Award Date


Degree Type

Doctoral Project

Degree Name

Doctor of Nursing (ND)



First Committee Member

Kathleen Thimsen

Second Committee Member

Karyn Holt

Third Committee Member

Nathan Slife

Number of Pages



Congestive heart failure (CHF) is one of the most common healthcare problems for older adults. Because of its high and rising prevalence in this population and its significant influence on healthcare costs and quality of life, CHF is becoming a serious public health issue in the United States. More effective strategies for preventing and managing CHF in older people are desperately needed (Rich, 2015). The disease accounts for 3% of hospital admissions in the United States and affects more than 6.5 million Americans (White-Williams et al., 2020). Further, CHF is exacerbated by adverse social determinants of health (SDOH). This study identified gaps in social determinant data for CHF patients at a medical group organization in Clark County, Nevada, spanning January 2020 to June 2021. Social determinant data for 425 participants meeting the inclusion criteria (i.e., diagnosed with CHF, 65 and older, and enrolled in Medicare Advantage) were analyzed; though, the only social determinants in the database were age, neighborhood (geographical location), and insurance. While the data showed that age and location were critical determinants, more data points would help assess SDOH in the context of CHF. A study recommendation is to develop an SDOH assessment screening tool that includes the following components: age, neighborhood, living situation, food, transportation, employment, utilities, medication, safety, loneliness, family and community support, health literacy, physical activity, and follow-up. The SDOH tool will assist in delaying the impact of CHF exacerbations and increase patient health outcomes.


Congestive Heart Failure; Identifying Gaps; Patients 65 Years and Older; Social Determinants of Health


Medical Sciences | Medicine and Health Sciences | Nursing

File Format


File Size

1178 KB

Degree Grantor

University of Nevada, Las Vegas




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