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Heart Failure Teach Back Education EXAMPLE OF TEACH BACK LANGUAGE: “I want to be sure we did a good job teaching you about your heart failure. There is a lot of information so I want to make sure we didn’t miss anything.” Patient educated this hospitalization with Baptist HF booklet (includes weight chart, Patient educated using Teach Back Patient watched the Heart Failure DVD Patient received additional education Patient can explain in his/her own words what heart failure means. (Blood backs up in veins. Body holds on to extra fluid, causing swelling. Fluid backs up in lungs too.) Patient can name some symptoms of heart failure (weight gain of ≥3 lbs overnight, swelling, cough, trouble brea Patient can recall what to do every morning before breakfast (weight) Patient has scale at home (If no, offer scale at no cost). N/A – Patient can recall which body parts to check for swelling (abdomen, legs, ankles, Patient can recall the importance of taking heart failure medications (improve blood flow, decrease work load, prevent fluid buildPatient understands how to measure fluid intake (provide measu Patient can recall what foods/seasonings to limit (excess salt can cause weight gain, Patient can recall what to do if he/she is in the GREEN ZONE (keep up the good Patient can recall what to do if he/she is in the YELLOW ZONE (call primary care Patient can recall what to do if he/she is in the RED ZONE (call 911 or go to the Patient knows w This tool is NOT part of the permanent medical record. PLACE IDENTIFICATION STICKER HERE