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Transitions of Care: Acute Myocardial Infarction (AMI)

presented by Constance Sheets

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Disclosure Statement:

Financial— Constance Sheets receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— No relevant nonfinancial relationship exists.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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This course features an interactive case study. For the best experience, please watch this course on a desktop or laptop computer.

Since the inception of the Affordable Care Act (ACA), healthcare facilities have had to improve quality of care and reduce costs. Penalties have been imposed by the Centers for Medicare and Services (CMS) that decrease payments to hospitals with excess 30-day readmission rates through the Hospital Readmissions Reduction Program. Readmissions for residents after acute myocardial infarction (AMI) are a national concern and come with a penalty from CMS. This course will provide nurses with an overview of anatomy and physiology, signs and symptoms, and risk factors of AMI to improve knowledge of assessment data and early identification of impending AMI. Evidence-based treatment and discharge plans for residents who are post-AMI will be discussed. The course will also focus on how nursing can improve care transitions of skilled nursing facility (SNF) residents by improving communication and by providing evidence-based practice (EBP) interventions and discharge plans.

Meet Your Instructor

Constance Sheets, DNP, RN, GCNS-BC

Dr. Sheets has taught in the undergraduate nursing program at Valparaiso University since 2004. She is certified in gerontology and has an extensive home health background. She has co­-authored articles that have been published in Rehabilitation Nursing and Nursing Education Perspectives, and has been a content reviewer for a gerontological nursing textbook. Professor Sheets has…

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Chapters & Learning Objectives

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1. Background Information: Anatomy and Physiology and Signs and Symptoms

Early identification of potential problems in high-risk residents can prevent complications and readmissions. This chapter will focus on the normal aging process of the cardiovascular system, along with defining anatomy and physiology of an AMI. Typical and atypical signs and symptoms and risk factors of AMI will be identified.

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2. Assessment and Treatment

Assessment and identification of high-risk residents and evidence-based treatment guidelines to reduce complications for high-risk residents post AMI will be discussed in this chapter.

3. Lifestyle Considerations

Lifestyle modifications have been strongly linked to reduction in recurrent AMI and further progression of cardiovascular disease. This chapter will focus on lifestyle considerations for the SNF resident post AMI.

4. Improvement of Care Transitions, Discharge Plans, and Communication

Improved communication, follow-up and medication reconciliation are needed to provide safe transitions between levels of care. This chapter will discuss strategies to improve care transitions and adherence to the resident’s discharge plan, along with some general reasons why residents may be readmitted.

5. Case Study

In this case study, the learner will be able to synthesize what was learned in the prior chapters in this course. Interactive technology will allow the learner to use their new knowledge and skills to meet the learning objectives by assessing and developing a plan to prevent readmission of a high-risk resident with AMI.

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