Daily Self Assessment & Having a Plan | Call sequence | Call on day |
---|---|---|
BEHAVIOR – Verify the patient: | Focus on during 1st & 2nd call, | Day 3 par & Day 7 |
   • weighs self daily and at the correct time |  |  |
   • records weight on the Daily Water Pill Plan (Figure 4) | Review on all calls |  |
   • assess symptoms of heart failure (SOB, edema, dizziness) |  |  |
   • takes the correct dose of diuretic according to their weight |  |  |
   • phones doctor when appropriate |  |  |
Medication Adherence | Â | Â |
KNOWLEDGE – Verify the patient knows: | 3rd call | Day 10 (and Day 14 if need it) |
   • his/her fluid pill |  |  |
   • What to do if they have side effects from their medications |  |  |
   • That they still need to take their medications even if they feel good |  |  |
   • what to do if they are unable to pay for their medications |  |  |
   • how many refills they have left |  |  |
   • how to get refills |  |  |
   • what to do if they are out of pills |  |  |
   • the importance of having a successful system for taking their medication |  |  |
   • to take all their medications to their doctors appointments and reviews them with the doctor |  |  |
Salt Avoidance | Â | Â |
KNOWLEDGE – Verify the patient knows: | 4th call | Day 17 (and Day 21 if need it) |
   • what sodium is |  |  |
   • why salt is bad for someone with heart failure |  |  |
   • ways to eat less salt |  |  |
   • how to tell whether something has too much salt |  |  |
   • which foods are good choices based on reading nutrition labels and knowing how much sodium per serving a food has |  |  |
   • which foods out of a list of 20–30 common foods are good choices |  |  |
   • if foods that say "lower sodium" or "reduced sodium" are OK |  |  |
   • what foods could be substitutes for high sodium foods |  |  |
Exercise | Â | Â |
KNOWLEDGE – Verify the patient knows: | 5th call | Day 24 (and Day 28 if need it) |
   • that it is safe for someone with heart failure to exercise |  |  |
   • how exercise helps people with heart failure |  |  |
   • when it is not safe to exercise |  |  |