Chronic obstructive pulmonary disease
Viruses and Bacterial Infections are the #1 Cause of Acute Exacerbations of COPD.
Consequently, most exacerbations occur in the winter months. Preventing acute exacerbations helps reducelong-term complications and hospital admissions.
Congestive Heart Failure
CHF is One of the Most Common Reasons People 65 and Older go to the Hospital.
chf is when your heart can’t pump enough blood out to your other organs. When this happens the blood returning to your heart backs up in your tissues. Usually swelling results, most often in the legs and ankles. Sometimes fluid will collect in your lungs. You may feel short of breath and tired. You may gain weight.
C.H.F. - Clinical Pathway Training
CHF Clinical Pathway
The CHF Clinical Pathways vary depending on whether patients are in Class I or II or Classes III or IV. For the purposes of the Pathway, the RN can
determine the patient’s stage based on symptoms and no physician diagnosis of stage is required. The Pathway for Classes I and II includes 8 skilled nurse home visits, 2 skilled nurse telephone encounters and 8 physical therapy visits. The CHF Pathway for Classes III and IV include 12 nursing visits, 4 telephone encounters and 6 physical therapy visits. The visits should be scheduled over the entire certification period with more visits scheduled at the beginning of the episode and then tapering to less frequent visits towards the end of the episode.