We Control the Cardiac InsuffCIiency from Primary Care, We will Empower Nurses

Introduction: In Catalonia, 62% of people over 65 suffer from chronCI illness that causes 80% of primary care visits, 60% of revenues and consumes 70% of healthcare costs. In Terres de l`Ebre, the prevalence of Cardiac InsuffCIiency (CI) is 2.15%, 3.26% in people between 65 and 74% and 14.46% in people over 75 years of age.
We create a program aimed at people affected by CI, given the impact that this disease has on dependence, quality of life and health expenditure.
Targets:
1.To improve the quality of life related to health
2. Increase the level of self-care and health education in CI
3.Reduce the visits to emergencies and the revenues (rate and days of stay) by CI
4.Homogenize the patient`s follow-up with CI
Material and methods: The intervention consists in the structured and proactive monitoring of patients with CI by the nurse with the involvement of the whole team, in the prevention, diagnosis and treatment, including the face-to-face and telephone approach and is carried out by levels of complexity and / Or morbidity.
Level 1 of intervention: support for self-care and health education in stable patients.
Level 2: Early detection of complCIations, support and monitoring in patients at risk.
Results: The results we hope to achieve include: improvement of quality of life related to health (Euroqol scale); Homogenization of patient follow-up with CI to Primary care that will implement the program; Reduction of stays to emergencies and income, improvement of self-care and health education.
Conclusions impact on the objectives of the Health Plan
Self-care and information to the patient and to the people who serve them play an important role in the treatment and evolution. In stable patients, emphasis must be placed on health education on the knowledge of the disease.