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
level 2

Heart Failure > Exercise > Evaluate

Evaluate

The goals and interventions for exercise should be regularly evaluated and revised in order to achieve measurable outcomes. Use the considerations below to develop measurable outcomes.
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 Important Considerations
  • How has the patient improved on the objectives?
  • How has the patient's activities changed since an exercise plan has been implemented?
  • Does the patient demonstrate self care knowledge related to activity progression? This should include: Safe parameters for exercise, signs and symptoms of over exertion, ways to conserve energy, additional topics related to physical activity such as sexual activity and return to work.
  • A patient's post homecare discharge activity plan.

Six Minute Walk Assessment - Level 2 (pdf) - Aug 1st, 2010
Objective tool done on admission and discharge. Measures distance while ambulating over a six minute time period. Patient is closely monitored during walk for physiological changes.

Readiness To Change - Level 3 (doc) - Aug 1st, 2010
A chart for patients to indicate what stage of behavior change they are currently in.

Heart Failure Self-Care Behavior Goals - Level 3 (doc) - Aug 1st, 2010
Chart for patients to fill-in their goals for behavior change

Heart Failure Flow Sheet and Audit Tool - Level 3 (doc) - Aug 1st, 2010
Flow sheet and audit tool for heart failure patient charts

Heart Failure Re-admission Audit Tool (doc) - Aug 1st, 2010
A re-admission tool for patients with heart failure Level 3

 


Levels of evidence
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Level 1
Systematic reviews and repeated studies, thoroughly researched.

Level 2
Experimental (Single or Quasi experimental study) and non-experimental (Exploratory or qualitative study).

Level 3
Recommendations of respected, experienced homecare authorities.

Level 4
Not Recommended.




The development of the hypertension and chronic stable angina project was made possible by a grant from the New York State Attorney General on behalf of the Attorneys General of all 50 states, DC and Puerto Rico from litigation settlement funds to benefit the healthcare needs of consumers with high blood pressure and angina. Original funding for the site was provided in part by US Congress and CDC. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.