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Assessing Heart Failure in Long-Term Care Facilities *NEW*
Assessing Heart Failure in Long-Term Care Facilities


 
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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


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Before you proceed, please note we do not grant permission to use and/or copy any one individual tool not developed under the Barbara and Richard Csomay Center for Gerontological Excellence. For individual tool use, please contact the author/publisher of that tool.

By purchasing and downloading permissions for the Guideline and Toolkit you agree to the following terms:

  1. Guideline and Toolkit are for private, internal, non-commercial use only (unless special permissions are obtained).
  2. If the Guideline and Toolkit will be distributed online, it must be password protected and unavailable to the general public.
  3. Guideline and Toolkit cannot be modified without expressed consent from author(s) and/or publisher.
  4. You must give appropriate credit when using materials from the Guideline and Toolkit by using the citation on the Contact Information (or Contact Resource) page of the Guideline and place the following copyright notice at the bottom of the page, " ©2018 the University of Iowa, College of Nursing, Barbara and Richard Csomay Center for Gerontological Excellence. All rights reserved. Do not copy or reproduce without permission."
  5. You may not reprint and/or redistribute materials from the Guideline or Toolkit for any of your own publications. Please email Csomay-Center@uiowa.edu if you wish to obtain permission to use material from the Guideline or Toolkit in a publication.

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