Heartfailure is a condition that the pumping power of the heart becomesweaker than how it usually functions (Hall etal.,2014). When this condition occurs, the blood from the heart moves ata slower rate thus increasing the pressure of the heart (Scott&amp Winters, 2015). Therefore, this research seeksto analyze two peer-reviewed articles on congestive heart failure,one a qualitative and the other quantitative critically.


Heartfailure is one of the most common prolonged diseases that causesevere hospitalization in the United States, and so far it has mostrates of admissions to the hospitals. In the rural areas, manyhospitals are not well equipped to handle such diseases that make itimpossible to manage the patients living with these conditions.

Significanceof the problem

Inthis study, the significance of the problem is how we can manage andovercome congested heart failures in the community. It is through thetechnology use that we can be able to manage CHF and throughequipping the rural facilities with the best equipment to manage thedisease.

Reviewof the articles


Congestiveheart failure is found to be a big prolonged disease in the UnitedStates of America. Approximately 5.8 million people in America livewith this heart condition. It is estimated that the disease causesapproximately 300,000 deaths annually. Since the disease is known tobe very complex and challenging to maintain, the added complexitylevel in the rural areas is known to complicate further management ofthe disease.The introduction of telehealth technologies in thehealth care department has helped a lot in improving access to thepeople in diverse areas. The article used an interactive researchreview (IRR) to present it evidence and how the efficient use of thetelehealth technology has helped in improving the health as well asthe management of the HF disease. The IRR adopted the followingresearch questions

  • How have the telehealth technologies been used to manage patients with heart failures and whether they are effective?

  • How the management has used the telehealth technology in the rural areas and how effective are they?

  • What future implications does the use of this technology have in the rural areas patients?


Crowder(2011) reviewed and offered information pertaining effective inenhancing the results of health in heart failure. Sadly, researchindicates that Heart complications are alarming in the United Statesand are one of the chronic illness that lead to upsurge hospitaladmission and expenditures. Evidently, a majority of the remote areasare considered medically underserved. In the article, Crowderindicates that his number of those suffering from heart failures inthe United States is five million but by 2040, the number would bedouble. Indeed, managing heart failure patients is not easynecessitating enhancement in the supervision of symptoms andenrollment in outpatient clinics. The article results were that therewas the improvement in management and administration of heartfailures, which are costly through proper monitoring in clinics.Various services are offered in the clinic such as education to thepatients and illness assessment, and pharmacologic treatments. Amajority of those who remained enrolled as indicated in the articleindicated that their motivation was from the fact that thoseregistered in the clinic had improved health. Members consideredthose close to them as their referral to the clinic.

Thequalitative method adopted in the article was interactive researchreview, and this enabled the explorer to bring forth the findingclearly on matters pertaining enrollment to the clinic of the healthfailure patients. All those who were involved as research subjectshad shared their experience with the referral, registration, andfrequent visitation to the heart failure clinics. Clearly, acontinuous advancement of the health situations and fear of impendingdemise stimulated many heath patients to enroll. The participantprovided their account and essential information to all the providersof health. The participant encouraged enrollment of others in theclinic to benefit from the advantages that come with enrollment.Referral also came from health officers, the patients who hadundergone the same and the family members and relatives of thepatients


Healthdiseases are increasing in the United States and especially in therural areas. The populace in the rural areas has challenges whendealing with this kind of illness. Undeniably, the use of technologywill boost the heart failure disease patients by improving efficiencyin treating heart diseases. On the other hand, there is the need forcontinuous referral of patients suffering from heart diseases to theOP cognitive heart disease clinic as research suggests that thoseenrolled has improved health with time. There is the necessity forfurther study of clinics in particularly in the rural areas. Theexploration may focus on the effect of treatment that is homefounded.


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

Crowder,B. (2011). 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.