Download The Hope Hospice Cardiac Program Includes: Cardiac Care

The Hope Hospice
Cardiac Program
Includes:
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Bi-Weekly Skilled Nursing Visits: 1st month of service, an
expertly trained Cardiac Care nurse will visit the patient 2 times
a week to ensure patients symptoms are optimally managed
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Cardiac Medications: Each Cardiac patient receives a Cardiac
Comfort Kit upon admission for crisis management
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Contingency Orders: Individualized orders to keep patients
fluid neutral and to manage exacerbations
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Medication Teaching & Planning: Personalized plan created
by RN and family with a focus on medication appropriateness,
effectiveness and compliance
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Certified Nurses Aide: Visits: Cardiac patients receive a
minimum of 3 visits a week to provide assistance with activities
of daily living and provider caregiver relief
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Class III and IV Cardiac patients
median survival rate is 1 year
or less
Dietary Counseling: Each patient will receive a dietary
counseling session and needs assessment
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Cardiac Disease in the United States
costs more than $30 billion,
with 60 percent associated with
hospitalization
Innovation & Technology Tools: real time access to patient
records to ensure continuity of care and assistance with using
available smart technology for medication reminders as well as
pain and vital sign tracking and monitoring
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Medical Equipment & Incontinent Supplies: We provide
all of the equipment and supplies needed to assist with
patient care which are delivered to your home. These
include hospital beds, oxygen, wheelchairs, shower chairs,
incontinence and wound care supplies and nutritional
supplements as suggested by our dietary counselor.
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Respite Care: level of care available every month to
caregivers when they need time to recharge. Hope will
facilitate and cover the cost of placement of a loved one in
one of our contracted partner facilities
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RN On Call 24/7: Hospice MD and RN staff available 24 hours
a day, 7 days a week, including Holidays and Weekends for
emergent needs
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Patient & Family Empowerment & Support Plan:
Individualized plan designed to ensure competence and
confidence in managing Cardiac symptoms and caring for
their loved ones at home
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Patient Outcome & Vital Statistic Reports: weekly trend
reports which include weight, vital signs and physical
assessments provided upon request
Cardiac Care
Program
Hope Hospice’s comprehensive Cardiac Care
program significantly reduces cardiac crisis and
risk of hospitalizations for our patients
80% of Americans say they want to
die at home, only 20% do.
Only 4% of patients dying of
Cardiac Disease get palliative care
at end of life
Average Out of Pocket Cost to
the Cardiac patient is approximately
$12,000.00 a year
Providing a loving embrace on a difficult journey
for over 30 years
General Predictors of Hospice
Eligibility
New York Heart Association (NYHA)
Functional Classification
Prognostication of mortality rate for Cardiac Disease
is difficult due to the unpredictable disease trajectory
and symptom variability. The following guide can help
in determining if Hospice may be right for your patient.
• Class 4 Symptoms
And 1 or more supporting factors below
• Recent Cardiac Hospitalization (triples 1 year
mortality)
• Elevated BUN (defined by upper limit of normal)
and/or creatinine > or = to 1.4mg/dl (120 umol/1)
• Systolic blood pressure <100 mm Hg and/or pulse
• Decreased left ventricular ejection fraction (linearly
correlated with survival at LVEF < or = to 45%)
• Ventricular dysrhythmias, treatment resistant
• Anemia (each 1 g/dl reduction in hemoglobin is
associated with a 16% increase in mortality)
• Hyponatremia(serum sodium < or = to 135-137
mEq/l)
• Unintentional weight loss or gain
• Reduced functional capacity
Class
Patient Symptom
I
No limitation of physical activity. Ordinary physical
activity does not cause undue fatigue, palpitation,
dyspnea (shortness of breath).
II
Slight limitation of physical activity. Comfortable
at rest. Ordinary physical activity results in fatigue,
palpitation, dyspnea (shortness of breath).
III
Marked limitation of physical activity. Comfortable
at rest. Less than ordinary activity causes fatigue,
palpitation, or dyspnea.
IV
Unable to carry on any physical activity without
discomfort. Symptoms of heart failure at rest. If
any physical activity is undertaken, discomfort
increases.
Areas Served
Patients Living In or Discharging to:
How to Refer
Fax to Hope Hospice at (830) 606-1388:
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Face Sheet
History and Physical
Medication Administration Record
MD Order to “evaluate and admit if appropriate”
Comal &
Guadalupe
(830) 625-7525
Fax
(830) 606-1388
Toll Free
(800) 499-7501
Web
hopehospice.net
Member: New Braunfels Chamber of Commerce
Comal
Bulverde
Canyon Lake
Garden Ridge
New Braunfels
Spring Branch
Startzville
Sattler
Hays
San Marcos
Wimberley
Martindale
Kyle
Woodcreek
Guadalupe
Cibolo
Geronimo
Kingsbury
Marion
McQueeney
New Berlin
Schertz
Seguin
Bexar
Converse
Live Oak
Selma
Windcrest
Universal City
Caldwell
Luling
Lockhart
We will consider patients living
outside of coverage area on a
case by case basis.
Services
Board Certified Hospice & Palliative Care Medical Director,
Skilled Nursing, Certified Nursing Assistants, Physical Therapy,
Speech Therapy, Dietary Counseling, Medical Social Worker,
Massage Therapy, Spiritual & Emotional Support,
Licensed Grief Counseling, Pet Therapy, Volunteer Services
Providing a loving embrace on a difficult journey for over 30 years