Chronic Conditions

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Heart Failure

Heart Failure  Definition:

Heart failure is a condition in which the heart can't pump enough blood to meet the body's needs. In some cases, the heart can't fill with enough blood. In other cases, the heart can't pump blood to the rest of the body with enough force. Some people have both problems. National Heart Lung and Blood Institute

Heart Failure Guidelines:

Michigan Quality Improvement Consortium: Heart Failure Guidelines

A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.

Care Management Interventions

Click Here to access the heart failure action plan

Diagnosis Specific Concerns

Care Management Intervention

Patient Specific Interventions

Care Manager Quick Tools

Patient Quick Tools

Assessment

Assess patients knowledge level on diagnosis

Preparing for the visit

 

Comprehensive Assessment tool

Heart Failure Readmission Assessment Tool

What to Expect at the Physician Appointment

 

Handout - Preparing for the Appointment

 

 

Diagnosis Education

Provide education regarding HF diagnosis

  • Causes
  • Risks
  • Symptoms
  • Treatment

 

Discuss diagnosis with care manager

 

Review educational materials provided

 

Provide teach-back

Patient Communication

 

Michigan Quality Improvement Consortium: Heart Failure Guidelines

Heart Failure Patient Teaching Guide.

 

Heart Failure Basics

 

What is Heart Failure

 

 

Medication Management

Provide education on current medication therapy

 

Discuss side effects of medications

 

Discuss interactions

Provide teach-back regarding medication understanding

 

Use a medication a medication log

 

Notify physician of side effects

 

Do not stop taking medication unless told to do so

 

Guide to Heart Failure Medications

 

Medication Tracker

Free or Low Cost Medications - MDHHS

 

 

Medication Tracker

 

Medication Fact Sheets:

 

ACE Inhibitors

 

Aldosterone Receptor Antagonists

 

Angiotensin II Receptor Blockers

 

Digoxin

 

Diuretics

Weight Management

Educate on patient on importance of monitoring daily weights

 

Educate patient on when to call physician regarding weight gain.

 

Provide weight monitoring log

 

Monitor patient weight

 

Patient to monitor weight daily

  • Tip- Monitor weight every morning before breakfast and medications, after urinating. Wear same type of clothes and weigh self on same scale

 

Keep log of daily weights and bring to all appointments

 

Patient understanding to call provider if >2lbs in one day or 3-5lbs in one week

 

Heart Failure: Checking Your Weight

Heart Failure: Checking Your Weight

 

Heart Failure Checking Your Weight Handout

Heart Failure Monitoring Chart

Fluid Management

Monitor patient fluid intake

 

Provide patient education on fluid measurement and restriction

 

 

Understand fluid restrictions provided by physician.

 

Review educational materials on fluid measurement

 

 

Fluid Management Strategies in Heart Failure

Heart Failure: Watching Your Fluids

 

How to Limit Your Fluids

 

Nutrition

 

Educate on maintaining daily sodium restriction recommended by physician

 

Provide education on diet and tools for maintaining diet

  • Good vs bad food
  • Reading food labels

 

Refer patient to a dietitian or nutritionist

 

Create diet plan

 

Demonstrate ability to read food labels

 

Check labels for salt intake

 

Check food labels for fat content based on total calories

 

Decrease sodium in diet

  • Tips- Eat fresh or frozen vegetables not canned.
  • Leave salt shaker off the table
  • Do not cook with additional salt

Living with Heart Failure from the American Heart Association

 

Heart Failure Diet Guidelines

Heart Failure and Diet

 

Healthy Diet

 

Limiting Sodium

 

Action Plan

 

Educate patient on when to call primary care physician

 

Provide patient with HF action plan

 

 

 

 

Demonstrate understanding of HF action plan and when to call physician’s office versus go to Emergency Room.

HF Action Plan

HF Action Plan

 

My Heart Failure Workbook

 

Heart Failure Self-Check Plan

Smoking

Provide education on smoking cessation

 

Review materials provided on smoking cessation

 

Enroll in a smoking cessation program

Smoking Cessation in Michigan

 

Smoking and Cardiovascular Disease

How to Create a Plan to Quit Smoking

 

https://smokefree.gov/

 

Activity

Provide education on exercise and CHF if recommended by physician

 

Create action plan

Provide examples of different types of exercise

 

Educate patient on signs and symptoms of when to stop exercising

 

Refer patient to Cardiac Rehabilitation if necessary by physician.

Check with provider prior to starting an exercise regimen

 

Understand warning signs and when to stop exercising

Follow recommended treatment plan

  • Tips- Start slowly
  • Exercise at the same time each day so it becomes a regular part of the day

Guidelines for Exercising with Heart Failure

MDHHS Cardiovascular Health, Nutrition, and Physical Activity

Heart Failure: Activity and Exercise

 

Activity Tracker

 

Physical Activity, A Way of Life

Managing stress

Refer patient to a behavioral health specialist

 

Educate patient on healthy ways to manage stress

Demonstrate understanding of healthy ways to manage stress

Breathing Problems: How to Control Stress

 

How to Lower Your Stress

Four Ways to Deal with Stress: American Heart Association

Common tests and labs

Provide education on ordered tests

Complete required testing and lab work

 

 

Common Tests for Heart Failure

 

Diagnosing Heart Failure

Stress Test Fact Sheets

 

Electrocardiogram Fact Sheets

For a printable version of the care management interventions Click Here

*This chart is not meant to be an inclusive list of interventions or resources for care management, but a starting point in working with patients with heart failure. Always check with your practice regarding the use of guidelines, resources and education.

Pathophysiology References

Article

Heart Failure Pathophysiology

Provides basic pathophysiology for the care manager

Article

CHF Pathophysiology - Mayo Clinic

The Mayo Clinic presentation of the pathophysiology of heart failure

Toolkits

This section provides information on various toolkits to assist with the care management of heart failure patients.

Tools

American College of Cardiology Toolkit

Provides information of heart failure practice solutions and prevention

Tools

Department of Veterans Affairs Heart Failure Toolkit

Developed through the Quality Enhancement research Initiave with the V.A., provides information for providers regarding heart failure to include clinical pathways, heart failure guidelines and education.

Tools

American Heart Association Heart Failure Toolkit

Toolkit provides information in the management of heart failure including, nutrition, fluid management, medication and much more.

Care Management Learning Resources

This section is for care managers who would like to get additional more specific information relating to heart failure.

Tools

Michigan Department of Health and Human Service Links

The links below provide resources for primary care

Article

2013 ACCF/AHA Guideline for the Management of Heart Failure

A Report of the Amercian College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Includes information on staging of heart failure, medication management, and treatments.

Article

Health Literacy and Cardiovascular Disease

Discusses the importance of improving communication processes with patients can lead to improved cardiovascular outcomes from the Journal of Vascular Health Risk Management.

Article

Evaluation of Patients for Ventricular Dysfunction and Heart Failure

Provides information regarding evaluation of ventricular dysfunction and heart failure and the three groups patients fall into. From the Journal of Cardiac Failure.

Article

Fluid Management

Fluid management strategies from the Journal of Critical Care Nursing

Webinars and Presentations

MiPCT Webinar

Jun 12 2013

To receive a certificate of completion Click Here

Webinar replay video

Presented by

Zorica Kauric-Klein, PhD Nursing, MSN, BSN, Assistant Professor: Wayne State University Kristina Dawkins, MPH, Clinical and Public Health Consultant, Cardiovascular Health, Nutrition, and Physical Activity, MDCH