A vulnerable population I often see on my cardiac/pulmonary unit

A vulnerable population I often see on my cardiac/pulmonary unit is non-English speaking patients who are readmitted multiple times per year for heart failure exacerbations. The nursing care for these patients consists of disease management, which includes diuresis until the patient’s symptoms are better or they are to their dry weight. My hospital has a nurse who is a heart failure coordinator who will do teaching with the patient upon discharge to help avoid readmission. According to Healthy People 2030, an objective for the healthcare access and communication section of Social Determinants of Health is to “increase the proportion of adults with limited English proficiency who say their providers explain things clearly” (Health Care Access and Quality – Healthy People 2030, N.D). Patients who do not speak the “local language” are at risk for poor health outcomes and face disadvantages when it comes to accessing healthcare. Patients with language barriers are more likely to have more adverse events in healthcare (Al Shamsi et al, 2020). Interpreter use in healthcare for limited English proficient patients has shown to improve patient outcomes. However, there are a lot of barriers to using interpretation in the hospital including difficulty arranging an interpreter, patient comfort level with an interpreter, and accessibility of interpreters (Durrani, 2024). Most patients with heart failure are recommended the same lifestyle changes including, weighing yourself daily, limiting salt intake, eating a heart healthy diet, taking all prescribed medications, and maintaining a healthy weight through diet and exercise, if MDs allow exercise. My units heart failure (HF) coordinator could use The Health Promotion Model to avoid readmission for non-English speaking patients with health failure. Using an in person interpreter, the HF coordinator should do teaching with the patient during the patients hospital stay and at discharge. The heart failure coordinator will identify prior related behavior for her patients. For example, this patient does not take their diuretics because having to urinate keeps the patient up at night or the patient consistently eats high fat foods (Murdaugh, Parsons, & Pender, 2019). The heart failure coordinator will identify personal factors for every patient, as not every patient is the same. Personal factors that help the HF coordinator predict success of a behavior change are essential for her to know. The HF coordinator will explain the perceived benefits of action to the patient. The benefit will be less time in the hospital and more time at home with family. If the patient knows the benefit of their health behaviors, they may be more likely to continue making health changes (Murdaugh, Parsons, & Pender, 2019). The HF coordinator will discuss solutions to the perceived barriers to action. The HF coordinator can give many resources to the patient therefore causing their perceived self-efficacy to increase. The HF coordinator could give healthy recipes or healthy recipe websites, so the patient doesn’t feel overwhelmed by a change in diet. The HF coordinator can work with the MD team to create a medication schedule, so the patient is not up all night going to the bathroom after taking a diuretic. If the HF coordinator can give as many resources as possible, so the patient believes they can make these positive changes, we may see less readmissions for HF exacerbation (Murdaugh, Parsons, & Pender, 2019). If family is involved in this populations care, the HF coordinator should have the family involved in the teaching as well. Interpersonal influences can affect whether a patient will make changes or not. If family is there to learn about HF and lifestyle changes as well, they could have a positive influence on the patient to maintain changes. Situational influences are important for changes. If the HF coordinator is emphasizing to quit smoking, but other members in the household smoke, the patient will have a harder time quitting (Murdaugh, Parsons, & Pender, 2019). While the HF coordinator is doing discharge teaching, it is important to remind the patient that making changes could reward the patient. The reward could be less hospital admissions. If this patient is readmitted to the hospital, the HF coordinator will have to re-evaluate The Health Promotion Model and modify it to meet the patient’s needs (Murdaugh, Parsons, & Pender, 2019). With interpreter use, non-English speaking patients will report better understanding of what their providers are saying and increase healthcare communication. Using The Health Promotion model to make positive health changes can cause less readmissions for heart failure exacerbations in non-English speaking population. Draft a response using the following resources Murdaugh, C. L., Parsons, M. A., & Pender, N. J. (2019). Health promotion in nursing practice (8th ed.). Pearson. Koh, H. K., Bantham, A., Gellar, A. C., Rukavina, M. A., Emmons, K. M., Yatsko, P., & Restucia, R. (2020). Anchor institutions: Best practices to address social needs and social determinants of health. AJPH, 110(3), 309-316. (PDF attached below)

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."