
and cardiovascular care: perceptions of people with cardiovascular disease. PloS ONE. 12 (7). 1-
17.
Summary: This article evaluates the barriers to care experienced by patients in the post-
acute phase of their cardiac rehabilitation. It was discovered that geography, service availability
and population density had a direct correlation on the limited access to cardiac rehabilitation
services. The author reports a need for implementation of systemic data collection to establish
benchmarks suggesting this will allow services to be evaluated and monitored. Utilizing
emerging technology to create access to health pathways that facilitate a referral base and
continuity of care. This article is relevant and provides current evidence-based data to support
the need to incorporate alternative access pathways to patients with limited transportation and
access issues. Hamilton, S., Mills, B., McRae, S., & Thompson, S. (2018). Evidence to service
gap: cardiac rehabilitation and secondary prevention in rural and remote Western
Australia. BMC Health Services Research, 181-9. doi:10.1186/s12913-018-2873-8
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