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Designed for the Unique Needs
of Homecare Providers
This site provides homecare clinicians with access to chronic care management models, best practices and downloadable resources for homecare patients.
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"The body of knowledge that serves as the rationale for nursing practice determines the areas of specialty to develop as well as the manner in which that knowledge is organized, tested and applied." -Carper, 1978
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level 2
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Heart Failure
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Exercise
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Plan (Exercise)
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| The plan of care is based upon the patient’s level of cardiovascular stability, their current neuromuscular activity tolerance and balance, their safety, and their readiness for behavior change. Include specific, measurable patient goals in the plan of care. |
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Characteristics of a good plan:
- Includes a defined time frame
- Includes patient's personal goals
- Considers patient’s readiness to change
- Outlines the support they need to make behavioral changes
- Outlines the support they need to make physical changes
- Outlines individualized interventions to meet patient's goals
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*Under implement category you will find tools to help you carry out patient goals.
Points to consider when doing your plan of care:
- Baseline heart rate and respiratory rate
- Baseline Six Minute Walk outcomes
- Baseline fall assessment
- Whether the medication regime include a beta adrenergic blocking agent such as lopressor that could blunt the usual heart rate response
- Clinical practice guidelines
- Target values for blood pressure
- Target values for cholesterol (LDL, HDL, Tricglycerides)
- If patient has diabetes, target value for HgA1c
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Levels of evidence
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Level 1
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Systematic reviews and repeated studies, thoroughly researched.
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Level 2
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Experimental (Single or Quasi experimental study) and non-experimental (Exploratory or qualitative study).
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Level 3
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Recommendations of respected, experienced homecare authorities.
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Level 4
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Not Recommended.
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