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Managing congestive heart failure at home

P Barrella1, E Della Monica

  • 1Abington Memorial Hospital Home Care, Willow Grove, Pennsylvania, USA.

AACN Clinical Issues
|December 18, 1998
PubMed
Summary

Home care is an effective alternative to hospital care for managing heart failure, reducing costs and improving patient outcomes. Cardiac nurses play a vital role in this evolving landscape of heart failure management.

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Area of Science:

  • Cardiology
  • Healthcare Management
  • Nursing

Background:

  • Escalating hospital readmission rates and treatment costs for heart failure patients present a significant challenge.
  • Home care is emerging as a preferred alternative to institutional care for long-term heart failure management.
  • Home health agencies are increasingly adopting heart failure management programs to align with Medicare managed-care requirements.

Purpose of the Study:

  • To explore the role of home care in managing heart failure.
  • To highlight the importance of practice standards in developing home care programs.
  • To emphasize the evolving strategies for decreasing heart failure morbidity and mortality.

Main Methods:

  • Utilizing practice standards from organizations like the Agency for Health Care Policy and Research (AHCPR).
  • Developing, implementing, and evaluating home care programs for heart failure.
  • Focusing on the role of the cardiac home care nurse in patient management.

Main Results:

  • Home care offers a viable alternative for long-term heart failure management.
  • Established practice standards provide a framework for effective home care program development.
  • Ongoing advancements in heart failure management contribute to reduced morbidity and mortality.

Conclusions:

  • Home care programs are crucial for effective long-term heart failure management.
  • Cardiac home care nurses are essential in managing complex heart failure patients.
  • Adherence to practice standards enhances the development and evaluation of home care initiatives.

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