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.

Heart Failure
Nutrition
Exercise
Monitoring
Medications
Problem Solving
Assess 
Plan 
 Implement
Clinician Education
Patient Education
Evaluate 
Coping
Risk Reduction
Hypertension and Angina
Diabetes

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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 > Problem Solving > Implement

Implement

A self-care plan should include the appropriate patient response to scenarios common in patients with heart failure. This includes the response to fluid overload or dehydration as well as to chest pain.
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It is important to work in tandem with the provider in order to make referrals. A list of community and national resources can be made available to the patient and/or the caregivers in order to assist them in initiating these relationships.
Cholesterol Quiz (Web Page) - Feb 3rd, 2011
Quiz on the steps you can take to reduce your high blood cholesterol

Improving Vaccination Rates in Adults and Children with Diabetes (Web Page) - Jan 12th, 2011
The National Foundation for Infectious Diseases (NFID) has launched an awareness initiative to address alarmingly low influenza vaccination rates in adults and children with diabetes, the fifth deadliest disease in the U.S. More than 15 leading medical and public health organizations support the...

Device Improves Survival of Heart Failure Patients: Study (Web Page) - Nov 30th, 2010
Canadian researchers report that an implantable device called a resynchronization therapy-defibrillator helps keep the left side of the heart pumping properly, extending the life of heart failure patients. (Nov. 14, 2010)

AHA/ASA Releases Updated Secondary Stroke Prevention Guidelines (Web Page) - Nov 5th, 2010
(Released 10/25/10)- New recommendations on metabolic syndrome treatment and acknowledgement of a place for stenting in the management of symptomatic carotid stenosis are among the changes seen in updated secondary stroke prevention guidelines.

Beta Blockers (Level 2) (pdf) - Nov 5th, 2010
Treating High Blood Pressure and Heart Disease - Comparing effectiveness, safety and price.

Important Things to Consider When a Patient's Insurance Doesn't Cover a Medication (doc) - Nov 5th, 2010
Important resource for both patient and clinician.

What's The Evidence for the Link Between ARBs and Cancer? (Level 2) (Web Page) - Nov 1st, 2010
VIDEO - Dr. Ileana L. Pina talks with Ilke Sipahi both a part of the part of the Heart Failure faculty at Case Western Medical Center University Hospitals in Cleveland.

Podcasts from Medscape - Cardiology (Level 2) (Web Page) - Nov 1st, 2010
Latest medical news and features from Medscape Cardiology, including a podcast from Dr. Lleana Pina, MD, (dated 7/19/10) about What's The Evidence for the Link Between ARBs and Cancer?.

Low Fitness in Youth Leads to Hypertension (Web Page) - Oct 28th, 2010
Young adults who don't get enough physical and aerobic exercise increase their risk of having high blood pressure later in life, a 2010 study shows.

Ace Inhibitors (pdf) - Oct 26th, 2010
Treating High Blood Pressure and Heart Disease - Comparing effectiveness, safety and price.

Heart 360 (Level 2) (Web Page) - Oct 25th, 2010
Record health data with online trackers, access information and resources on how to be heart healthy and more.

Management and Practice: Geriatric Medication Management (Web Page) - Oct 1st, 2010
PowerPoint presentation on the medication reconciliation process which explains how to effectively verify, clarify, and reconcile patients medications.

Energy Conservation - Level 3 (doc) - Aug 1st, 2010
Tips to assist patients in conserving energy.

Decision Support Tool: Heart Failure - Level 2 (doc) - Aug 1st, 2010
This decision support tool was developed to help improve home health patient and agency outcomes by supporting standardized and evidence-based practice. This material is provided by the Quality Insights of Pennsylvania, the Medicare Quality Improvement Organization for Pennsylvania.

Lifestyle and Risk Reduction - Level 2 (Web Page) - Aug 1st, 2010
Tools available for download concerning nutrition, exercise and warning signs, etc.

Important Phone Numbers: Who to Call When to Call - Level 2 (pdf) - Aug 1st, 2010
Document that patients can fill out as a quick reference of who to call based on the severity of their symptoms.

 


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.