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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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Assess
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| One of the most important ways people with heart failure can maintain their sense of well-being is to keep active. In order to design a progressive activity program, assess the patient’s current exercise or physical activity level and their risk for falling. A multidisciplinary approach provides for expertise from not only the nurse but also physical and occupational therapy if available. |
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Agreement on a universal exercise prescription for heart failure patients does not yet exist. Controlled studies are currently underway to provide evidence for exercise interventions in patients with heart failure. The AHA/ACCF Guidelines currently recommend an individualized approach with the goal of maintaining or improving functional capacity. Focused update ACCF/AHA Guidelines for the Diagnosis and Management of heart failure in adults 2009.
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BMI Calculator (Level 2)
(Web Page)
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Oct 26th, 2010
Calculate the patient's body mass index to determine a healthy weight.
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Heart Failure Self-Assessment - Level 3
(doc)
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Aug 1st, 2010
Patient questionaire to assess patient's understanding of his/her condition
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Heart Failure: Phone Monitoring Assessment Guide - Level 2
(pdf)
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Aug 1st, 2010
Phone monitoring questions to assess patients' current status and interventions based on assessment. This material is provided by the Quality Insights of Pennsylvania, the Medicare Quality Improvement Organization for Pennsylvania
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Heart Failure: Cardio-Respiratory Assessment Tool - Level 2
(pdf)
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Aug 1st, 2010
Check-off assessment sheet for cardio-respiratory functioning. This material is provided by the Quality Insights of Pennsylvania, the Medicare Quality Improvement Organization for Pennsylvania
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ATS Statement: Guidelines for the Six Minute Walk - Level 1
(pdf)
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Aug 1st, 2010
This statement provides practical guidelines for the six minute walk test (6MWT). Specifically, it reviews indications, details factors that influence results, presents a brief step-by-step protocol,outlines safety measures, describes proper patient preparation and procedures, and offers guidelines...
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Six Minute Walk Assessment - Level 2
(pdf)
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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.
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Best Practice Recommended Questions to Assess Patient's Physical Status and Activity Patterns-...
(News Article)
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Aug 29th, 2007
Assessing Current Practices:What is your daily physical activity pattern?
Have you changed anything in your daily physical activity since you found out you have Heart Failure?
What times of day are you typically most active?
What do you consider strenuous activity?
What types of exercise do you...
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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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Assess
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