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FALL 2009 9 We Can Help You to Manage YOUR HEART FAILURE Heart failure is a serious illness that must be monitored closely, but with the right treatments and careful management of your diet and lifestyle, your symptoms can be controlled, allowing you to lead a full and satisfying life. The Valley Hospital’s Heart Failure Program • social work services offers diagnostic, treatment, and self- • cardiac rehabilitation management services provided by a multidisciplinary team of physicians, surgeons, nurse practitioners, nurses, pharmacists, dietitians, cardiac rehabilitation specialists, case managers, and home care staff. All care is coordinated by a nurse practitioner, who will be your liaison to the services you need to stay well and avoid hospitalization. Valley’s Heart Failure Program, which has been recognized by The Joint Commission and granted Heart Failure Disease Specific Care Certification, includes the following: • patient education • diagnostic testing • medication treatment • interventional treatment • surgical treatment • nutrition counseling • home care • consultations with physicians, nurses, and other members of the team In addition to the above services, Valley is one of the few hospitals in the area to offer cardiac MRI using MARISA™ technology, which helps physicians accurately determine the best treatment for each patient. Valley Home Care offers an in-home heart failure telemanagement program that may be covered by Medicare for patients who are age 65 and older, homebound, and meet other specific criteria. Managing heart failure successfully includes monitoring symptoms and body weight daily, regular exercise, limiting sodium and total fluid intake in the daily diet, taking medications as prescribed, managing your feelings and anxieties about your illness, and quitting smoking. “Depending on the severity of the patient’s condition, we generally treat heart failure first with medications and dietary and lifestyle changes,” says John Strobeck, M.D., Ph.D., Director of the Heart Failure Program. If medication and dietary control do not relieve symptoms or if symptoms recur while on medication, patients may be referred for high-level diagnostic testing, interventional therapy, or surgery. Robin Giordano, R.N., M.A., APN/C, Coordinator of Valley’s Heart Failure Program, says don’t be afraid to look to others for support. “Join a buddy to walk at the mall, hire someone to clean your house, talk over your feelings, accept a low-sodium cooked meal with no salt added,” she says. For more information about Valley’s Heart Failure Program, call 201-447-8284. To register for the Heart Failure Outreach Program, call 201-291-6467. Symptoms of Heart Failure When the heart cannot pump blood properly, fluid can spread from the blood into the lungs, feet, legs, hands, liver, and abdominal cavity. The heart failure team recommends calling your physician or nurse if you are experiencing any of these symptoms: • shortness of breath when lying down or exerting oneself • weight gain • swelling of the hands and feet • frequent coughing • hacking cough while lying down Robin Giordano, R.N., M.A., APN/C, a nurse practitioner and coordinator of The Valley Hospital Heart Failure Program, with program director John Strobeck, M.D., Ph.D. • abdominal pain from liver congestion • fatigue