NUR-550 Topic 6 DQ 1 Evaluate a clinical preventative intervention designed to promote health and wellness for populations -

NUR-550 Topic 6 DQ 1 Evaluate a clinical preventative intervention designed to promote health and wellness for populations

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NUR-550 Topic 6 DQ 1 Evaluate a clinical preventative intervention designed to promote health and wellness for populations

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Topic 6 DQ 1

Jan 12-14, 2023

Evaluate a clinical preventative intervention designed to promote health and wellness for populations. Summarize the intervention and explain whether it has been successful. You will use the clinical preventative intervention you select for DQ2.

A Sample Answer For the Assignment: NUR-550 Topic 6 DQ 1 Evaluate a clinical preventative intervention designed to promote health and wellness for populations

Title: NUR-550 Topic 6 DQ 1 Evaluate a clinical preventative intervention designed to promote health and wellness for populations

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HK

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Attached is a picture of the Kardia device. The Kardia allows for patients to get a ECG in 30 seconds via their smart phone and communicate with their following cardiology clinic. Specifically, some clinicians have recommended a particular group of patients get this device following procedure such as afib ablation or cardioversion to determine their need for continued anticoagulation. What are the pros and cons of integrating this technology into a cardiology practice?

Jan 15, 2023, 2:51 PM

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Pros of this device include the rapid ability of the provider to get a look at a patient’s heart rhythm without the patient having to come into the office. Another benefit is that a patient can take the ECG immediately when they are having a cardiac symptom which should provide more information to the provider than an ECG would hours or days later. This tool would allow patients who are housebound for any reason to have an ECG done and read by a provider quickly, which is not currently an option when treating these patients. Another pro of this tool is that it appears to be very cost effective and cheaper than having an ECG done in-person in an office or hospital setting.

Cons of this device include the fact that the ECG is taken by the patient and there could be user error in applying the device to their body and therefore possible error in the ECG created. Another possible downfall of this device is that patients may try to read their own ECG and make treatment decisions based on their own interpretation or the information they find on the internet, which may not be accurate or provide the best treatment plan for the patient. Another con of this device is that it requires the patient to understand how to use a smartphone and to have either cell phone reception or an internet connection to send the information to their provider, which may not be feasible for all patients. The provider is also trusting that the ECG was truly done on the patient that it is being reported on, but this is solely based on the word of the patient. Another con of this device is that it would quickly create a significant increase in patient data that would need to be interpreted and addressed by a provider when we know that healthcare providers are already extremely busy with their current schedules.

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I love this device. My uncle, who I am the caregiver for, will be going into the hospital this week for cardioversion. He has AFIB and has been having dangerously high heart rates for a while now. Having this device would bring me much peace of mind being able to do our own EKG from home following this procedure. I am actually considering ordering it right now. My grandmother also had AFIB so I was familiar with this condition even before becoming a nurse, but now that I’m an RN I simply love that we live in a world where so much useful technology is available to almost everyone.

A con to having this device would be that many of the patients needing it are elderly and do not know how to use these type of things. There is likely someone caring for them that could utilize the mobile EKG but that would mean they need to know how to use a smart phone and other technology. In my family, although my uncle has adequate caregivers, I am the only one with the knowledge to use a device such as this. Thank you for posting this. I am very happy to know this is available especially as the need to have it is relevant at this moment.

Jan 16, 2023, 6:22 PM

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Essentially, this device seems incredibly useful, especially for individuals who have afib! Pros of this device, results are within 30 seconds and are easily accessible. It gives clinicians direct access to the results. It is easy and painless. Some cons of this device are user error. When I first started doing EKGs, I thought there were difficult, and would have to sometimes do them two or three times to get an accurate picture. Does this machine pick up artifacts? and how accurate are the results? These are just a few questions I have about the device.

Jan 16, 2023, 9:00 PM

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My initial thoughts of seeing the Kardia device are of amazement, then all the questions flood in. Is it possible to obtain an accurate electrocardiogram (EKG) from four fingers? Is it only able to detect atrialfibrilation (afib) and normal sinus rhythm? If that is the case, I feel that the device could cause more harm than good if its use is not regulated. An obvious pro is the convenience and the mobility of the device. An additional pro is that the device transmits the data directly to the patient’s cardiologist for review and to use to manage the patient’s care. A con to the use of the Kardia device is that it can give a false sense of security if the only cardiac rhythms that it detects are afib and normal sinus rhythm. A cardiac patient could be having cardiac symptoms caused by an issue other than afib and normal sinus rhythm. If the patient uses the Kardia device and does not get an alert, they could potentially ignore an issue that needs immediate attention.

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The Kardia Device is used in conjunction with a compatible device to capture heart rate, rhythm and symptoms. It is said to be an important medical innovation which has transformed medical care (Bansal & Joshi, 2018). The Kardia is very simple and easy to use, and it doesn’t require the use of gels, patches or wires to monitor the heart. This device is FDA approved and it is convenient and doesn’t weight much. This technology is very helpful and allows cardiologist the ability to obtain abnormal heart functions in real time.

Reference NUR-550 Topic 6 DQ 1 Evaluate a clinical preventative intervention designed to promote health and wellness for populations

Bansal, A, Joshi, R. Portable out-of-hospital electrocardiography: A review of current technologies. J Arrhythmia. 2018; 34: 129– 138. https://doi.org/10.1002/joa3.12035

Jan 18, 2023, 11:15 AM

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The Kardia Mobile device and other types of mobile ECG devices are growing in popularity with the advancement of technology. I think there are many pros to this device. For example, it is FDA approved and research has shown that its detection of atrial fibrillation and atrial flutter are comparable to traditional 12-lead ECGs (Koltowski et al., 2019). Additionally, this device is more convenient than traditional ECGs/cardiac monitoring since it only takes 30 seconds to detect the rhythm and does not require sticky leads. My grandmother currently has to wear a cardiac monitoring device for her atrial fibrillation and she always complains about the lead stickers and how difficult/painful they are to take off.

Some cons of this device is that it does not appear to be a continuous monitoring device, meaning patients would have to comply with recommendations or decide when to take a single reading. This could be a downside because it does not give a constant baseline reading throughout the day, and sometimes patients are not aware they are in an abnormal cardiac rhythm so they would not know when to take an ECG snapshot. Additionally, this is more advanced technology so individuals who are not as versed in technology might have difficulty using this product and might be more prone to false readings due to user error.

Reference NUR-550 Topic 6 DQ 1 Evaluate a clinical preventative intervention designed to promote health and wellness for populations

Koltowski, L., Balsam, P., Glowczynska, R., Rokicki, J. K., Peller, M., Maksym, J., Blicharz, L., Maciejewski, K., Niedziela, M., Opolski, G., & Grabowski, M. ( 2019). Kardia Mobile applicability in clinical practice: A comparison of Kardia Mobile and standard 12-lead electrocardiogram records in 100 consecutive patients of a tertiary cardiovascular care center. Cardiology journal, 28(4), 543-548. https://doi.org/10.5603/CJ.a2019.0001