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 > Nutrition > Evaluate

Evaluate

Patient's response to interventions and teaching needs to be continually evaluated by assessing measurable outcomes. The problems, the goals and the interventions for heart failure patients are evaluated regularly and revised to achieve desired health outcomes. Use the questions in the evaluation area and “Important Considerations” to assist you in measuring progress towards goals for your patients.
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 Important Considerations
  • Does the patient verbalize and demonstrate increased knowledge?
  • Is the patient maintaining a stable weight?
  • Has the patient been able to minimize risk factors affecting heart failure stability?
  • Are glucose target values within range? (For patients with diabetes before meals it should read 70-130. One to two hours after meals it should read below 180)
  • Is blood pressure value within range? (Less than 130/185 mm Hg)
  • Is anemia present or absent?

Follow Your Treatment Plan and Deal with Your Symptoms - Level 2 (pdf) - Aug 1st, 2010
Patient booklet that discusses how to follow a treatment plan and monitor symptoms.

Tracking What You Drink - Level 2 (Web Page) - Aug 1st, 2010
Advises how to be aware of fluid intake so not to interfere with diuretics and increase work for the heart

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.