Premier Home Health Care
Transitional Care
Visits List
RN CARDIAC (NON-CHF) CLINICAL PATHWAY - Visit 3
Validation
1
Expected Outcomes
2
Interventions
3
Signature
Vital signs will be within patient’s normal limits
Yes
No
select "Yes" or "No"
Patient will demonstrate compliance with maintaining food and weight logs
Yes
No
select "Yes" or "No"
Patient will verbalize knowledge of therapeutic diet
Yes
No
select "Yes" or "No"
Patient will verbalize knowledge of medication regimen
Yes
No
select "Yes" or "No"
Patient will verbalize understanding of need to follow up with regular PCP appointments
Yes
No
select "Yes" or "No"
Complete patient assessment
Yes
No
select "Yes" or "No"
Initiate/continue education on management of Cardiac disease
Yes
No
select "Yes" or "No"
Continue education on meds and S&S to report
Yes
No
select "Yes" or "No"
Review food log for diet compliance
Yes
No
select "Yes" or "No"
Monitor weight log
Yes
No
select "Yes" or "No"
Provide instruction of effective coping strategies
Yes
No
select "Yes" or "No"
Provide education on desired behaviors: exercise, rest
Yes
No
select "Yes" or "No"
Coordinate with clinical team as needed
Yes
No
select "Yes" or "No"
Initiate discussion on the importance of follow-up with PCP appointments
Yes
No
select "Yes" or "No"
Continue discussion on Smoking Cessation, if applicable
Yes
No
select "Yes" or "No"
Finished
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Validation states
2
Alerts
3
Payment Info
4
Other Info
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