Premier Home Health Care

Transitional Care

RN CARDIAC (CHF) CLINICAL PATHWAY - Visit 2

  • 1 Expected Outcomes
  • 2 Interventions
  • 3 Signature

Patient will avoid rapid weight gain

select "Yes" or "No"

Vital signs will be within patient’s normal limits

select "Yes" or "No"

Patient will demonstrate compliance with maintaining food and weight logs

select "Yes" or "No"

Patient will verbalize knowledge of therapeutic diet

select "Yes" or "No"

Complete patient assessment

select "Yes" or "No"

Initiate/continue education on management of Heart Failure

select "Yes" or "No"

Continue education on meds and S&S to report

select "Yes" or "No"

Review food log for diet compliance

select "Yes" or "No"

Monitor weight log

select "Yes" or "No"

Provide education on desired behaviors: exercise, rest

select "Yes" or "No"

Coordinate with clinical team as needed

select "Yes" or "No"

Initiate discussion on Smoking Cessation, if applicable

select "Yes" or "No"

Assess need for SW

select "Yes" or "No"

If HHA in place, complete POC and orient aide to POC

select "Yes" or "No"

Finished

Please sign here! Go to Visit 2