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Assessing Heart Failure in Long-Term Care Facilities

Assessing Heart Failure in Long-Term Care Facilities

Despite known best practices, long-term care facilities continue to experience gaps in quality of for high-risk medical conditions, including heart failure. The mean prevalence of heart failure within the long-term care setting is estimated to be 20% (17- 45%), depending on geographic location and study population. Within the long-term care setting, hospital readmission rates average 27% within the first thirty days post inpatient heart failure discharge.  Individuals with heart failure who are admitted to long-term care facilities often have greater disease severity, comorbidities and distinctive vulnerabilities.

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; 2019.

Toolkit Included in Guideline:

  • Long Term Care Heart Failure Assessment
  • Heart Failure Weight Flow Sheet
  • Acronym pocket card “A NEW LEAF”
  • Heart Failure Education Program Example
  • SBAR Form: Interprofessional Team Communication
  • Nursing Interventions Classification: Cardiac Care - 4040
  • Nursing Outcomes Classification: Cardiopulmonary Status - 0414
  • Guideline Implementation Process
    • The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care©
    • Implementation Strategies for Evidence-Based Practice
  • Heart Failure in Long-Term Care Facilities Knowledge Assessment Test
  • Process Evaluation Monitor
  • Assessing Heart Failure Outcomes Monitor/Chart Audit Form
  • New York Heart Association Classification System
  • Algorithm for Assessing Heart Failure


Writing Evidence-Based Practice Guidelines

The purpose of this guideline is to help authors with step-by-step directions about how to write an evidence-based practice (EBP) guideline. The practice guidelines are used by nurses and other care providers and therefore the development of EBP guidelines based on the most current research evidence is essential to enhance clinical decision making designed to achieve improved patient outcomes, quality of care. Written 2001; Revised 2005; 2012; 2016; Reviewed 2018.

Tools Included in Guideline:

  • Overview and introduction
  • “Development and Use of Gerontological Evidence-Based Practice Guidelines”
  • Grading scheme
  • Evidence-based practice guideline template
  • Sample guideline: Assessing Heart Failure in Long-Term Care Facilities (2019)
  • Sample search
  • Critical appraisal tool (CAT)
  • Agree II
  • Research report summary form
  • Non-research literature summary form
  • Consistency of evidence
  • Revision process timeline
  • Guideline Implementation Process
    • The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care©
    • Implementation Strategies for Evidence-Based Practice

Writing Evidence-Based Practice Guidelines

EBP Guideline Catalog
 
 

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