Disease Managment

Disease Management - Congestive Heart Failure

Overview of CHF Program:

  • One-on-one hour long clinic CHF assessment and education by an RN CHF Case Manager for the patient and a family member if needed
  • Clinic and home visits are for physical assessment, medication inventory and educational information only, no invasive procedures are performed
  • Follow-up telephone calls are made by an LVN CHF Care Coordinator to assess the patient's condition and to provide weekly and monthly education
  • Facilitate the needs of the patient with their PCP
  • Each patient is given a digital scale for recording their daily weights
  • The CHF Case Management Program is a FREE program offered to all qualified WellMed/Secure Horizon members

Congestive Heart Failure Program Goals for the Patient include:

  • Preventing worsening of CHF symptoms
  • Maintaining current levels of physical activity and functional status
  • Minimizing hospital admissions and emergency room visits
  • Optimizing quality of life

CHF Patient Education Topics Include:

  • Teaching the patient to monitor their condition for worsening signs and symptoms and reporting earlier
  • Medications and medication compliance
  • Reducing sodium in diets
  • Recording daily weights and reduce/monitor fluid intake if needed
  • Benefits of physical exercise as recommended by their PCP
  • Importance of routine follow-up PCP appointments
  • Lifestyle modifications such as smoking cessation, weight loss and controlling other risk factors

For more information about the Disease Management Programs offered by WellMed, please call 617-4766.

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