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Pulse Home Health Care practices skilled health care procedures firmly rooted in the latest research and best practice policies. We routinely mail bulletins to physicians and other medical referral sources to highlight how we help patients and to explain the scientific basis for different services. Here we share selected physician bulletins about Pulses' Home Health Services. If you have questions about how home health could help you, please contact us today.

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When Heart Failure Survivors Return Home

Heart Failure Home CareFollowing hospitalization for heart failure, patients at home are at serious risk for adverse outcomes. During the 90 days following hospitalization for heart failure, 30% of patients are re-hospitalized and mortality rates reach 10%.1,2 Readmissions for the same diagnosis prove financially problematic for hospitals in that Medicare does not reimburse hospitals for readmissions that are too soon after discharge. Medical practices and facilities that can reduce unnecessary readmissions and avoidable declines in patient condition will show well in Medicare’s current & upcoming performance measures.

Your patient’s experience of heart failure depends not only on the condition’s severity but also on your patient’s adherence to healthcare planning. For optimal treatment, prescriptions alone prove insufficient.3 Our patients must understand the benefits available from medication compliance, diet restrictions, and exercise. Adherence with heart failure management plans has been measured at around 50%, and non-compliance correlates with an increased risk of re-hospitalization.4 However, multiple studies have found various forms of outpatient reinforcement to be effective at improving compliance, reducing mortality, reducing emergency department visits, reducing rehospitalizations, and improving patient satisfaction.5-14 With one quick referral, you can make Pulse Home Health Care part of your multi-disciplinary team for helping patients help themselves. Where heart failure is involved, the following elements of Pulse’s chronic disease management services prove very useful:

Reinforcement & Coordination:

Pulse nurses can visit your patients as often as needed to reinforce teaching and verify compliance. A person’s likelihood to forget important lessons taught while in the hospital or doctor’s office is so great that Medicare manuals specifically denote the appropriateness of ordering home health for reinforcement. New teaching and/or reinforcement can include special diets, keeping daily logs, s/s of acute HF episodes, medication compliance, emergency planning, and when to call the nurse or doctor. Pulse staff can also help with coordination of other healthcare services such as oxygen and DME.

Monitoring & Assessment:

When patient conditions seem unstable or likely to worsen, nurses can assess your patient routinely. Assessment can include weight, pulse oximetry, vital signs, edema, heart auscultation, and disease specific questions. When indicated, Pulse nurses will call the doctor’s office, efficiently report the change in condition, and help patients implement ordered medication changes.

Exercise Training, Energy Conservation, & Home Improvement:

Multiple studies suggest that appropriate exercise programs are safe for patients with mild to moderate heart failure. These exercise programs have reduced hospitalization and improved quality of life.14,15 With Pulse Home Health, physicians can have the peace of mind that comes from knowing patients are beginning conditioning activities under PT supervision. Pulse physical therapists and occupational therapists can also teach energy conservation techniques and home improvements to maximize your patient’s ability to live independently.


Most Patients Pay Nothing for Home Health

  • Patients pay nothing for home health when they qualify for services and have Medicare.
  • Medicare encourages home health episodes designed to decrease the risk of hospitalization, because the investment in patient health saves Medicare thousands of dollars in the long run.

 

Please offer Pulse Home Health Care to your patients.

 

References

  1. Eagle K, Guyton R, Davidoff R, et al. ACC/AHA 2004 guideline update for coronary artery bypass graft surgery. (2004) Circulation, 110 (14), 340-437.
  2. Jolliffe J, Rees K, Taylor R, et al. Exercise-based rehabilitation for coronary heart disease (Cochrane Review). In: The Cochrane Library, Issue 1, UK: John Wiley & Sons, Ltd.
  3. Taylor R, Brown A, Ebrahim S, et al. Exercise-based rehabilitation for patients with coronary heart disease: Systematic review and meta-analysis of randomized controlled trials. American Journal of Medicine. (2004) 116: 682-692
  4. Mark D, Naylor C, Hlatky M, et al.  Use of medical resources and quality of life after acute myocardial infarction in Canada and the United States.(1994)  New England Journal of Medicine. 331: 1130-35.
  5. Wenger N, Forelicher E, Smith L, et al. (1995) Cardiac Rehabilitation. Clinical Practice Guideline, #17. Rockville: US Department of Health and Human Services, Public Health Service, Agency of Health Care Policy and Research and the National Heart, Lung and Blood Institute.
  6. Jolly K, Taylor R, Lip G, Stevens A. “Home-based cardiac rehabilitation compared with centre-based rehabilitation and usual care: A systematic review and meta-analysis.” International Journal of Cardiology . 2006; 111: 343-51.
  7. Carlson J, Johnson J, Franklin B, et al. Program participation, exercise adherence, cardiovascular outcomes, and program cost of traditional versus modified cardiac rehabilitation. (2000).  American Journal of Cardiology, 86, 17-23.


2325 Severn Ave, Ste 5 Pulse Home Health CareMetairie LA 70001 Pulse Home Health Care(504) 831-7778

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