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Table 4 Behavior and Knowledge Requirements to Reach Goal

From: Comparison of a one-time educational intervention to a teach-to-goal educational intervention for self-management of heart failure: design of a randomized controlled trial

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

  

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

  

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

  

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

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