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 > Monitoring > Evaluate

Evaluate

Continually update the patient's progress by assessing measurable outcomes. The goals and interventions for all heart failure patients need to be evaluated regularly and revised to achieve desired health outcomes.
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 Important Considerations
  • Does the patient demonstrate increased knowledge of self-care monitoring of the signs and symptoms of fluid overload and dehydration?
  • Does the patient demonstrate knowledge of self-care action appropriate for symptom development?
  • Does the patient demonstrate knowledge of laboratory tests and other diagnostic tests that help medically monitor their progress?
  • Is the patient maintaining or improving fluid balance?
  • Has the patient been able to minimize risk factors affecting their heart failure?

What Does "Medically Necessary" Mean to my Medicare Coverage? (Web Page) - Feb 8th, 2011
A great breakdown of what the term “Medically Necessary" means, a great resource from The Medicare and Medicaid Center.

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.