CONTACT US
Raven Marie Robins (Deel)
rdpublishing@hotmail.com
307-240-0083
rdpublishing@hotmail.com
307-240-0083
AUTHOR BIO
Raven Marie Robins (Deel), former audio engineer and author of the books "Colorado Colors: Off the Path"; "Cardiac Vital's Journal"; & "Walking Through Misty Colored Memories", unexpectedly ended up with Endocarditis & Myocarditis and Multi-Organ failure with Respiratory Shutdown in June of 2013 at the age of 39. Destroying the left ventrical & affecting the mitral valve of her heart.
After learning how to walk again and slowly building her body back up (although she has been told numerous times at different hospitals throughout the country she needs a mechanical heart and heart transplant, (with her heart currently at 25%) she hasn't stopped.
She is a photographer who works in Fine Art Photography, Landscapes, Still Life’s and occasionally Event Photography. She has a shoot-from-the-hip technique with a strong eye for composition. She also works from home designing clothing and fabrics. Not willing to give up on a second chance she has received in life.
Throughout her journey with congestive heart failure (her ejection fraction rate is currently under 25%) - she felt she could fulfill a need in the heart failure community with this Cardiac Patient Diary and informative website.
congenital cardiology today
November 2014 Pg 17-18
OVER 50 WITH HEART ISSUES - HELPING YOU HELP YOURSELF
See this article on BloomerBoomer.com - click here
According to the AARP’s report on chronic conditions among older American’s, more than 70 million Americans of the ages 50 and older - which breaks down to be 4 out of 5 older adults - suffer from at least one chronic health condition.
Many of those people over 50 are affected by cardiovascular conditions as their chronic health condition. Cardiac issues such as high cholesterol, hypertension, stroke, congestive heart failure, cardiac arrythmias, and other heart disease contribute to often recurring emergency room (ER) visits and hospital admissions.
Doctors are becoming increasingly active in promoting patient education and patient self- care/self-management to assist in lowering these ER visits and hospitalizations and promoting the full benefit of their treatments.
Whether it is a health promoting activity, such as exercise that an individual is engaging in or detailing daily information in heart failure, an individual who is actively and responsibly managing day-to-day activities is involved in a concept referred to as self-management.
With education and self-management activities (patients recording information daily) heart failure patients had fewer ER visits and hospitalizations, lowering health care costs and encouraging better communication, education, and knowledge.
An individual committed to their self-management will find their doctors care more effective, their quality of life improved, and more positive treatment outcomes, as well as lower health care costs.
A new tool to assist in simplifying this self-management with cardiac patients was recently published in March 2013. The “Cardiac Vitals Journal” is a diary that, when used daily, is an easy go-to when your doctors, nutritionists, and physical therapists have questions.
This diary makes it easy to document daily weight, daily medications, food choices, sodium, fluid intake, fluid output, potassium, calories, carbohydrates, fiber, protein, cholesterol, sugar, doctor prescribed diuretics, a.m. and p.m. blood pressure and heart rates, insulin and blood sugar detailing for those who need it, daily supplements, and daily exercise habits.
Readers can also transfer this information to a summary page section called “Information for My Doctor” that can be torn out and taken with you to doctors visits if you prefer not to take the journal with you.
The author, Raven Marie Dietrich Deel, has been able to maintain her heart failure without a mechanical heart with this same journal by actively documenting all the information her doctors question her regularly about.
The Cardiac Vitals Journal is available for purchase at Barnes & Noble online and Amazon. com. Visit their website for more information: www.cardiacvitalsjournal.com
August 24, 2014 R.M. Dietrich Deel
Sources:
1) AARP report - “Chronic Conditions Among Older Americans”
2) Baker DW, Asch SM, Keesey JW, Brown JA, Chan KS, Joyce G, Keeler EB.
“Differences in education, knowledge, self-management activities, and health outcomes for
patients with heart failure care for under the chronic disease model: the improving chronic
illness core evaluation” J Card Fail. 2005 Aug;11(6):405-13.
3) Nancy Jean Gardetto “Self-management in heart failure: where we have been and where we
should go” J Multidiscip Health c. 2011;4:39-51.
See this article on BloomerBoomer.com - click here
According to the AARP’s report on chronic conditions among older American’s, more than 70 million Americans of the ages 50 and older - which breaks down to be 4 out of 5 older adults - suffer from at least one chronic health condition.
Many of those people over 50 are affected by cardiovascular conditions as their chronic health condition. Cardiac issues such as high cholesterol, hypertension, stroke, congestive heart failure, cardiac arrythmias, and other heart disease contribute to often recurring emergency room (ER) visits and hospital admissions.
Doctors are becoming increasingly active in promoting patient education and patient self- care/self-management to assist in lowering these ER visits and hospitalizations and promoting the full benefit of their treatments.
Whether it is a health promoting activity, such as exercise that an individual is engaging in or detailing daily information in heart failure, an individual who is actively and responsibly managing day-to-day activities is involved in a concept referred to as self-management.
With education and self-management activities (patients recording information daily) heart failure patients had fewer ER visits and hospitalizations, lowering health care costs and encouraging better communication, education, and knowledge.
An individual committed to their self-management will find their doctors care more effective, their quality of life improved, and more positive treatment outcomes, as well as lower health care costs.
A new tool to assist in simplifying this self-management with cardiac patients was recently published in March 2013. The “Cardiac Vitals Journal” is a diary that, when used daily, is an easy go-to when your doctors, nutritionists, and physical therapists have questions.
This diary makes it easy to document daily weight, daily medications, food choices, sodium, fluid intake, fluid output, potassium, calories, carbohydrates, fiber, protein, cholesterol, sugar, doctor prescribed diuretics, a.m. and p.m. blood pressure and heart rates, insulin and blood sugar detailing for those who need it, daily supplements, and daily exercise habits.
Readers can also transfer this information to a summary page section called “Information for My Doctor” that can be torn out and taken with you to doctors visits if you prefer not to take the journal with you.
The author, Raven Marie Dietrich Deel, has been able to maintain her heart failure without a mechanical heart with this same journal by actively documenting all the information her doctors question her regularly about.
The Cardiac Vitals Journal is available for purchase at Barnes & Noble online and Amazon. com. Visit their website for more information: www.cardiacvitalsjournal.com
August 24, 2014 R.M. Dietrich Deel
Sources:
1) AARP report - “Chronic Conditions Among Older Americans”
2) Baker DW, Asch SM, Keesey JW, Brown JA, Chan KS, Joyce G, Keeler EB.
“Differences in education, knowledge, self-management activities, and health outcomes for
patients with heart failure care for under the chronic disease model: the improving chronic
illness core evaluation” J Card Fail. 2005 Aug;11(6):405-13.
3) Nancy Jean Gardetto “Self-management in heart failure: where we have been and where we
should go” J Multidiscip Health c. 2011;4:39-51.
CARDIAC VITALS JOURNAL by Raven Marie Robins
Data Meta-Analysis of 20 studies, representing 5624 individual heart failure patients data showed that self-management interventions had a beneficial effect to heart failure related hospitalizations and even elicited a small increase in heart failure related quality of life. (1)
Approximately 5.8 million Americans are living with heart failure, with an estimated 660,000 new cases each year.
US Health Care Systems are under pressure to slow/reverse the often poor outcomes (most notably hospital readmission rates) and escalating health care costs associated with chronic illness care. Heart failure is a leading cause of readmission to hospitals within 30 days of the heart failure admission.
Self-management of heart failure patients decreases over all hospital readmissions and readmissions specifically for heart failure. With a reported monetary savings from $1300 to $7515 dollars per patient per year. This is according to a review of 6 randomized trials with 857 patients. (2)
The Center for Disease Control (CDC) State of Aging and Health In America Report as well as The Institute Of Medicine (IOM) identify self-management as a priority for US Health care. With self-management prioritized for imporving quality and effectiveness of chronic heart failure patient care. (3)
In emerging changes (directives) in health care policy a patients role is being transformed from being a passive to an active consumer who becomes an engaged member of the health care team. (3)
It is critical for desireable outcomes for active participation of an informed patient. Giving them a key role in influencing health care cost and quality. The rationale being that self-management as a fact takes place in each individuals every day life. (3)
Clinitians strongly encourage heart failure patients to regularly take medications, monitor symptoms, keep appointments, monitor weight, and follow a low-salt diet.
Hibbard et al (4) showed that patients more actively involved were more likely to engage in self-management behaviours, such as better medication adherence. Depending on the level of participation by the patient, some see successful self-management as compliance and more active patients saw self-management as a form of control and working in partnership with their health care professionals. (4)
This Cardiac Vitals Journal is an easy go-to for Doctors, Nutritionists & Physical Therapists when you have questions of how the patient has been progressing in their process of self-maintenance.
There are 4 Sections within the book, instructions for each section, to last approximately 3 months. Patients use the Journal to document daily vitals, daily food choices, sodium, potassium, fluid intake/output, am & pm blood pressures & heart rate. An area is included for insulin detailing & blood sugar for those who need it, daily medications & supplements, & daily exercise habits.
By Raven Marie Robins (Deel)
REFERENCES
(1) Jonkman NH, Westland H, Groenwold, Rolf H. H. Do Self-Management Interventions Work in Patients with Heart Failure? An Individual Patient data Meta-Analysis. Circulation 2016 Mar 22; 133(12):1189-1198 PMIC: PMC5180429
(2) Jovicic A, Holroyd-Lieduc JM, Straus SE Effects of Self-Management Intervention on Health Outcomes of Patients With Heart Failure: A Systematic Review of Randomized Controlled Trials. BMC Cardiovasc Disord. 2006 Nov 2; 6:43 PMID: 17081306
(3) Gardetto NJ Self Management In Heart Failure: Where Have We Been and Where Should We Go? Journal Multidisciplinary Health C 2011; 4: 39-51
(4) Hibbard JH, Mahoney ER, Stock R, Tusler M Do Increases In Patient Activation Result in Improved Self-Management Behaviours? Health Serv Res. 2007;42(4): 14443-14463
Approximately 5.8 million Americans are living with heart failure, with an estimated 660,000 new cases each year.
US Health Care Systems are under pressure to slow/reverse the often poor outcomes (most notably hospital readmission rates) and escalating health care costs associated with chronic illness care. Heart failure is a leading cause of readmission to hospitals within 30 days of the heart failure admission.
Self-management of heart failure patients decreases over all hospital readmissions and readmissions specifically for heart failure. With a reported monetary savings from $1300 to $7515 dollars per patient per year. This is according to a review of 6 randomized trials with 857 patients. (2)
The Center for Disease Control (CDC) State of Aging and Health In America Report as well as The Institute Of Medicine (IOM) identify self-management as a priority for US Health care. With self-management prioritized for imporving quality and effectiveness of chronic heart failure patient care. (3)
In emerging changes (directives) in health care policy a patients role is being transformed from being a passive to an active consumer who becomes an engaged member of the health care team. (3)
It is critical for desireable outcomes for active participation of an informed patient. Giving them a key role in influencing health care cost and quality. The rationale being that self-management as a fact takes place in each individuals every day life. (3)
Clinitians strongly encourage heart failure patients to regularly take medications, monitor symptoms, keep appointments, monitor weight, and follow a low-salt diet.
Hibbard et al (4) showed that patients more actively involved were more likely to engage in self-management behaviours, such as better medication adherence. Depending on the level of participation by the patient, some see successful self-management as compliance and more active patients saw self-management as a form of control and working in partnership with their health care professionals. (4)
This Cardiac Vitals Journal is an easy go-to for Doctors, Nutritionists & Physical Therapists when you have questions of how the patient has been progressing in their process of self-maintenance.
There are 4 Sections within the book, instructions for each section, to last approximately 3 months. Patients use the Journal to document daily vitals, daily food choices, sodium, potassium, fluid intake/output, am & pm blood pressures & heart rate. An area is included for insulin detailing & blood sugar for those who need it, daily medications & supplements, & daily exercise habits.
By Raven Marie Robins (Deel)
REFERENCES
(1) Jonkman NH, Westland H, Groenwold, Rolf H. H. Do Self-Management Interventions Work in Patients with Heart Failure? An Individual Patient data Meta-Analysis. Circulation 2016 Mar 22; 133(12):1189-1198 PMIC: PMC5180429
(2) Jovicic A, Holroyd-Lieduc JM, Straus SE Effects of Self-Management Intervention on Health Outcomes of Patients With Heart Failure: A Systematic Review of Randomized Controlled Trials. BMC Cardiovasc Disord. 2006 Nov 2; 6:43 PMID: 17081306
(3) Gardetto NJ Self Management In Heart Failure: Where Have We Been and Where Should We Go? Journal Multidisciplinary Health C 2011; 4: 39-51
(4) Hibbard JH, Mahoney ER, Stock R, Tusler M Do Increases In Patient Activation Result in Improved Self-Management Behaviours? Health Serv Res. 2007;42(4): 14443-14463