presented by Lisa Gorski
Financial - Lisa Gorski receives compensation from MedBridge for the production of this course. She also receives compensation for Speaking honoraria from BD, 3M, Genentech, being an Advisory Board Member for Teleflex, ivWatch, Hospira/Pfizer, and employee of Wheaton Franciscan Home Health and Hospice, Part of Ascension at Home. She also receives book royalties from FA Davis.
Non-Financial - Lisa Gorski is an Editorial Board Member, Home Healthcare Now, Chairperson, Infusion Nurses Certification Corporation and Infusion Nurses Society Standards of Practice Committee.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
Lisa Gorski, RN, MS, HHCNS-BC, CRNI, FAAN
Lisa Gorski MS, RN, HHCNS-BC, CRNI, FAAN, has worked for over 30 years as a Clinical Nurse Specialist (CNS) for Wheaton Franciscan Home Health & Hospice, now part of Ascension at Home in Milwaukee, Wisconsin. As a CNS, she has developed and oversees the home infusion therapy program, provides staff education, is involved in agency…Read full bio
1. Pathophysiology of Heart Failure
Home care clinicians must understand the pathophysiology of heart failure in order to best comprehend heart failure treatment and to effectively educate patients and families. In this chapter, the following are addressed: the definition, categories, and stages of HF and the neurohormonal compensatory mechanisms that occur as the heart begins to fail.
2. Assessment and Heart Failure Disease Management
The importance of the home care nurse’s role in assessment and identification of HF signs and symptoms and potential HF exacerbation is emphasized. Nonpharmacologic and pharmacologic interventions in HF management are described.
3. What are the Components of Self-Care Management
Patient and family education is essential to managing the patient with HF. While key areas for patient education will be identified in this chapter, it is important to recognize that self-care management is more than just helping patients to understand and adhere to taking medications, eating a low sodium diet, and attending to activity and exercise. To optimally manage HF and reduce the risk for hospitalization, patients must also self-monitor for signs/symptoms of exacerbation and, should they occur, effectively evaluate and manage their condition, such as implementing medication changes and/or appropriately calling the licensed prescriber. The role of telemonitoring as an aspect of self-care management is also addressed in this section.
4. Understanding Patient Barriers to Self-Care Management
To effectively intervene and help patients to self-manage their HF, barriers must be addressed in order to develop appropriate interventions. Older adults in particular may struggle to manage their disease due to other co-morbidities, frailty, and social isolation. Additional barriers to self-care management include depression, low health literacy, mild cognitive impairment, provider-interaction style, and low self-confidence in managing HF. Case scenarios will be used to highlight strategies for intervention. The learner will also be challenged to consider questions relative to his/her practice and beliefs.