Assessing Heart Failure in Long-Term Care Facilities
Heart failure (HF) is the only cardiovascular disease with escalating mortality despite advances in treatment. The Centers for Medicare and Medicaid Services (2008) report HF as the most common inpatient discharge diagnosis in older adults and one of the most expensive diseases to treat in the long-term care setting. Readmission rates average 25% within the first thirty days post inpatient heart failure discharge.
The purpose of the heart failure assessment guideline is to outline a systematic approach for the assessment of heart failure and the early recognition of symptoms of worsening heart failure in the long-term care setting, post-acute care units, and short-term rehabilitation units using taught observation skills of direct caregivers. This evidence-based practice guideline is intended for use by healthcare workers in long-term care facilities. Written 2006; Revised 2012.
Toolkit Included in Guideline:
- Long Term Care Heart Failure Assessment
- Heart Failure Weight Flow Sheet
- Acronym pocket card “A NEW LEAF”
- Knowledge Assessment Test
- Process Evaluation Monitor
- Heart Failure in LTC Outcomes Monitor/Chart Audit Form
- New York Heart Association Classification System
- Algorithm for Assessment Guideline
- Minnesota Living with Heart Failure Questionnaire
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