Heart Failure Assessment: Monitoring Signs and Symptoms

presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN

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Disclosure Statement:

Financial: Lisa Gorski receives compensation from MedBridge for this course. She also receives compensation from 3M, BD Medical, Genentech, and Nexus Medical. She also receives book royalties from FA Davis and is a consultant for Rockwell Medical. Lisa has stock in ivWatch and is an employee at Ascension at Home.

Nonfinancial: Lisa Gorski is a professional member of the Infusion Nurses Society and is an editorial board member for Home Healthcare Now.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 14 Minutes, Learning Assessments: 28 Minutes

The third course in the heart failure (HF) series continues to build on understanding of the pathophysiology of HF by identifying signs and symptoms of worsening HF through direct clinical assessment and via the use of telehealth systems. While this course is aimed at nurses and therapists across all settings, home care clinicians in particular must possess a high level of knowledge to effectively assess and monitor for signs of worsening HF during each home visit. Such knowledge provides the clinician with confidence in assessment, early identification of worsening HF, and in patient education.

Meet Your Instructor

Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN

Lisa Gorski has worked for more than 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, and is involved in agency quality assessment, performance…

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1. Right Versus Left Ventricular Failure

While most patients will present with biventricular failure, it is helpful to examine the differences between the signs and symptoms of right- versus left-sided failure in the context of the weakening heart.

2. Heart Failure Assessment Parameters

A comprehensive clinical assessment for signs/symptoms of worsening HF is essential. Vital signs, weight, and cardiopulmonary assessment are addressed. The importance of assessment of the impact of the disease on the patient and family is also emphasized.

3. Telemonitoring

Telemonitoring, including monitoring systems, video visits, and simple telephone follow-up calls, allow for assessment of key parameters such as weight and vital signs. Early detection of changes in condition and subsequent adjustments in treatment can reduce the risk for hospitalizations.

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