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Congestive Heart Failure (CHF) Management Program

Congestive Heart Failure (CHF) is a condition in which the heart is unable to deliver enough oxygen-rich blood to the body, and can result in a series of other, more serious health problems. CHF can be caused by a number of underlying conditions, including chronic conditions that weaken the heart muscle over time or cause it to become stiffer, and diseases that increase the body’s oxygen needs beyond what the heart can circulate through the bloodstream.

Over 5 million people in the United States suffer from CHF, and it is the leading cause of hospitalization among seniors over 65 years of age. Seniors with CHF have the highest rate of hospital readmissions among any population.

The most common conditions that result in CHF include:

  • Coronary artery disease
  • High blood pressure
  • Severe lung disease
  • Damage after a heart attack
  • Damage to the heart as a result of infections

CHF is a progressive, chronic disease. While the symptoms can be managed, there is not yet any cure for the disease. But with the proper management strategy, there can be positive outcomes to CHF. Lifestyle modifications are perhaps the most critical way that we can reduce the severity of the disease.

HealthFlex’s CHF Management Program is specifically designed to empower and support the patient and their family to manage the disease. Our CHF Management Program uses an integrated approach including skilled nursing, physical therapy, occupational therapy, and registered dietitians.

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The Program components include:

  • Assessment of the patient/families understanding of the disease
  • Assessment of the current treatment plan, including medication review and compliance plan development
  • Consultation with the treating physician regarding treatment plan and protocol
  • Nutritional assessment by Registered Dietician
  • Assessment of lifestyle practices including physical abilities and limitations as well as involvement in activities of daily living
  • Creation of a home exercise program as well as an energy conservation plan
  • Development of an individualized daily monitoring routine of weight, heart rate, oxygen saturation, blood pressure, peak expiratory flow and blood glucose, as indicated
  • Disease management education and coaching; we use proven educational methods that work


Common Conditions and Diagnosis for CHF or HTN Program:

  • Diagnosis of CHF or HTN
  • Diagnosis of Heart Failure
  • Shortness of Breath and Fatigue
  • Diagnosis of Coronary Artery Disease
  • Recurrent or Chronic Swelling/Edema of the Leg
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Our interdisciplinary approach includes:

Skilled Nursing

  • Complete History and Physical
  • Medication Review and Teaching
  • Vital Sign Monitoring Teaching
  • Nutrition and Diet Education
  • Weight Loss or Gain Monitoring and Teaching
  • Fall Risk Assessment
  • Teaching Oxygen Program
  • Educational Tools for Patient and Caregiver

Home Health Aide

  • Grooming and Bathing Assistance
  • Light Housekeeping Pertaining to Patient Care Area

Physical Therapy

  • Complete Therapy Assessment
  • Strength and ROM Assessment
  • Sensory & Proprioception Assessment
  • Functional Ambulation Program
  • Home Safety Evaluation
  • Supervised Strengthening and Conditioning Exercise
  • Patient/Caregiver Education
  • Equipment Evaluation and Proper Use Occupational Therapy
  • Complete OT Assessment
  • ADL Training and Assessment
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