CongestiveHeart Failure (CHF), is a condition in which the heart’s pumpingpower become weaker than how it normally function (Hall etal.,2014). Once this condition occurs, the blood from the heart moves ata slower rate thus raising the pressure of the heart (Scott&ampWinters,2015).Hence, this research seek to study two peer-reviewed articleson congestive heart failure, one qualitative and the otherquantitative analytically.


CHFis one of the most common chronic diseases that cause severehospitalization in the United States, and so far it has most rates ofadmission to the hospitals. In the rural areas, hospitals are notwell equipped to deal with such diseases that make it difficult tomanage patients living with these conditions. Therefore, thisresearch seeks to find the best method to treat congestive heartfailure even in rural areas.

Significanceof the problem

CHFis examined in the study thereby assisting in solving the problem.The study seeks to examine the qualitative and the quantitativeaspects of CHF thereby offering recommendations of the methods inwhich the disease can be mitigated and even treated at hospitals. Thestudy is therefore important in offering solutions to individuals aswell as the health institutions.

Reviewof the article


Accordingto American Heart Association ({AHA}, 2009) it is projected thatnearly 5.8 million Americans live with congestive heart failure,leading to approximately 300,000 deaths every year. CHF management isdifficult and challenging, specifically for rural populations who areknown to experience many obstacles to health care access andinequalities in health status. Most adults age 65 years and abovediagnosed suffer from CHF. Moreover, long span of stay and highreadmission charges have contributed to rising use of funds andhealth care cost. According to AHA (2009), the approximated cost ofCHF both directly and indirectly, for the year 2007 in the US was$33.3 billion. It is projected that, the number of US adults age 65years and older hospitalized with CHF will double to 70 million inthe next 10 years. However, the introduction of telehealthtechnologies proofed to be more effective in improving health resultsin CHF and disease management in general as well as the use andefficiency particular to rural residents. Telehealth technologies hasconfirmed operational in monitoring of CHF patients by discoveringchanges in health status earlier, reducing charges of hospitalreadmission and emergency department appointments, reducing costs,and improving self-care activities and quality of care.


Basedon American Heart Association (2005),CHF continues to rise inoccurrence and prevalence. The necessity to advance treatment throughongoing cautious management of this expensive, prolonged disease ledto the development outpatient (OP) CHF clinics. The clinicscharacteristically offer education, disease assessment andpharmacologic therapies. For those persons who are able to go to anOP CHF clinics, the improvement comprise quality of life, reducedappointments to emergency rooms and rise in functional ability.Nevertheless, recent studies evaluated the effect of CHF with otherco-morbid prolonged diseases. Hence, these ailments can producesimilar symptoms to CHF or worsen symptoms of CHF. Therefore, thestudies concluded that doctors need to be more cautious inclassifying these co-morbid prolonged diseases and their relatedsymptoms, specifically because patients with more progressive CHFstay from receiving medication longer than those with less signs.Even though, there is improvement in quality of life and functionalcapacity for patients who take part in OP CHF clinics, a few patientsdiagnosed with CHF receive referral. Adults with CHF are not endorsedto attend an OP CHF clinic until stage D, when the patient issuffering refractory end stage CHF. This is based on the currentprocedures for CHF in adults. Operational treatment such as referralto an OP CHF clinic are not closely observed compared appointments toemergency rooms and charges related with CHF.


Inquantitative article, an Integrative Research Review (IRR), was usedto present proof of the efficiency and use of telehealth technologiesin the establishment of illness management to CHF patients in boththe general and rural populations. On the other hand, in qualitativearticle, the main investigator conducted the research usingethnographic interviewing method to find the number of patientsreferred to OP CHF clinics.

Purposeof research of each article


Thisarticle, seeks to study the population diagnosed and hospitalizedwith CHF, likelihood of the population increasing or decreasing infuture , the age that is mostly affected with CH Fand compare itsmanagement in general and rural population. In addition, it seeks toidentify the best and effective method to controlCHF, for examplethe use of telehealth technologies.


Theaim of study of this article is to find ways in order to advance CHFtreatment. Therefore the development of OP CHF clinics, led toimprovement in quality of life, reduced visits to emergency room andrise in functional capacity for patients capable of visiting theclinics. Also, the study seeks to identify the number of patientsreferred to these clinics.

Synthesisof information from both articles

Botharticles, aim to provide information on how CHF have affected alarger population, how its management is challenging in rural areas,the most affected age and effective way to treat and manage CHF.

Recommendationfor future research

Irecommend that quantitative article be used, as it shows how greatlyCHF have affected a larger population, its high cost treatment andmeasures to be taken to improve control and treatment of CHF.


CHF,is a chronic ailment that need proper attention in order to treat andto curb the number of deaths annually in the US. This study hasestablished that in the rural areas, hospitals are not well equippedto deal with such diseases that make it difficult to manage patientsliving with these conditions. The study has sought to examine thequalitative and the quantitative aspects of CHF thereby offeringrecommendations of the methods in which the disease can be mitigatedand even treated at hospitals. It does so by reviewing twopeer-reviewed articles the quantitative and qualitative articles.


Barbara,A., Cassandra, D., &amp Kathryn, D. (2011). Telehealth Technologiesfor Heart Failure Disease Management in Rural Areas: An IntegrativeResearch Review. Online Journal of Rural Nursing and Health Care,56-83.

Crowder,B. (2011). Research for practice. Improved Symptom Management ThroughEnrollment in an Outpatient Congestive Heart Failure Clinic, 25-35.

Hall,M. J., Levant, S., &amp DeFrances, C. J. (2014). Hospitalization forcongestive heart failure: United States, 2000–2010. NCHS DataBrief, no. 108. Hyattsville, MD: National Center for HealthStatistics. 2012.

Scott,M. C., &amp Winters, M. E. (2015). Congestive heartfailure.&nbspEmergencymedicine clinics of North America,&nbsp33(3),553-562.