Heart Failure In the Post acute and Long-Term Care Setting

Published: October 2015
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  • Key Points
  • Algorithms
  • Stages in the Development of HF 
  • HFrEF Stage C: Evidence-Based GDMT
  • Tables 
    • Summary of Recommendations 
    • Diuretic Indications and Dose Equivalents 
    • Drugs Used for HF 
  • Steps 
    • STEP 1: Identify Individuals With a History of HF
    • STEP 2: Identify Individuals Who Currently Have Symptoms of HF
    • STEP 3: Identify and Assess for Risk Factors
    • STEP 4: Decide if a Workup is Appropriate
    • STEP 5: Perform Appropriate Imaging Studies to Help to Elucidate the Etiology or Severity of HF
    • STEP 6: Decide if Interventions for Modifiable Risk Factors and Treatment of Potentially Reversible Etiologies Are Appropriate
    • STEP 7: Develop an Individualized Care Plan and Define Treatment Goals
    • STEP 8: Optimize Treatment for Comorbid and Contributing Factors as Well as Cardiac Factors as Appropriate
    • STEP 9: Treat Fluid Volume Overload if Present
    • STEP 10: Treat HFrEF
    • STEP 11: Treat HFpEF
    • STEP 12: Initiate Cardiac Rehabilitation
    • STEP 13: Determine When The Patient Has End-Stage HF
    • STEP 14: Monitor the Patient’s Condition and Response to Treatment
    • STEP 15: Monitor the Facility’s Management of HF
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The Society for Post-Acute and Long-Term Care Medicine is the only medical specialty society representing the community of over 50,000 medical directors, physicians, nurse practitioners, physician assistants, and other practitioners working in the various post-acute and long-term care (PA/LTC) settings.

Description

This pocket guide attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care, and providers at all levels. This pocket guide should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. The ultimate judgment concerning the propriety of any course of conduct must be made by the clinician after consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool.

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