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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 1
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Heart Failure
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Risk Reduction
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**VNAA IS IN THE PROCESS OF UPDATING THE ENTIRE DIABETES SECTION. We appreciate your patience during this time. Thank you. - VNAA Staff (August 2010)**
Best Practice: Risk reduction is an essential part of a heart failure self-care action plan. Monitoring and problem solving sections of this Website can be used as guides for developing individualized self-care action plans in order to reduce the risk of exacerbation of symptoms and possible hospital re-admission. Beyond this, risk reduction also refers to reducing the overall risk for further cardiovascular disease. Modifiable cardiovascular risk factors include:
- Hypertension
- Diabetes
- Dyslipidemia
- Obesity
- Lack of exercise
- Smoking
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The proactive patient includes prevention screening and immunizations as an important part of their self-care management plan. References
The comprehensive list of preventative screenings and immunizations for adults can be found as the adult preventative guidelines in the following Websites: www.preventiveservices.ahrq.gov, www.cdc.gov
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| Assess
(8 documents) |
| Address reducing risk factors for re-admission at each visit in the form of an individualized self-care action plan. |
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| Plan
(5 documents) |
| Include specific, measurable, patient goals in the plan of care. Use “plan characteristics” as tools to build a nursing care plan and find resources to set and reach goals. Consider culture, tradition, individual preferences as well as economic circumstances when creating the plan of care.
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| Implement
(34 documents) |
| Ongoing communications among all professionals, patient and caregivers is essential to improving and maintaining stability. |
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| Evaluate
(6 documents) |
| Ongoing communications among all professionals, patient and caregivers is essential to improving and maintaining stability. This is particularly true when communication involves teaching the patient about how to problem solve or create a self-care action plan that includes cardiovascular risk reduction, age appropriate health screenings and immunizations
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Risk Reduction
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