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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