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Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

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Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

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The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
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Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

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Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
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Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

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Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
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Nursing Evaluation01:15

Nursing Evaluation

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Updated: Sep 14, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Evaluation of a Virtual Home Health Heart Failure Program: Mixed Methods Study.

Nilufeur McKay1, Rosemary Saunders1, Helene Metcalfe1

  • 1School of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, 6027, Australia, 61 863046116.

JMIR Cardio
|July 23, 2025
PubMed
Summary
This summary is machine-generated.

Virtual Home Health Heart Failure Programs significantly improve patient quality of life and reduce psychological distress. These remote monitoring services enhance patient capability, comfort, and calm, demonstrating a promising approach to heart failure management.

Keywords:
Australianhealthcare systemsheart failuremixed methods studymonitoring support programpatient care teamquality of lifesupportive caretelemedicinevalue-based healthcarevirtual healthvirtual healthcare

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Area of Science:

  • Cardiovascular Medicine
  • Health Services Research
  • Digital Health

Background:

  • Heart failure (HF) is a widespread condition with significant patient and healthcare burdens.
  • Current treatments leave gaps in continuous, personalized supportive care.
  • Virtual healthcare services offer a promising solution for chronic disease management.

Purpose of the Study:

  • To evaluate clinical and behavioral outcomes in a Virtual Home Health Heart Failure Program (VHHHFP).
  • To explore patient and healthcare practitioner (HCP) experiences within the VHHHFP.
  • To assess the impact of remote monitoring on heart failure management.

Main Methods:

  • A mixed-methods study involving patients (N=49) and HCPs (n=6).
  • Quantitative data collected via KCCQ-12, PHQ-4, PAM-13, and PREMs.
  • Qualitative data from patient (n=9) and HCP interviews analyzed thematically.

Main Results:

  • Significant improvements in KCCQ-12 scores (quality of life, physical limitations, symptom frequency, social limitation) (P<.001).
  • Reduced psychological distress and anxiety (P<.02).
  • Low hospitalization rate (10.2%) within 30 days; patient interviews revealed enhanced capability, comfort, and calm.

Conclusions:

  • Remote patient monitoring integrated with interdisciplinary support improves clinical outcomes for heart failure patients.
  • The VHHHFP demonstrates success in enhancing patient capability, comfort, and calm.
  • This study supports the growth of technology-enabled chronic disease management.