Abstract
within the walls of the hospital setting. Today’s healthcare environment mandates that patients with serious diseases live in their homes, causing the need for acute and critical care settings to reach out to their patients not only to assist them in maintaining a quality of life but also to decrease costs of hospital readmissions. This situation is especially true for patients with chronic heart failure (CHF). In the United States, many patients with CHF regularly visit CHF clinics that are run by advanced practice nurses; these clinics assist patients with maintaining and often improving their state of heart failure, while also proving cost-effective. The Synergy Model provides the framework for nurses to manage complex clients experiencing acute exasperation of their illness and to work toward reducing the trajectory of the illness. The purpose of this article is to discuss the application of The Synergy Model to an ambulatory CHF clinic. We will discuss the characteristics of a patient who visited a local clinic, with the advanced practice nurse holding a Authors
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